Medical Surgical Nursing

g bladder control

 Demonstrates

satisfactory

technique and

understanding of

catheter care

 Lists signs and

symptoms that must

be reported should

they occur

for 6 to 8 weeks

postoperatively.

5. These measures will help

control frequency and

dribbling and aid in

preventing retention.

a. By sitting or

standing, patient is

more likely to empty

his bladder.

b. Spacing the kind and

amount of liquid

intake will help to

prevent frequency.

c. Exercises will assist

him in starting and

stopping the urinary

stream.

d. A schedule will assist

in developing a

workable pattern of

normal activities.

6. By requiring a return

demonstration of care,

collection, and emptying of

the device, he will become

more independent and also

can prevent backflow of

urine, which can lead to

infection.

a. Avoid prolonged

sitting (in a chair,

long automobile

rides), standing,

walking.

b. Avoid straining,

such as during

exercises, bowel

movement, lifting,

and sexual

intercourse.

5. Familiarize patient with

ways of

attaining/maintaining

bladder control.

a. Encourage urination

every 2 to 3 hours;

discourage voiding

when supine.

b. Avoid drinking cola

and caffeine

beverages; urge a

cutoff time in the

evening for drinking

fluids to minimize

frequent voiding

during the night.

c. Describe perineal

exercises to be

performed every

hour.

d. Develop a schedule

with patient that will

fit into his routine.

6. Demonstrate catheter care;

encourage his questions;

stress the importance of

position of urinary

receptacle.

Nursing Diagnosis: Imbalanced nutrition: less than body requirements related to decreased oral intake
because of anorexia, nausea, and vomiting caused by cancer or its treatment
Goal: Maintain optimal nutritional status
 Responds positively
to his favorite foods
 Assumes
responsibility for
his oral hygiene
 Reports absence of
nausea and
vomiting.

1. This assessment will help

determine nutrient intake.

2. Weighing the patient on the

same scale under similar

conditions can help monitor

changes in weight.

3. His explanation may present

easily corrected practices.

1. Assess the amount of food

eaten.

2. Routinely weigh patient.

3. Elicit patient's explanation

of why he is unable to eat

more.

4. Cater to his individual food

preferences (eg, avoiding