Reference no: EM133912997

Question

Tom Belkin, a 55-year-old male client, is diagnosed with benign prostate hypertrophy (BPH). The prostate-specific antigen (PSA) is within normal limits. The biopsy of the prostate is negative for malignancy. The client has a recent history of hesitancy, a decrease in the size and force of the urinary stream, inability to empty the bladder completely, and dribbling. The client had received antibiotics before surgery to treat a bladder infection. The client underwent a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation, with normal saline at 100 mL/hour, infusing to the irrigation port of a three-way urinary catheter. The drainage is clear and light pink in coloration postoperatively. The client has an 18-gauge IV of D5 ½ NS at 50 mL/hour on left forearm, with no redness, edema, or drainage at the site. The client may have the IV converted to a saline lock once the liter has infused. The vital signs are T, 99°F; BP, 130/84 mm Hg; HR, 88 beats/minute; RR, 22 breaths/minute. There are physician orders for propantheline bromide (Pro-Banthine) 15 mg PO, 30 minutes AC, and 30 minutes HS, and the client has not started the medication. The client may resume a regular diet once fully awake. The client is complaining that he feels like he needs to void and asks the LPN/LVN if the urinary catheter could be removed because it is so uncomfortable. There is 150 mL of drainage in the urinary collection bag for the past hour.