Hi everyone, I'm new to posting on this board, so hopefully I am doing this right! I am a second semester nursing student going through my ob rotation. At clinical the other day, I had a patient that was about 17 hours post-op from a Divinci hysterectomy when I became her student nurse at 8 am. Foley catheter was removed at 7am, voiding had to be done within 6 hours from Foley removal in order to be discharged. Patient voided at 6 hours exactly. In post conference, my instructor asked me my nursing diagnoses for care plans
and I picked acute pain r/t surgical incision, and impaired tissue integrity, but she wants me to do impaired urinary elimination instead of the impaired tissue integrity, which is fine with me. I have the whole care plan done with the exception of the r/t part of the nursing diagnosis. I can't figure out if the impaired urinary elimination is r/t the foley catheter placement or the procedure itself (since all of those organs are in the same vicinity). Hoping someone could answer/explain the reason that my patient had impaired urinary elimination! Thanks in advance for your help!