BPH and Prostate Cancer

A client comes to the clinic reporting urinary symptoms. Which statement would most likely alert the nurse to suspect benign prostatic hyperplasia (BPH)?

"I've had trouble getting started when I urinate, often straining to do so." Rationale: Symptoms that might alert the nurse to BPH include difficulty initiating urination and abdominal straining with urination.

Which of the following should be included when teaching a client about the management of benign prostatic hyperplasia (BPH)? Select all that apply.

** Do no delay the urge to void ** Schedule digital rectum exams

The nurse is caring for a client who had transurethral resection of the prostate (TURP) 1 day ago. Which assessment finding(s) does the nurse expect? Select all that apply.

** Large amounts of amber- colored urine in the drainage bag ** Reports of the urge to void from the client ** Drainage tube secured to the inner thigh

A client recovering from a prostatectomy reports ongoing bladder spasms. Which action(s) will the nurse take to reduce the client's discomfort? Select all that apply.

** Prepare a sitz bath ** Provide flavoxate as prescribed ** Apply warm compresses to the pubis

The nurse is caring for a client with prostate cancer who is being treated with a hormone therapy. What should the nurse monitor for in order to evaluate the effect of this treatment?

A decline in the amount of circulating androgens

The nurse is educating a patient about performing testicular self-examination (TSE). The nurse informs the patient that the best time to perform the exam is when?

After a warm bath or shower Testicular self-examination is to be performed once a month. The test is neither difficult nor time-consuming. A convenient time is usually after a warm bath or shower when the scrotum is more relaxed.

Which assessment finding is most important in determining which client has a higher risk for developing testicular cancer?

Cryptorchidism as an infant

A client with erectile dysfunction who had a penile implant inserted has been taught how to identify malfunction of the device. Which of the following if stated by the client as indicative of malfunction would indicate to the nurse that the client has understood the teaching?

Underinflation or bulging of the cylinders during inflation

Which of the following are dominant findings related to a transurethral resection syndrome?

** Hyponatremia ** Hyperammonemia ** Hypovolemia

A client underwent a transurethral resection of the prostate gland 24 hours ago and is on continuous bladder irrigation. Which nursing intervention is appropriate?

Use sterile technique when irrigating the catheter.

A client with erectile dysfunction is prescribed sildenafil (Viagra). Which of the following would the nurse include in the teaching plan for this client?

You may experience headache and some flushing with this drug."

The client diagnosed with benign prostatic hyperplasia (BPH) is scheduled for a transrectal ultrasound examination and a test to measure the level of prostate-specific antigen (PSA). The client says to the nurse, "I can't remember . . . can you tell me again why I need these tests to be done?" The nurse responds, knowing that these tests are done for which purpose?

Help to rule out the possibility of cancer

Which of the following should nurses teach all men, especially those who have had cryptorchidism?

How to perform a testicular self-examination

A 65-year-old client complains to his health care provider that, when he urinates, he has to start and stop several times over a period of minutes in order to fully empty his bladder. The nurse is aware that this is not uncommon in men over the age of 60. This "double voiding" is directly related to which of the following?

Hyperplasia of the prostate gland

Which of the following would a nurse include in a teaching plan for a client with benign prostatic hyperplasia who is not yet a candidate for surgery?

Maintaining optimal bladder emptying

Which nursing assessment finding is most significant in determining the plan of care in a client with erectile dysfunction?

Medication Use

The nurse is preparing a presentation for an older adult group of clients at a senior center. Which of the following would the nurse expect to include when describing the effects of aging on the reproductive system?

Men retain the ability to fertilize ova irrespective of age.

A patient experiences hypotension, lethargy, and muscle spasms while receiving bladder irrigations after a transurethral resection of the prostate (TURP). What is the first action the nurse should take?

Discontinue the irrigations.

A client is undergoing treatment for prostate cancer. He has chemotherapy sessions regularly. However, of late he is showing symptoms of food allergy and loss of appetite. He has lost considerable weight as a result. Which is an appropriate nursing task in this situation?

Ask the client to keep a diet diary. The appropriate nursing task in this situation is to assess the amount of food eaten. This assessment will help determine nutrient intake

The nurse is caring for a client with cancer of the prostate who has undergone a prostatectomy. Which action should the nurse include in discharge instructions?

Avoid lifting objects heavier than 20 lb (9 kg) for at least 6 weeks.

The nurse manager is teaching the nursing staff about signs and symptoms related to hypercalcemia in a client with metastatic prostate cancer and tells the staff that which is a late sign or symptom of this oncological emergency?

Electrocardiographic changes Hypercalcemia is a manifestation of bone metastasis in late-stage cancer.

Which instructions regarding future sexual activity should a nurse give a client with a vasectomy?

Use a reliable method of contraception until the physician ensures that sperm no longer are present.

A client is admitted to the nursing unit after undergoing radical prostatectomy for cancer. The nurse anticipates that which problem would be of most concern to the client in the immediate postoperative period?

Concern about the outcome of surgery

A client who comes to the clinic complaining of perineal pain, dysuria and fever is diagnosed with prostatitis. The nurse understands that which of the following organisms would be the most likely cause?

Escherichia coli

Which of the following would the nurse expect to be done to assess the size of the prostate?

Digital rectal examination

Which term refers to the surgical removal of one or both testes?

Orchiectomy

A client has experienced occasional urinary incontinence in the weeks since his prostatectomy. In order to promote continence, which action will the nurse encourage?

Perineal exercises Perineal exercises can promote the resumption of normal urinary function following prostate surgery.

A 57-year-old client is being treated in the outpatient community center. The client reports that most nights they wake up twice to urinate. In addition, they report occasional blood in urine. The client's laboratory tests reveal a PSA level of 3.8 ng/mL and a white blood cell (WBC) count of 6,000 mm3. The nurse most likely suspects that the client is experiencing which condition?

Prostatism

A patient is having a DRE in the physician's office and the nurse is to assist in the examination. What can the nurse instruct the client to do to decrease the discomfort from the exam?

Take a deep breath and exhale when the physician inserts a gloved finger into the rectum.