case study
please answer in bullet form
Patient Profile
J.R. is a 69-year-old man who sees his health care provider because he has been having difficulty urinating and dribbling for the past year, and it has gradually gotten worse. He has a history of hypertension and a myocardial infarction 5 years ago. He is currently taking the following medications:
• Hydrochlorothiazide 25 mg PO every morning
• Metoprolol 50 mg PO BID
• Potassium chloride 20 mEq PO daily
• Aspirin 81 mg PO daily
Subjective Data
• Has difficulty starting to urinate, and when the urine flow does start, it is a slow stream, the urine flow stops and starts several times while voiding, and there is dribbling at the end
• Gets up at least twice per night to void
• Has been going on for about 1 year and has increasingly gotten worse
Objective Data
Physical Examination
• Temperature 98.4°F, pulse 72, respirations 18, blood pressure 138/78, oxygen saturation 98%
• Height 5’8” Weight 255 lb.
• Physical exam
◦ Penis circumcised, no lesions or discharge noted
◦ Scrotum symmetric, no masses, descended testes
◦ No inguinal hernia
◦ Digital rectal exam reveals prostrate enlarged symmetrically, firm and smooth
Diagnostic Studies
• Urinalysis with culture
◦ Color: amber yellow
◦ Odor: aromatic
◦ Protein: trace
◦ Glucose: none
◦ Ketones: none
◦ Specific gravity: 1.018
◦ pH: 6.2
◦ RBCs: 3/hpf
◦ WBCs: 1/hpf
◦ Casts: present
◦ Bacteria: none
• PSA 3 ng/mL
• Post void residual by bladder scan 175 mL
Interprofessional Care
• Transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH).
Discussion Assignment
• Instructions:
• Instructions: Make sure to cite your textbook in APA format at least (2) times. You must include a References in your presentation post. For guidelines on APA citation visit click here
• Links to an external site.
• .
• Please answer and present the following questions:
• What are some drugs that are used to treat BPH? Pick (2) and explain how they work and why they are given. Write indication, Side effect, Adverse effect, nursing teaching, patient teaching
• What preoperative nursing care do you anticipate before J.R.’s TURP surgery? Explain why. (Include explain what is TURP?)
◦ In this case study, what are J.R.’s specific manifestations of BPH? Explain why these manifestations might occur.
◦ Assume you are the nurse providing education to J.R. In your own words, explain to your patient what BPH is, how it develops, and what manifestations are expected. Assume the patient has little to no medical knowledge.
Please answer in bullet form. Thank you
