Prostate Cancer and BPH Exam Questions with Correct Answers 100% Verified|
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A client, who had a transurethral resection of the prostate (TURP), has a three-way indwelling
urinary catheter with continuous bladder irrigation. In which of the following circumstances
should the nurse increase the flow rate of the continuous bladder irrigation?
1. When drainage is continuous but slow.
2. When drainage appears cloudy and dark yellow.
3. When drainage becomes bright red.
4. When there is no drainage of urine and irrigating solution. 3.
The decision by the surgeon to insert a catheter after TURP or prostatectomy depends on the
amount of bleeding that is expected after the procedure. During continuous bladder irrigation
after a TURP or prostatectomy, the rate at which the solution enters the
bladder should be increased when the drainage becomes brighter red. The color indicates the
presence of blood. Increasing the flow of irrigating solution helps flush the catheter well so that
clots do not plug it. There would be no reason to increase the flow rate when the
return is continuous or when the return appears cloudy and dark yellow. Increasing the flow
would be contraindicated when there is no return of urine and irrigating solution.
In discussing home care with a client after transurethral resection of the prostate (TURP), the
nurse should teach the male client that dribbling of urine:
1. Can be a chronic problem.
2. Can persist for several months.
3. Is an abnormal sign that requires intervention.
4. Is a sign of healing within the prostate. 2.
Dribbling of urine can occur for several months after TURP. The client should be informed that
this is expected and is not an abnormal sign. The nurse should teach the client perineal
exercises to strengthen sphincter tone. The client may need to use pads for
,temporary incontinence. The client should be reassured that continence will return in a few
months and will not be a chronic problem. Dribbling is not a sign of healing, but is related to the
trauma of surgery.
A client with benign prostatic hypertrophy (BPH) has an elevated prostate-specific antigen (PSA)
level. The nurse should:
1. Instruct the client to request having a colonoscopy before coming to conclusions about the
PSA results.
2. Instruct the client that a urologist will monitor the PSA level biannually when elevated.
3. Determine if the prostatic palpation was done before or after the blood sample was drawn.
4. Ask the client if he emptied his bladder before the blood sample was obtained. 3.
Rectal and prostate examinations can increase serum PSA levels; therefore, instruct the client
that a manual rectal examination is usually part of the test regimen to
determine prostate changes. The prostatic palpation should be done after the blood sample is
drawn. The PSA level must be monitored more often than biannually when it is elevated.
Having a colonoscopy is not related to the findings of the PSA test. It is not necessary to void
prior to having PSA blood levels tested.
The nurse is admitting a patient with the diagnosis of advanced renal carcinoma. Based upon
this diagnosis, the nurse will expect to find which of the following as the "classic triad" of
presenting symptoms occurring in patients with renal cancer?
a. Fever, chills, flank pain
b. Hematuria, flank pain, palpable mass
c. Hematuria, proteinuria, palpable mass
d. Flank pain, palpable abdominal mass, and proteinuria B.
Rationale: There are no characteristic early symptoms of renal carcinoma. The classic
manifestations of gross hematuria, flank pain, and a palpable mass are those of advanced
disease.
, An elderly male patient visits his primary care provider because of burning on urination and
production of urine that he describes as "foul smelling." The health care provider should assess
the patient for which of the following factors that may dispose him to urinary tract infections
(UTIs)?
a. High-purine diet
b. Sedentary lifestyle
c. Benign prostatic hyperplasia (BPH)
d. Recent use of broad-spectrum antibiotics C.
Rationale: BPH causes urinary stasis, which is a predisposing factor for UTIs. A sedentary
lifestyle and recent antibiotic use are unlikely to contribute to UTIs, whereas a diet high in
purines is associated with renal calculi.
A client is admitted to the hospital with a diagnosis of benign prostatic hyperplasia, and a
transurethral resection of the prostate is performed. Four hours after surgery, the nurse takes
the client's vital signs and empties the urinary drainage bag. Which assessment finding indicates
the need to notify the health care provider (HCP)?
1. Red bloody urine
2. Pain related to bladder spasms
3. Urinary output of 200 mL higher than intake
4. Blood pressure, 90/50 mm Hg; pulse, 130 beats/minute
A nurse is providing instructions to a client who is scheduled for cystoscopy and possible biopsy
and will be receiving general anesthesia. Which instruction should the nurse provide to the
client?
1.The procedure will take about 4 hours.
2. Intravenous fluids may be started on the day of the procedure.
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A client, who had a transurethral resection of the prostate (TURP), has a three-way indwelling
urinary catheter with continuous bladder irrigation. In which of the following circumstances
should the nurse increase the flow rate of the continuous bladder irrigation?
1. When drainage is continuous but slow.
2. When drainage appears cloudy and dark yellow.
3. When drainage becomes bright red.
4. When there is no drainage of urine and irrigating solution. 3.
The decision by the surgeon to insert a catheter after TURP or prostatectomy depends on the
amount of bleeding that is expected after the procedure. During continuous bladder irrigation
after a TURP or prostatectomy, the rate at which the solution enters the
bladder should be increased when the drainage becomes brighter red. The color indicates the
presence of blood. Increasing the flow of irrigating solution helps flush the catheter well so that
clots do not plug it. There would be no reason to increase the flow rate when the
return is continuous or when the return appears cloudy and dark yellow. Increasing the flow
would be contraindicated when there is no return of urine and irrigating solution.
In discussing home care with a client after transurethral resection of the prostate (TURP), the
nurse should teach the male client that dribbling of urine:
1. Can be a chronic problem.
2. Can persist for several months.
3. Is an abnormal sign that requires intervention.
4. Is a sign of healing within the prostate. 2.
Dribbling of urine can occur for several months after TURP. The client should be informed that
this is expected and is not an abnormal sign. The nurse should teach the client perineal
exercises to strengthen sphincter tone. The client may need to use pads for
,temporary incontinence. The client should be reassured that continence will return in a few
months and will not be a chronic problem. Dribbling is not a sign of healing, but is related to the
trauma of surgery.
A client with benign prostatic hypertrophy (BPH) has an elevated prostate-specific antigen (PSA)
level. The nurse should:
1. Instruct the client to request having a colonoscopy before coming to conclusions about the
PSA results.
2. Instruct the client that a urologist will monitor the PSA level biannually when elevated.
3. Determine if the prostatic palpation was done before or after the blood sample was drawn.
4. Ask the client if he emptied his bladder before the blood sample was obtained. 3.
Rectal and prostate examinations can increase serum PSA levels; therefore, instruct the client
that a manual rectal examination is usually part of the test regimen to
determine prostate changes. The prostatic palpation should be done after the blood sample is
drawn. The PSA level must be monitored more often than biannually when it is elevated.
Having a colonoscopy is not related to the findings of the PSA test. It is not necessary to void
prior to having PSA blood levels tested.
The nurse is admitting a patient with the diagnosis of advanced renal carcinoma. Based upon
this diagnosis, the nurse will expect to find which of the following as the "classic triad" of
presenting symptoms occurring in patients with renal cancer?
a. Fever, chills, flank pain
b. Hematuria, flank pain, palpable mass
c. Hematuria, proteinuria, palpable mass
d. Flank pain, palpable abdominal mass, and proteinuria B.
Rationale: There are no characteristic early symptoms of renal carcinoma. The classic
manifestations of gross hematuria, flank pain, and a palpable mass are those of advanced
disease.
, An elderly male patient visits his primary care provider because of burning on urination and
production of urine that he describes as "foul smelling." The health care provider should assess
the patient for which of the following factors that may dispose him to urinary tract infections
(UTIs)?
a. High-purine diet
b. Sedentary lifestyle
c. Benign prostatic hyperplasia (BPH)
d. Recent use of broad-spectrum antibiotics C.
Rationale: BPH causes urinary stasis, which is a predisposing factor for UTIs. A sedentary
lifestyle and recent antibiotic use are unlikely to contribute to UTIs, whereas a diet high in
purines is associated with renal calculi.
A client is admitted to the hospital with a diagnosis of benign prostatic hyperplasia, and a
transurethral resection of the prostate is performed. Four hours after surgery, the nurse takes
the client's vital signs and empties the urinary drainage bag. Which assessment finding indicates
the need to notify the health care provider (HCP)?
1. Red bloody urine
2. Pain related to bladder spasms
3. Urinary output of 200 mL higher than intake
4. Blood pressure, 90/50 mm Hg; pulse, 130 beats/minute
A nurse is providing instructions to a client who is scheduled for cystoscopy and possible biopsy
and will be receiving general anesthesia. Which instruction should the nurse provide to the
client?
1.The procedure will take about 4 hours.
2. Intravenous fluids may be started on the day of the procedure.
