Your 66-year-old patient complains of frequency of urination and hesitancy of the urine stream. On DRE, there is a hard, nodular, enlarged, non-tender prostate. The clinician should recognize these as symptoms of:
A. Prostatitis
B. Prostate cancer
C. Urethritis
D. Benign prostatic hyperplasia
ANS: B
A prostate suspicious for malignancy will demonstrate nodular areas and/or overall hardness. Definitive diagnosis is made via prostate biopsy. Routine or urgent referral to a urologist is indicated, depending on the degree of PSA elevation and/or the degree to which it has risen since the previous value in conjunction with any suspicious findings on the rectal examination. A patient with prostate cancer often has no symptoms. Alternatively, an enlarged prostate can cause obstructive symptoms that include urinary urgency, frequency, hesitation in getting the stream started, decreased caliber and force of stream, and nocturnal frequency of urination that is bothersome.
You might also like to view...
An older adult client is brought into the emergency department (ED) for a recent fall. The nurse suspects elder abuse. Which are clinical manifestations that support the nurse's suspicions?
Select all that apply. 1. Poor hygiene. 2. Dehydration. 3. Intracranial trauma. 4. Fecal impaction. 5. Dislocations.
While the nurse is educating a fellow nurse about some new research being developed to treat hepatitis C, specifically to identify disease-related drug targets on the cells, the nurse will be basing these data on which new technology finding?
A) Recombinant DNA technology B) Haplotype mapping C) The human genome project D) Interference RNA (RNAi)
An older client has been overusing alcohol for 25 years. Which nutrients should the nurse recommend that this client increase ingesting?
a. Vitamin D b. Potassium and iron c. Potassium and calcium d. Thiamine and folic acid
__________ refers to a decreased production of granulocytes
Fill in the blank(s) with correct word