Nokea
A nurse is caring for a 33-year-old male who has come to the clinic for a physical examination. He states that he has not had a routine physical in 5 years. During the examination, the physician finds that digital rectal examination (DRE) reveals stoney hardening in the posterior lobe of the prostate gland that is not mobile. The nurse recognizes that the observation typically indicates what?
- A. A normal finding
- B. A sign of early prostate cancer
- C. Evidence of a more advanced lesion
- D. Metastatic disease
Correct Answer: C
Rationale: A stony hard, fixed lesion in the prostate on DRE suggests a more advanced prostate cancer, as early lesions are typically nodular. This is not a normal finding or indicative of metastatic disease without further evidence.
You may also like to solve these questions
A patient is 24 hours postoperative following prostatectomy and the urologist has ordered continuous bladder irrigation. What color of output should the nurse expect to find in the drainage bag?
- A. Red wine colored
- B. Tea colored
- C. Amber
- D. Light pink
Correct Answer: D
Rationale: Post-prostatectomy urine output typically transitions from reddish-pink immediately after surgery to light pink within 24 hours as bleeding subsides, indicating normal healing. Red wine or tea colors suggest persistent bleeding, and amber indicates concentrated urine, not typical post-surgery.
A 29-year-old patient has just been told that he has testicular cancer and needs to have surgery. During a presurgical appointment, the patient admits to feeling devastated that he requires surgery, stating that it will leave him emasculated and a shell of a man. The nurse should identify what nursing diagnosis when planning the patients subsequent care?
- A. Disturbed Body Image Related to Effects of Surgery
- B. Spiritual Distress Related to Effects of Cancer Surgery
- C. Social Isolation Related to Effects of Surgery
- D. Risk for Loneliness Related to Change in Self-Concept
Correct Answer: A
Rationale: The patient's statements reflect concerns about his body image and masculinity post-surgery, supporting a diagnosis of Disturbed Body Image. There is no evidence of spiritual distress, social isolation, or loneliness.
A patient who is postoperative day 12 and recovering at home following a laparoscopic prostatectomy has reported that he is experiencing occasional dribbling of urine. How should the nurse best respond to this patients concern?
- A. Inform the patient that urinary control is likely to return gradually.
- B. Arrange for the patient to be assessed by his urologist.
- C. Facilitate the insertion of an indwelling urinary catheter by the home care nurse.
- D. Teach the patient to perform intermittent self-catheterization.
Correct Answer: A
Rationale: Urinary incontinence post-prostatectomy is common and typically resolves gradually within months to a year. Reassuring the patient about this normal recovery process is appropriate. Urologist referral, catheterization, or self-catheterization are not indicated at this stage.
A nursing student is learning how to perform sexual assessments using the PLISSIT model. According to this model, the student should begin an assessment by doing which of the following?
- A. Briefly teaching the patient about normal sexual physiology
- B. Assuring the patient that what he says will be confidential
- C. Asking the patient if he is willing to discuss sexual functioning
- D. Ensuring patient privacy
Correct Answer: C
Rationale: The PLISSIT model starts with seeking permission to discuss sexual health, ensuring patient comfort and consent. This patient-centered approach precedes providing information, ensuring confidentiality, or addressing privacy.
A patient has been prescribed sildenafil. What should the nurse teach the patient about this medication?
- A. Sexual stimulation is not needed to obtain an erection.
- B. The drug should be taken 1 hour prior to intercourse.
- C. Facial flushing or headache should be reported to the physician immediately.
- D. The drug has the potential to cause permanent visual changes.
Correct Answer: B
Rationale: Sildenafil requires sexual stimulation to be effective and should be taken about 1 hour before intercourse for optimal effect. Facial flushing and headache are common, non-serious side effects, and visual changes are rare and typically transient, not permanent.