NCLEX-PN

Freedom from Urgency, Frequency, and Pain : Assessing whether the client is no longer experiencing sensations of urgency, frequent urination, or pain during urination Residual Urine Volume : Measuring post-void residual urine utilizing a bladder scan to ensure that the client has no more than 200 mL of urine remaining in the bladder after voiding. Prevention of Urinary Tract Infections : Ensuring that the client does not develop urinary tract infections as a result of indwelling urinary catheter use. Prevention measures include: ●​ empty the collection bag regularly ●​ perform routine catheter hygiene Urinary Incontinence : Determining if the client is no longer experiencing urinary incontinence after participating in prompted voiding and exercise programs. Self-Intermittent Catheterization : Verifying whether the client can independently perform self-intermittent catheterization correctly and safely. Colostomy Irrigation : Assessing the client's ability to perform colostomy irrigation correctly and whether it has effectively managed fecal elimination. Freedom from Fecal Incontinence : Evaluating whether the client is no longer experiencing fecal incontinence after participating in a bowel training program. Normal Bowel Functioning : Determining if the client's bowel function has returned to a normal and regular pattern. Absence of Diarrhea : Assessing whether the client is no longer experiencing episodes of diarrhea. The evaluation process involves comparing the client's current status with the expected outcomes and goals. This assessment helps healthcare providers determine the effectiveness of the interventions and make any necessary adjustments to the care plan. Regular and thorough evaluation is essential to ensure that the client's elimination needs are met and that their overall well-being is maintained. C. Mobility and Immobility: Assessing, Addressing, and Promoting Well-Being Assessing a client's mobility , gait , strength , motor skills , and use of assistive devices is a crucial responsibility for nurses. You must adeptly recognize common causes of immobility and the associated complications, spanning both the physiological and psychological realms. The primary causes of immobility include pain, motor/nervous system impairment, functional issues, generalized weakness, psychological challenges, and medication side effects . ●​ maintaining a closed drainage system ●​ keep the catheter tubing free from kinks ●​ keep the collection bag below the level of the bladder ●​ do not rest the collection bag on the floor

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