Reproduction
The nurse just completed teaching a patient about finasteride. Which statement made by the patient indicates understanding of why the medication was prescribed?
"Finasteride reduces an enlarged prostate."
A patient with possible prostate cancer has a transrectal ultrasound and needle biopsy. The next day, which patient statement is of greatest concern to the nurse?
"I feel like I have a fever and my back aches."
A patient was recently diagnosed with benign prostatic hyperplasia (BPH). The nurse is teaching the patient the physiology of the bladder and prostate in patients with BPH. Which statement by the patient indicates the need for further teaching?
"The bladder muscle thins to help urine push past the enlarged prostate gland."
A patient with a diagnosis of benign prostatic hyperplasia was given a prescription for tamsulosin. Which statement by the patient indicates further drug teaching is needed?
"I need follow-up lab testing because tamsulosin can cause kidney dysfunction."
The patient diagnosed with benign prostatic hyperplasia (BPH) just completed a teaching session by the nurse. Which statement by the patient indicates that further teaching is needed?
"I will take saw palmetto twice a day."
A patient with benign prostatic hyperplasia (BPH) is prescribed finasteride. What instructions does the nurse give to the patient about this drug?
"Obtain routine liver function tests while on this medication." "Slowly change position from lying to standing to avoid dizziness." "This medication may cause a decreased interest in sexual activity."
When teaching a group of men about preventing chronic bacterial prostatitis, which statement should the nurse make?
"Prostatitis is more common in older men."
The nursing instructor is teaching a group of nursing students how to prepare a patient with benign prostatic hyperplasia (BPH) for a digital rectal examination (DRE). What statement by a student nurse indicates a need for further teaching?
"The residual urine will be measured during the examination."
What is first-line drug therapy for benign prostatic hypertrophy (BPH)?
5-alpha reductase inhibitor, such as finasteride (Proscar)
Which man is at greatest risk of developing prostate cancer?
52-year-old African American whose diet includes red meat
With which male patient does the nurse conduct prostate screening and education?
Adult who is older than 50 years
A patient underwent a transurethral resection of the prostate (TURP) yesterday for benign prostatic hyperplasia. What intervention does the nurse perform for the patient during the first postoperative day?
Assess for excessive bleeding.
A patient with benign prostatic hyperplasia is being discharged with alpha-adrenergic blockers. Which information is important for the nurse to include when teaching the patient about this type of pharmacologic management?
Be careful when changing positions. Avoid drugs used to treat erection problems Keep all appointments for follow-up laboratory testing
Which symptoms are most likely to occur with benign enlargement of the prostate?
Bladder calculi Urinary tract infections Increased residual urine Chronic urinary retention Overflow urinary incontinence
Which symptoms are most likely to occur with benign enlargement of the prostate?
Bladder calculi Urinary tract infections Increased residual urine Chronic urinary retention Overflow urinary incontinence
A 65-year-old patient with benign prostatic hyperplasia (BPH) is prescribed finasteride and doxazosin. What is the priority nursing assessment to perform following the first dose?
Blood pressure in different positions
The nurse is caring for a patient with a history of prostate cancer and prostate removal several years ago. The nurse reviews the laboratory results for the prostate-specific antigen (PSA) level, and it is 15 ng/dL. Based on these results, what would the nurse expect the health care provider to prescribe next?
Computed tomography (CT) scan or magnetic resonance imaging (MRI)
What foods should the nurse encourage the patient to include in his diet to decrease his risk of prostate cancer?
Eat more high-fiber foods Eat a healthy, balanced diet Eat more fish instead of red meat
Which statement is true regarding the prostate-specific antigen (PSA) test?
Elevated PSA levels are diagnostic for prostate cancer.
A patient with benign prostatic hyperplasia (BHP) is being considered for a transurethral resection of the prostate (TURP). What complications can occur as a result of this procedure?
Fluid overload Hyponatremia Water intoxication
The nurse is obtaining a health history from a patient suspected of benign prostatic hyperplasia (BPH). What are the symptoms of BPH?
Frequent waking during the night to void Sensation of incomplete bladder emptying Difficulty in starting and continuing urination Decreased force and intensity of urinary stream
The nurse knows that which procedure involves an interventional radiologist threading a small vascular catheter into the prostate's arteries and injecting particles blocking some of the blood flow to shrink the prostate gland?
Prostate artery embolization
The nurse is reviewing the results of a patient's prostate specific antigen (PSA) test and notices an elevation in the findings. What may this finding represent?
Prostate cancer
Which type of malignancy grows slowly?
Prostate cancer
Which herb is approved by the U.S. Food and Drug Administration (FDA) to help manage the urinary symptoms associated with benign prostatic hypertrophy (BPH) and finasteride?
Saw palmetto extract
A patient with prostate cancer is being evaluated for metastasis. Which laboratory test indicates possible bone metastasis?
Serum alkaline phosphatase
Hormone treatment for prostate cancer works by which action?
Suppresses growth of the tumor
A 68-year-old patient has recently undergone a prostate biopsy. Which symptom would indicate immediate referral to the health care provider?
Temperature of 101.6° F (38.7° C)
