Roll no.

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).

He was scheduled for a pelvic UDS which revealed enlarged prostate.

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?

Q2. Prepare an elaborate nursing plan for Mr. KC.