When caring for a male client scheduled for a prostatectomy due to cancer, which data would the nurse expect for a client with this condition data?
Select all that apply.
1. Enlargement of the scrotal sac.
2. Pyuria.
3. Increase in prostatic specific antigen (PSA).
4. Dribbling of urine.
5. Difficulty in initiating urine stream.
Correct Answer: 3, 4, 5
Low levels of prostatic specific antigen (PAS) are present in normal, healthy men. PSA levels are used to assess for the presence of prostate cancer. Laboratory values for the PSA will be elevated in the presence of prostate cancer. Conditions of the prostate gland may result in urinary changes. The dribbling of urine may be seen with prostate cancer. Dribbling or difficulty starting the urine stream may be seen in the presence of prostate enlargement. The scrotal sac of the client diagnosed with prostate cancer would not be enlarged. The prostate is located on each side of the male urethra just below the bladder. It is not anatomically near the scrotal sac. Pyruia refers to pus in the urine. Pus in the urine is not consistent with a diagnosis of prostate cancer.
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