Urinary Elimination Mr John Baker is a 68-year old shopkeeper who was admitted to the hospital with urinary retention, hematuria, and fever. The admitting nurse gathers the following information when...

Urinary Elimination

Mr John Baker is a 68-year old shopkeeper who was admitted to the hospital with urinary retention, hematuria, and fever. The admitting nurse gathers the following information when taking a nursing history. Mr Baker states he has noticed urinary frequency during the day for the past 2 weeks, and that he doesn’t feel he has emptied his bladder after urinating. He also has to get up two or three times during the night to urinate. During the past few days, he has had difficulty starting urination and dribbles afterwards. He verbalizes the embarrassment his urinary problems cause in his dealings with the public. He is diagnosed with benign prostatic hypertrophy (BPH) and referred to a urologist who suggests a transurethral resection of the prostate (TURP) in several months. He is placed on antibiotic therapy.

1. Considering Mr Baker’s history and assessment data, what other physical conditions could explain his symptoms?

2. The doctor recommended surgery. What assumptions will the nurse need to validate in helping prepare Mr and Mrs Baker for this surgery?

3. Incontinence can lead to client decisions to limit social interactions. What would be an appropriate response if Mr Baker states that he will just stay home until he has his surgery?