Help with Priority diagnosis for Post TURP pt being discharged

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Today i had a patient who came into the hospital with prostate hypertrophy with obstruction. He also had some bladder calculi and history of reucurrent uti's, HTN, CAD,R Pyelonephritis. He had a transurethral resection of the prostate on 9/25 prior to my care on 9/28. CBI was discontinued bc urine was getting lighter yellow/pink and the foley was taken out today. He had his first void which was 350cc of light pink/yellow urine and the doctor put in the orders for discharge.

My question is what would be the priority nursing diagnoses for this patient who is going home post turp.

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the american urological association foundation website- urologyhealth.org. has a table of post-op complications following surgical managment of bph

http://www.urologyhealth.org/adult/index.cfm?cat=09&topic=131

the canadian urological association gives some patient discharge instructions

http://www.uroinfo.ca/brochures_prostate/transurethralresectionprostate.html

these may help you see the priorities

regards

dishes

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