Rn. 23
Rn. 23
23
Case 8
Mr. Ananda KC 67-year-old man comes to the office due to worsening urinary frequency,
hesitancy, and nocturia for the past year. He wakes up 2 or 3 times a night to void. The patient
also says that the force of his urinary stream is decreased and he feels that his bladder is not
completely evacuated after voiding. He has a history of hypertension and osteoarthritis. The
patient has a 35-pack-year smoking history but stopped smoking 10 years ago. Temperature is
37.1 C (98.8 F), blood pressure is 130/80 mm Hg, and pulse is 78/min. Physical examination
shows a soft and nontender abdomen. Rectal examination reveals an enlarged, smooth prostate
with no nodules and normal rectal sphincter tone. Postvoid bladder scan shows 75 ml of urine
(normal, <12 ml). Serum creatinine and urinalysis are normal. Serum prostate-specific antigen is
2.8 ng/ml (age-adjusted reference value <4.5 ng/ml).
After surgical consultation it was Mr. KC was advised surgery. An elective TURP was scheduled
for tomorrow. He was admitted to the surgical ward.
He was discharged from hospital after 4 days post-op. You provided needed nursing care with
holistic approach.
Q.1 What are the nursing diagnoses you made to provide complete nursing care to him?