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admin 2 min read Nursing

[Verified Answer]: Client: Michael Martin Age: 70 BD:…

Client: Michael Martin Age: 70 BD: 8/25/19xxNurses note: Client is a 70-year-old male currently on the rehab unit for Physical Therapy (PT) after undergoing a left knee replacement 1 week ago to treat osteoarthritis. Client complains of pain in left knee and has been taking Percocet 2 3x a day. He is ambulating with walker and is attending PT twice a day. He is eating well and consumes 100% of his meals. Client states he has noted a change in his bowel movements since surgery. He complains of constipation.Last evening, he was complaining of suprapubic pain, dribbling of urine and incomplete emptying of the bladder. A bladder ultrasound showed a volume of 700 mL. He was diagnosed with acute urinary retention. A 16F (10 mL balloon) indwelling urinary catheter was inserted to gravity drainage as per health care provider orders. A urinalysis sent to the lab.Client reported early this morning that he was looking forward to a better quality of life with decreased pain and increased activity after his surgery. He stated: I was looking forward to going home soon. Now I have this tube in my bladder. How do I manage this? How can I go to PT today? Patient education to be provided.Social history: He currently lives with his wife of 45 years and attends Sunday services regularly at the local Methodist church when he is home. What assessments are done for urinary retention? What assessments are done for constipation? What assessments are done for pain management?

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