A 70-year-old man is visiting the clinic for difficulty in passing urine. In the health history, he indicates that he has to urinate frequently, especially at night. He has burning when he urinates and has noticed pain in his back
Considering this history, what might the nurse expect to find during the physical assessment?
a.
Asymmetric, hard, and fixed prostate gland
b.
Occult blood and perianal pain to palpation
c.
Symmetrically enlarged, soft prostate gland
d.
Soft nodule protruding from the rectal mucosa
ANS: A
Subjective symptoms of carcinoma of the prostate include frequency, nocturia, hematuria, weak stream, hesitancy, pain or burning on urination, and continuous pain in lower back, pelvis, and thighs. Objective symptoms of carcinoma of the prostate include a malignant neoplasm that often starts as a single hard nodule on the posterior surface, producing asymmetry and a change in consistency. As it invades normal tissue, multiple hard nodules appear, or the entire gland feels stone hard and fixed.
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