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Nursing of Urinary System: Hema Malini, S.KP, MN, PHD

This document discusses the nursing care of patients undergoing a transurethral resection of the prostate (TURP). It outlines common nursing diagnoses for these patients including impaired urinary elimination and risk for infection. It also notes the risk for sexual dysfunction. The document provides details on pre-operative and post-operative nursing management for TURP including informing the patient, maintaining catheter drainage, administering medications, and teaching measures to regain urinary control.

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mutia ilham
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© © All Rights Reserved
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68 views

Nursing of Urinary System: Hema Malini, S.KP, MN, PHD

This document discusses the nursing care of patients undergoing a transurethral resection of the prostate (TURP). It outlines common nursing diagnoses for these patients including impaired urinary elimination and risk for infection. It also notes the risk for sexual dysfunction. The document provides details on pre-operative and post-operative nursing management for TURP including informing the patient, maintaining catheter drainage, administering medications, and teaching measures to regain urinary control.

Uploaded by

mutia ilham
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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NURSING OF URINARY SYSTEM

LECTURE:

Hema Malini, S.Kp, MN, PhD

CREATE BY:

Mutia Ilham (1511314019)

NURSING FACULTY

ANDALAS UNIVERSITY

2018
ASSIGNMENT

 Discuss the nursing care of patient with TUR/TURP


 Discuss what should nurse do before and after TUR/TURP

 Nursing care for patient with TURP


impaired urinary elimination
risk for infection
risk for sexual dysfunction

No Nanda Noc Nic

1. Impaired urinary  demonstrate behavior to  assess urine output and


elimination regain bladder/ urinary drainage system
control  assist patient to assume
 patient know the cause normal position when
 patient verbalize voiding
understand about her  regularly check the
condition dressing
 patient understand the  record time
technique to confront  encourage fluid intake.
her condition

2. risk for infection  experience no signs of  maintain sterile chateter


infection system
 achieve timely healing  monitor vital sign
 change dressing
frequently

3. risk for sexual dysfunction  understanding of sexual  give opportunity or


function and the opening for patient to
alteration talk about concern of
 discuss about the TURP and sexual
possible changes of body function
image  discuss basic anatomy
 understanding the  give accurate
problem solving, and information
problem solving skill  refer to sexual counselor
as indicate.

 what should nurse do before and after TURP


Pre-operative Management:

1. Inform the patient about the procedure and the expected postoperative care, including
catheter drainage, irrigation and monitoring of hematuria.
2. Discuss the complications of surgery which include:
3. Incontinence or dribbling of urine up to 1 year after surgery and that Kegel’s exercise will
help alleviate this problem
4. Retrograde ejaculation
5. Bowel preparation is given.
6. Optimal cardiac, respiratory and circulatory status should be achieved to decrease risk of
complications.
7. Prophylactic antibiotics are ordered.

Post-operative Management:

1. Urinary drainage is maintained and observed for signs of hemorrhage.


2. Maintain patency of urethral catheter.
3. Avoid overdistention of bladder, which could lead to hemorrhage.
4. Administer anti-cholinergic medications to reduce bladder spasms.
5. Maintain bed rest for the first 24 hours.
6. Encourage early ambulation, thereafter to prevent embolism, thrombosis and pneumonia.
7. Wound care is provided to prevent infection.
8. Administer pain medications.
9. Promote comfort through proper positioning.
10. Administer stool softeners to prevent straining that can lead to hemorrhage.
11. Reduce anxiety by providing realistic expectations about postoperative discomfort and
overall progress.
12. Encourage patient to express fears related to sexual dysfunctions and to discuss with
partner.
13. Teach measures to regain urinary control.

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