[Expert Solution]: Week 5 Discussion S

Week 5 Discussion S. M. is a 68-year-old man who has arrived at the emergency room accompanied by his wife. She brought him to the hospital after he was “seeing things” and very confused. She reports that he had been feeling well until a couple of days ago when he was complaining of malaise. He has no history of diabetes or hypertension, and no specific complaints except for some trouble “emptying his bladder.” He has been complaining over the last two days of increasing urinary frequency, hesitancy, and dysuria. Vital signs are BP 148/88, HR 82, Resp 20, Temp 99.7 deg F (36.1 deg C). Client’s wife states that he smokes 4 to 5 cigarettes per day and has done so for the past 40 years. He was diagnosed three years ago with benign prostate hyperplasia (BPH) but did not want to take the prescribed medications and was treating it with saw palmetto capsules. While obtaining your nursing history, you record no family history of cancer or other genitourinary problems. The provider performs a digital rectal examination (DRE) and finds a prostate 4 cm in size, smooth, and non-tender, with no nodules. The nurse inserts a Foley catheter and 1L of cloudy urine drains. A post-void-residual (PVR) urine test was ordered. The nurse does a bedside bladder scan and documents that S. M.’s PVR is 200mL. Laboratory results are as follows: Laboratory Results TableLabResultNa+140 mEq/LK+4.2 mEq/LCl-100 mEq/LHCO326 mEq/LBUN19 mg/dLCr3.2 mg/dLGlucose94 mg/dLRBC5.2 million/mm3WBC14,500/mm3Hgb15.2 g/dLHct0.46Platelets348,000 mm3Prostate-specific4.23 ng/mLantigen(PSA)Urinalysispositive for WBC, no blood, no protein In your initial discussion post, answer the following questions: What laboratory results do you find concerning? What are two nursing diagnoses coming from these results? What are two nursing interventions for each diagnosis? The client was using saw Palmetto to treat his BPH. What was the expected outcome from using this supplement? What drug do you anticipate that the provider will prescribe for the client? What are three teaching points you would provide to the client to manage his BPH? Why is there post void residual in the bladder even with the Foley catheter? What nursing interventions are needed for safe urinary care for this client?