ATI Prostate
A nurse in a provider's office is reinforcing teaching with a client who has an elevated prostate-specific antigen level and a new prescription for finasteride. Which of the following statements by the client indicates an understanding of the teaching?
"I will skip donating blood while I am taking this medication." (The nurse should reinforce with the client that finasteride is teratogenic to male fetuses and carries an FDA Pregnancy Risk Category X. Pregnant women should not handle the medication, and men who are taking it should not donate blood until it has been discontinued for at least 1 month.)
A nurse is reinforcing teaching about the prostate-specific antigen test with a client. Which of the following statements should the nurse make?
"You don't need to fast prior to the PSA test." (Fasting is not required for the PSA test. The client may eat or drink up until the time of the test.)
A nurse is collecting data from a client who is postoperative following a transurethral resection of the prostate (TURP). After the nurse discontinues the clients Urinary catheter, which of the following findings should the nurse report to the provider?
Decreased urine output (A decrease in urine output after a TURP indicates obstruction to urine flow by a clot or residual prostatic tissue and should be reported to the provider.)
A nurse is caring for a client who has a new diagnosis of benign prostatic hyperplasia (BPH). Which of the following prescriptions should the nurse expect?
Finasteride (The nurse should expect a prescription for finasteride for a client who has BPH. Finasteride is a 5-alpha-reductase inhibitor that is administered to reduce the size of the prostate within 3 to 6 months of therapy.)
A nurse is caring for a client who has benign prostatic hyperplasia and a new prescription for doxazosin. Which of the following manifestations should the nurse monitor for as an adverse effect of doxazosin?
Hypotension (Nonselective alpha1-adrenergic antagonists such as doxazosin block sympathetic receptors in the blood vessels as well as receptors in the bladder. These agents promote vasodilation, which can cause decreased blood pressure.)
A nurse is monitoring a client who has a history of an enlarged prostate and is experiencing suprapubic discomfort. Which of the following actions should the nurse take first?
Palpate the abdomen. (When providing client care, the nurse should first use the least restrictive intervention. Therefore, the nurse should palpate the abdomen to determine if the client has a distended bladder from urinary retention.)
A nurse is caring for a client who has continuous bladder irrigation following a transurethral resection of the prostate (TURP). Which of the following actions should the nurse take?
Report viscous drainage with clots to the provider. (The nurse should report urine output that is bright red with clots or urine that resembles ketchup to the provider, as this is an indication of hemorrhage.)
