Chap 34

A patient is 62 years old and weighs 176 pounds. Post prostatectomy, the nurse assesses hourly urine output. Select the measurement that would require notification of the healthcare provider.

25 mL per hour

A patient has been prescribed an oral medication for treatment of ED. The three most common drugs are slightly different and dosage, use, and side effects. As part of health teaching, the nurse knows to tell the patient that Cialis has a unique side effect which is

Back pain

Which of the following is the most immediate danger after prostate surgery?

Bleeding

A healthcare provider prescribes ketoconazole (nizoral) A second line hormonal agent for the treatment of prostate cancer. The nurse explained to the patient that this drug acts by:

Decreasing the endocrine production of androgen

A patient is diagnosed with prostatitis. Which of the following is the most commonly isolated organism that will be present in this patients laboratory results?

Escherichia coli

Which of the following is the best surgical approach for treatment of prostate disorders because it is very effective for radical cancer therapy?

Perineal approach

A patient is scheduled for a transurethral resection (TUR). The nurse is aware that disadvantage of the surgical approach is:

Re-current urethra obstruction

Based on the nurses knowledge of probable first indicator of prostate cancer, which of the following questions should be included in the history and physical examination?

"Do you have any perineal discomfort?"

The prostate-specific antigen (PSA) test is recommended for men over age 50. Elevated levels may indicate prostate cancer or inflammation and or enlargement of the prostate. If patient is told that his PSA level indicates a possible diagnosis of prostate cancer. The nurse knows that this level is approximately:

4 to 8ng/ml

All prostatectomies include the risk of damage to the prudendal nerve. Therefore, postoperatively, the nurse assesses for;

Impotence

Following prostatectomy, the nurse monitors the patient for indicators of fluid volume excess. Which of the following are positive indicators?

Jugular vein distention. In S3 Gallup heart sound. Pulmonary crackles. Dyspnea and wheezing.

A healthcare provider prescribed a luteinizing hormone-releasing hormone (LHRH) agonist to suppress testicular androgen and treat prostrate cancer. Which of the following is the primary drug of choice?

Lupron

Which of the following is the only definitive test that can determine if cancer of the testis is present?

Tissue biopsy

Medical management of BPH indicates pharmacological therapy. Which of the following medications with the nurse expect the healthcare provider to prescribed for this diagnosis?

Alpha-andernergic blocker

A 29-year-old patient visits his provider because of a lump on his left testicle that is not painful. During a history and physical exam, he mentions another symptom. Which of the following is a significant diagnostic symptom that is suggestive of metastasis?

A backache