You are doing an admission assessment on a 40-year-old man who has been admitted for outpatient surgery on his right knee
While taking the patient's family history, he states "my father died of prostate cancer at age 48." The nurse should instruct him on which of the following health promotion activities?
A) The patient will need a PSA level at age 50.
B) The patient should have genetic testing for presence of BRCA-2.
C) The patient should have PSA levels drawn at 40 to 45 years.
D) The patient should limit alcohol use due to the risk of malignancy.
Ans: C
Feedback: Alcohol consumption by the patient should be limited. However, this is not the most important health promotion intervention, but a PSA level at age 40 to 45 years is extremely important for screening for prostate cancer. The American Cancer Society recommends that every man older than 50 years old have an annual DRE and PSA test as part of his regular health checkup. These tests are recommended for younger men (40–45 years of age) if they are at high risk of prostate cancer. In regard to BRCA-2 genetic testing, there are familial tendencies to prostate cancer development; however, the genetic testing is not a health promotion activity.
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