Reference no: EM133921982

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.

1. What nursing management does the client need?

2. How much urine output did the client have for the past hour?