A 65-year-old male patient complains of problems emptying his bladder, especially at night. The nurse would ask additional assessment questions related to which disorder?
1. Benign prostatic hypertrophy
2. Urinary tract infection
3. Bladder cancer
4. Testicular cancer
1
Rationale 1: It is estimated that more than half of all men over age 60 have benign prostatic hypertrophy (BPH). Primary symptoms are associated with voiding and difficulty starting the urine stream, dysuria, and nocturia.
Rationale 2: A patient with a urinary tract infection would not have difficulty starting the urine stream.
Rationale 3: Bladder cancer may also have pain as a symptom and is also accompanied frequently by hematuria.
Rationale 4: Testicular cancer would first be manifested by a growth in the testicle.
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