The nurse is performing a digital rectal examination. Which of the following findings is
a key sign for prostate cancer?
1. A hard prostate, localized or diffuse.
2. Abdominal pain.
3. A boggy, tender prostate.
4. A nonindurated prostate.
Give this one a try later!
1.
R: On digital rectal examination, key signs of prostate cancer are a hard
prostate, induration of the prostate, and an irregular, hard nodule.
Accompanying symptoms of prostate cancer can include constipation,
weight loss, and lymph- adenopathy. Abdominal
pain usually does not accompany prostate cancer. A boggy, tender
prostate is found with infection (eg, acute or chronic prostatitis)
,The nurse is caring for a client who will have a bilateral orchiectomy. The client asks
what is involved with this procedure. The nurse's most appropriate response would
be? "The surgery:
1. Removes the entire prostate gland, prostatic capsule, and seminal vesicles."
2. Tends to cause urinary incontinence and impotence."
3. Freezes prostate tissue, killing cells."
4. Results in reduction of the major circulating androgen, testosterone.
Give this one a try later!
4.
R: Bilateral orchiectomy (removal of testes) results in reduction of the major
circulating androgen, testosterone, as a palliative measure to reduce
symptoms and progression of prostate cancer. A radical prostatectomy
(removal of entire prostate gland,
prostatic capsule, and seminal vesicles) may include pelvic
lymphadenectomy. Complications include urinary incontinence, impotence,
and rectal injury with the radical prostatectomy. Cryosurgery freezes
prostate tissue, killing tumor cells without prostatectomy.
An adult male client has been unable to void for the past 12 hours. The best method
for the nurse to use when assessing for bladder distention in a male client is to check
for:
1. A rounded swelling above the pubis.
2. Dullness in the lower left quadrant.
3. Rebound tenderness below the symphysis.
4. Urine discharge from the urethral meatus.
Give this one a try later!
, 1.
R: The best way to assess for a distended bladder in either a male or female
client is
to check for a rounded swelling above the pubis. This swelling represents
the distended
bladder rising above the pubis into the abdominal cavity. Dullness does not
indicate a
distended bladder. The client might experience tenderness or pressure
above the symphysis.
No urine discharge is expected; the urine flow is blocked by the enlarged
prostate.
Several patients call the urology clinic requesting appointments with the health care
provider as soon as possible. Which patient will the nurse schedule to be seen first?
1. 22-year-old who has noticed a firm, nontender lump on his scrotum
2. "feels like a bag of worms"
3. 40-year-old who has pelvic pain while being treated for chronic prostatitis
4. 70-year-old who is reporting frequent urinary dribbling after a prostatectomy
Give this one a try later!
A.
R: The patient's age and symptoms suggest possible testicular cancer.
Some forms of testicular cancer can be very aggressive, so the patient
should be evaluated by the health care provider as soon as possible.
Varicoceles do require treatment, but not emergently. Ongoing pelvic pain
is common with chronic prostatitis. Urinary dribbling is a common problem
after prostatectomy.
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?
a key sign for prostate cancer?
1. A hard prostate, localized or diffuse.
2. Abdominal pain.
3. A boggy, tender prostate.
4. A nonindurated prostate.
Give this one a try later!
1.
R: On digital rectal examination, key signs of prostate cancer are a hard
prostate, induration of the prostate, and an irregular, hard nodule.
Accompanying symptoms of prostate cancer can include constipation,
weight loss, and lymph- adenopathy. Abdominal
pain usually does not accompany prostate cancer. A boggy, tender
prostate is found with infection (eg, acute or chronic prostatitis)
,The nurse is caring for a client who will have a bilateral orchiectomy. The client asks
what is involved with this procedure. The nurse's most appropriate response would
be? "The surgery:
1. Removes the entire prostate gland, prostatic capsule, and seminal vesicles."
2. Tends to cause urinary incontinence and impotence."
3. Freezes prostate tissue, killing cells."
4. Results in reduction of the major circulating androgen, testosterone.
Give this one a try later!
4.
R: Bilateral orchiectomy (removal of testes) results in reduction of the major
circulating androgen, testosterone, as a palliative measure to reduce
symptoms and progression of prostate cancer. A radical prostatectomy
(removal of entire prostate gland,
prostatic capsule, and seminal vesicles) may include pelvic
lymphadenectomy. Complications include urinary incontinence, impotence,
and rectal injury with the radical prostatectomy. Cryosurgery freezes
prostate tissue, killing tumor cells without prostatectomy.
An adult male client has been unable to void for the past 12 hours. The best method
for the nurse to use when assessing for bladder distention in a male client is to check
for:
1. A rounded swelling above the pubis.
2. Dullness in the lower left quadrant.
3. Rebound tenderness below the symphysis.
4. Urine discharge from the urethral meatus.
Give this one a try later!
, 1.
R: The best way to assess for a distended bladder in either a male or female
client is
to check for a rounded swelling above the pubis. This swelling represents
the distended
bladder rising above the pubis into the abdominal cavity. Dullness does not
indicate a
distended bladder. The client might experience tenderness or pressure
above the symphysis.
No urine discharge is expected; the urine flow is blocked by the enlarged
prostate.
Several patients call the urology clinic requesting appointments with the health care
provider as soon as possible. Which patient will the nurse schedule to be seen first?
1. 22-year-old who has noticed a firm, nontender lump on his scrotum
2. "feels like a bag of worms"
3. 40-year-old who has pelvic pain while being treated for chronic prostatitis
4. 70-year-old who is reporting frequent urinary dribbling after a prostatectomy
Give this one a try later!
A.
R: The patient's age and symptoms suggest possible testicular cancer.
Some forms of testicular cancer can be very aggressive, so the patient
should be evaluated by the health care provider as soon as possible.
Varicoceles do require treatment, but not emergently. Ongoing pelvic pain
is common with chronic prostatitis. Urinary dribbling is a common problem
after prostatectomy.
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?
