Nokea
The nurse is caring for a client with benign prostatic hyperplasia (BPH). Which assessment finding provides the best indication of urinary retention?
- A. Frequency
- B. Urgency
- C. Hesitancy
- D. Dribbling
Correct Answer: A
Rationale: As residual urine accumulates, the client has an urge to void more often. Urgency, hesitancy, and dribbling are all urinary symptoms associated with BPH but not specific to urinary retention.
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The clinic nurse is assessing a new male client. Which nursing assessment finding would cause the nurse to suspect sterility in this client?
- A. Uncircumcised penis
- B. Recurrent urinary tract infections (UTI)
- C. Multiple sex partners
- D. Mumps at age 15 years
Correct Answer: D
Rationale: Viral mumps infection that occurs after puberty can be a cause of orchitis, which may result in testicular atrophy and sterility. Uncircumcised penis, UTIs, and number of sex partners are not indicated with sterility.
A client is diagnosed with stage II cancer of the prostate. The nurse interprets this as indicating which of the following?
- A. Cancer is small with no symptoms.
- B. Tumor is confined to the prostate gland.
- C. Tumor has spread beyond the prostate.
- D. Tumor has expanded to the bladder.
Correct Answer: B
Rationale: Stage II cancer of the prostate involves a tumor that is larger than stage I but is still confined to the prostate gland, if left untreated, it is more likely to spread beyond the prostate and cause symptoms. Stage I cancer of the prostate involves a small, slow-growing cancer that may never cause symptoms or other health problems. Stage III involves a tumor that has spread beyond the prostate but has not reached the bladder, rectum, lymph nodes, or other organs. Stage IV involves a tumor that has spread to the bladder, rectum, lymph nodes, or distant organs such as the bones.
Which of the following should nurses teach all men, especially those who have had cryptorchidism?
- A. Need for blood tests to measure serum acid phosphatase
- B. Importance of regular monitoring of prostate-specific antigen (PSA) levels
- C. Need to undergo a baseline and follow up lymph node biopsies
- D. How to perform a testicular self-examination
Correct Answer: D
Rationale: The nurses should teach all men, especially those who have had cryptorchidism, to perform testicular self-examination to detect any abnormal mass in the scrotum. The nurse instructs the clients to examine the testicles monthly, preferably when warm, such as in the shower. Having regular PSA levels, lymph node biopsies, and blood tests for measuring serum acid phosphatase are for the clients who are treated for prostate cancer.
A client is diagnosed with prostatitis. Which is the most important teaching point for the management of this disorder?
- A. Avoid tub baths.
- B. Avoid sexual activity.
- C. Limit fluid intake.
- D. Avoid prolonged sitting.
Correct Answer: D
Rationale: Prolonged sitting can aggravate the condition of prostatitis and should be avoided. Warm tub baths and/or sitz baths can provide comfort. Increasing fluid intake can also flush the urethra of microorganisms and decrease risk of bacterial infection. Regularly draining the prostate gland through masturbation or intercourse can be helpful.
The surgeon has ordered belladonna and opium (B and O) suppositories for the management of a postoperative prostatectomy client who is receiving continuous bladder irrigation. Which symptom(s) would indicate to the nurse the need for administration of this drug? Select all that apply.
- A. Increased blood in the catheter tubing
- B. Slowed or stopped infusion rate
- C. Increased bladder pressure and pain
- D. Increased speed of infusion rate
- E. Signs of urinary retention
- F. Increased force of urinary stream
Correct Answer: B,C
Rationale: Belladonna and opium suppositories are ordered to reduce bladder spasms that cause increased bladder pressure and pain following a prostatectomy. As spasms occur, the infusion of saline will slow or stop. Increased blood in the catheter tubing is a sign of active bleeding. With an indwelling three-way catheter, urinary retention and increased force of urinary stream are not present.