A 44-year-old man who is experiencing symptoms of frequent voiding has come to the clinic for a physical assessment. He has not seen a physician or nurse practitioner since college
Which of the following teaching interventions is important based on the patient's symptoms?
A) The nurse will instruct the patient on the effect of caffeine on increased urination.
B) The nurse will instruct the patient on the assessment of urine for hematuria.
C) The nurse will instruct the patient on the need for a digital rectal examination.
D) The nurse will instruct the patient on prevention of urinary tract infection.
Ans: C
Feedback: The digital rectal examination is recommended as part of the regular health checkup for every man older than 40; it is invaluable in screening for cancer of the prostate. Any symptoms or changes in function are explored fully and described in detail. These symptoms may include those associated with an obstruction caused by an enlarged prostate gland: increased urinary frequency, decreased force of urine stream, and double or triple voiding. The patient should be instructed on assessment of hematuria, but it is most important that he is aware based on his symptoms that a digital rectal examination must take place. Caffeine affects urination, but it is not the primary teaching intervention in this scenario.
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