About
Enlarged prostate gland, usually resulting in a narrow urethra inhibiting urine outflow.
Assess
Urinary frequency, nocturia, sensation of incomplete emptying, hematuria, post-void dribbling, bladder distention
Complications
UTI; surgery; incontinence; kidney failure
Diagnosis
Urinary retention related to bladder outlet obstruction secondary to BPH
Risk for infection related to residual urine
Goals
- The client will have normal urinary output with no residuals.
- The client will remain free from infections.
Interventions
- Monitor urine output and residuals.
- Administer medications, as ordered, to promote shrinking of the prostate and opening of the urethra ( ex. Proscar, flomax).
- Encourage client to void as soon as feel the urge.
- Teach client s/s of urinary retention or urinary tract infection that may need follow-up.
- Teach client to limit or eliminate caffeine, diuretics, alcohol, or large amounts of fluid in a short time frame.
- Prepare client for surgery, as indicated.
- Monitor for signs/ symptoms of complications.
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