Ch 54

A nurse is caring for a client who has a new diagnosis of benign prostatic hypertrophy (BPH). The nurse anticipates a prescription for which of the following medications?

• Oxybutynin

• Phenylephrine

• Ipratropium

• Tamsulosin

A nurse is instructing a client who is scheduled for a transurethral resection of the prostate (TURP) about his postoperative care. Which of the following information does the nurse include in the teaching?

• "You may have a continuous sensation of needing to void even though you have a catheter."

• "You will be on bed rest for the first 2 days after the procedure."

• "You will be instructed to limit your fluid intake after the procedure."

• "Your urine should be clear yellow the evening after the surgery."

The nurse is caring for an 80-year-old male who has recently been diagnosed with prostate cancer that is low-grade and low-stage. The nurse anticipates that the patient will most likely receive which of the following treatments?

• Radical prostatectomy with lymph node dissection

• Bilateral orchiectomy

• Penile implants to maintain sexual functioning

• Active surveillance

The nurse notes that the next scheduled patient at the clinic is a 56 yo Male who is scheduled for a prostate screening. The nurse plans for the screening to be conducted in which order?

• Blood will be drawn to check patient's prostate specific antigen (PSA) levels first, followed by a digital rectal exam (DRE) performed by the Health Care Provider.

• The Health Care Provider will perform a digital rectal exam (DRE) first, followed by a blood draw for prostate specific antigen (PSA) levels.

• The order does not matter. The nurse can give the patient the option of which test will be performed first.

• The patient should have the blood drawn for the prostate specific antigen (PSA) today, but should reschedule the digital rectal exam for 6 months later.

The nurse educates the patient with benign prostatic hyperplasia (BPH) to avoid which of the following items in order to keep pain at a lower level?

• caffeine and alcohol

• shellfish and iodine

• yogurt and dairy products

• red meat and onions