Arterial bypass surgery

Case 1: Mrs. T is a 60-year-old woman had arterial bypass surgery to restore circulation in her legs. After surgery, she has incision lines in her groin and upper leg. A Foley catheter is in place. She states that she had difficulty controlling urination and was frequently incontinent prior to surgery. She states, “Sometimes I am completely soaked.” When I have to go, the sensation is so strong that I have to go RIGHT now and I can’t make it to the bathroom in time. (Look up incontinence and its subtypes in the nursing diagnosis book.

It is the 1st postoperative day and the Foley catheters are supposed to be removed per policy. With incisions in the groin area, the patient is having difficulty getting out of bed and can only do so slowly with great effort and pain. Is there be a valid reason for keeping the Foley in longer than 1 day? SBAR the surgeon.

Case 2: Mr. Z is a 56-year-old female patient who had lower abdominal surgery. After surgery, she did NOT void for 6 hours. Then, she voided only 30 mL of urine. She felt like she still had to urinate but was unable to void any additional urine.

SBAR the primary provider about this situation. (The initial interventions were NOT successful and the patient is unable to urinate. Make up appropriate details, as needed)