A nurse is working in a community health center that is sponsoring a program that offers both digital rectal exams (DRE) and free prostate-specific antigen (PSA) blood tests to all men older than age 60. A man approaches and asks, "What is this all about?
a. "A PSA test is one of the primary screening tests for prostate cancer."
b. "The PSA test is a definitive way to diagnose prostate cancer."
c. "A PSA test is indicated when a man has other symptoms of prostate cancer."
d. "The PSA test is unreliable unless a digital rectal exam immediately precedes it."
ANS: A
PSA and a digital rectal examination are the two screening tests for prostate cancer. The PSA is a screening test, not a definitive way of diagnosing the condition. PSA is indicated as a screening tool, whether or not symptoms are present. It is recommended that the PSA be drawn before digital rectal examination because the examination can cause increased levels of PSA.
You might also like to view...
An older male patient admits to doing many things in life that he is not proud of and is having a difficult time getting them out of his mind. How should the nurse respond to the patient's statement?
A) "Remember that no one has lived a perfect life.". B) "Is there anyone that you might want to ask forgiveness from?" C) "Is there anything I can do to help you focus on more positive things?" D) "Do you think that you were really any worse than most other people?"
On the initial assessment of a patient with carbon dioxide poisoning, the ER nurse would anticipate that:
1. the blood pressure will be low. 2. oxygen saturation will be low. 3. the mucous membranes will be blue. 4. respirations will be less than 10 per minute.
Muscles move in response to messages from the nervous
a. True b. False
A woman has severe IBS and takes hyoscyamine sulfate (Levsin), simethicone (Phazyme), and a TCA. She reports having continued severe diarrhea. The primary care NP should:
a. order diphenoxylate (Lomotil). b. prescribe alosetron after ruling out pregnancy. c. refer her to a gastroenterologist for endoscopy. d. increase the fiber in her diet to 30 g per day.