Mr. John Baker is a 68-year-old shopkeeper who was admitted to the hospital with

Mr. John Baker is a 68-year-old shopkeeper who was admitted to the hospital with urinary retention,
hematuria, and fever. The admitting nurse gathers the following information when taking a nursing
history. Mr. Baker states he has noticed urinary frequency during the day for the past 2 weeks, and that
he doesn’t feel he has emptied his bladder after urinating. He also has to get up two or three times
during the night to urinate. During the past few days, he has had difficulty starting urination and dribbles
afterward. He verbalizes the embarrassment his urinary problems cause in his dealings with the public.
Mr. Baker is concerned about the cause of this urinary problem. He is diagnosed with benign prostatic
hypertrophy (BPH) and referred to a urologist who suggests a transurethral resection of the prostate
(TURP) in several months. He is placed on antibiotic therapy.
Physical Examination
Height: 185.4 cm (6′2′′) Weight: 85.7 kg (189 lb) Temperature: 38.1°C (100.6°F) Pulse: 88 BPM
Respirations: 20/minute Blood pressure: 146/86 mm Hg Catheterization for urinary retention yielded
300 mL amber urine, Foley left in place for 2 days
Diagnostic Data
CBC normal; urinalysis: amber, clear, pH 6.5, specific gravity 1.025, negative for glucose, protein,
ketone, RBCs, and bacteria; IVP: evidence of enlarged prostate gland.
DEVELOP A PLAN OF CARE FOR MR. JOHN.