Nursing Care Plan for Urethral Stricture
A urethral stricture is a narrowing of a section of the urethra. It causes a blocked or reduced flow of urine which can lead to complications. There are various treatment options which aim to widen the narrowed section of the urethra.
1. Circulation
Signs: increased blood pressure (the effect of kidney enlargement)
2. Elimination
Symptoms: decreased urine flow, inability to empty the bladder completely, encouragement and frequency of urination
Signs: a mass / blockage of the urethra
3. Food and fluids
Symptoms: anorexia; nausea, vomiting, weight loss
4. Pain / comfort
Suprapubic pain
5. Security: fever
6. Guidance / learning
(Marilynn E. Doenges, 2000 p. 672)
Urethral Stricture Nursing Diagnosis and Nursing Intervention
Nursing Diagnosis for Urethral Stricture
Risk for Infection related to suprapubic catheters, suprapubic surgical incision
Goal : no infection
Expected results:
a. Patient's body temperature within normal limits
b. Surgical incision is dry, there is no infection
c. Urination with clear urine without difficulty
Nursing Intervention Urethral Stricture:
· Check the temperature every 4 hours and report if above 38.5 C
· Note urine character, report when turbid and foul odor
· Assess the incision pain, redness, swelling, leakage of urine, every 4 hours
· Replace dressing using sterile technique
· Maintain a closed gravity drainage system
· Monitor and report signs and symptoms of urinary tract infections
· Monitor and report if redness, swelling, pain or leakage around the suprapubic catheter.
(M. Tucker, Martin; 1998)
1. Circulation
Signs: increased blood pressure (the effect of kidney enlargement)
2. Elimination
Symptoms: decreased urine flow, inability to empty the bladder completely, encouragement and frequency of urination
Signs: a mass / blockage of the urethra
3. Food and fluids
Symptoms: anorexia; nausea, vomiting, weight loss
4. Pain / comfort
Suprapubic pain
5. Security: fever
6. Guidance / learning
(Marilynn E. Doenges, 2000 p. 672)
Urethral Stricture Nursing Diagnosis and Nursing Intervention
Nursing Diagnosis for Urethral Stricture
Risk for Infection related to suprapubic catheters, suprapubic surgical incision
Goal : no infection
Expected results:
a. Patient's body temperature within normal limits
b. Surgical incision is dry, there is no infection
c. Urination with clear urine without difficulty
Nursing Intervention Urethral Stricture:
· Check the temperature every 4 hours and report if above 38.5 C
· Note urine character, report when turbid and foul odor
· Assess the incision pain, redness, swelling, leakage of urine, every 4 hours
· Replace dressing using sterile technique
· Maintain a closed gravity drainage system
· Monitor and report signs and symptoms of urinary tract infections
· Monitor and report if redness, swelling, pain or leakage around the suprapubic catheter.
(M. Tucker, Martin; 1998)
