Module: Urinary Elimination

Module Objectives:  

This module will cover the following disorders: 

• Urinary Tract Infection

• Acute Pyelonephritis

• Interstitial Cystitis

• Urinary Tract Calculi

• Urinary Incontinence

• Urinary Retention

Utilizing clinical reasoning and the nursing process, the student is expected to:

1. Describe the etiology, pathophysiology, risk factors, signs and symptoms, complications, medical management, and nursing care of the above disorders. 

2. Recognize associated diagnostic tests and determine associated nursing care for the above disorders.

3. Identify relevant prioritized nursing diagnoses and an associated nursing plan of care to address physical, psychosocial, and learning needs.

4. Identify patient and family centered goals and outcomes that facilitate health promotion, maintenance, and restoration. 

5. Describe how evidence-based practice is used to prioritize, implement, and evaluate nursing interventions to address the needs of diverse and vulnerable patients/families with social determinants of health that contribute to multiple body system problems. 

• Safe environment/Risk reduction

• Medication therapy

• Diet therapy

• Surgical intervention

• Patient teaching; Discharge teaching; Referrals

• Therapeutic communication

• Delegation

• Others

6. Identify ways to collaborate with the interdisciplinary health care team when providing patient-centered care including during local or global health events.

7. Describe legal and ethical considerations including service excellence and nursing peer review. 

8. Identify complementary medicine options and quality improvement initiatives including civility and just culture.

Learning Activities: 

 1. Review module objectives.

 2. Learning Resources:

Harding, M. M., Kwong, J., Hagler, D., and Reinisch, C. (2023). Lewis’s Medical-surgical nursing: Assessment and management of clinical problems (12th edition). Elsevier Inc.

Chapter 49 Assessment of Urinary System, pp. 1177-1194

Chapter 50  Renal and Urologic Problems, 

pp. 1195-1201 Infectious and Inflammatory Disorders of Urinary System: Urinary Tract Infection and Acute Pyelonephritis (Skip Chronic Pyelonephritis, urethritis, and urethral Diverticula), 

pp. 1202-1203 Interstitial Cystitis (Skip Genitourinary Tuberculosis, Glomerulonephritis, and Nephrotic Syndrome),

pp. 1206-1212 Obstructive Uropathies: Urinary Tract Calculi (Skip Strictures, Renal Trauma, Renal Vascular Problems, Hereditary Kidney Diseases, and Urinary Tract Tumors/Cancers), 

pp. 1218-1223 Bladder Dysfunction: Urinary Incontinence and Urinary Retention (Stop at Catherization and Surgery of the Urinary Tract)

 3. Complete Critical Thinking Exercises:

     Urinary Elimination Student Learning Guide

 4. Supplemental Learning: 

     See Bb

 5. Review module objectives and check for knowledge gaps.

 6. Go to the Evolve website and review the module content and practice questions.