Neoplasms #4 (3)

Question 1

Risk for Hemorrhage r/t
treatment related: side-
effects new things

Answer 1

• High priority NUR diagnosis for radical postatectomy nursing care management
• No rectal procedures
• Administer stool softener BID
• Maintain foley to tension if ordered

Question 2

Acute Pain r/t incision, bladder spasms new things

Answer 2

• Irrigate Catheter manually q2hr and prn or maintain continuous bladder irrigation
• Administer antispasmodic medication prn and document effectiveness

Question 3

Knowledge Deficient: self care r/t new needs from surgery and lack of exposure new things

Answer 3

• Teach/Reinforce foley care/leg bag use qshift

Question 4

Home Care Diagnosis:

Incontinence r/t intrinsic sphincter deficiency

Answer 4

• Relevant to many prostatectomy pts after discharge and removal of their foley 7-14 days after surgery. patients are usually discharged after 2 day stay.
• Teach/reinforce pelvic muscle exercises (kegels) beginning with 5-10 repetitions and advacing to 35-50 per day

Question 5

Sexual dysfunction r/t altered body structure new things

Answer 5

• Refer to appropriate community resources such as family counselor or sexual therapist
• Refer to man-to-man (ACS support group prior to D/C)