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A patient with symptomatic BPH is scheduled for visual laser
ablation of the prostate (VLAP) at an outpatient surgical center.
The nurse will plan to teach the patient
a. how to care for an indwelling urinary catheter.
b. that the urine will appear bloody for several days.
c. to expect an immediate improvement in urinary force.
d. that an intraprostatic urethral stent will be placed. - ANSWER
-Answer: A Rationale: The patient will have indwelling
catheter for up to a week and will need to be instructed on
catheter care to avoid problems such as infection. There is
minimal bleeding with this procedure. It will take several
weeks before the full benefits of the procedure take effect.
Stent placement is not included in the procedure.
Cognitive Level: Application Text Reference: pp. 1420-1422
Nursing Process: Planning NCLEX: Physiological Integrity
The health care provider orders a blood test for prostate-
specific antigen
, (PSA) when an enlarged prostate is palpated during a routine
examination of a 56-year-old man. When the patient asks the
nurse the purpose of the test, the nurse's response is based on
the knowledge that
a. elevated levels of PSA are indicative of metastatic cancer of
the prostate.
b. PSA testing is the "gold standard" for making a diagnosis of
prostate cancer.
c. baseline PSA levels are necessary to determine whether
treatment is effective.
d. PSA levels are usually elevated in patients with cancer of the
prostate. -
ANSWER -Answer: D
Rationale: PSA levels are usually elevated above the normal in
patients with prostate cancer. PSA testing does not determine
whether metastasis has occurred. A biopsy of the prostate is
needed for a definitive diagnosis of prostate cancer. Success of
treatment is determined by a fall in PSA to an undetectable
level; the patient's baseline PSA is not needed to determine the
success of treatment.
Cognitive Level: Application Text
Reference: p. 1423
Nursing Process: Implementation NCLEX:
Physiological Integrity
Following a radical retropubic prostatectomy for prostate
cancer, the patient is incontinent of urine. An appropriate
nursing intervention for this patient is to teach the patient