The nurse is providing an educational event at the local PTO on prostate cancer. A 53-year-old male attendee asks about the prevention and detection of prostate cancer
What information should the nurse provide to this patient that would assist in the early identification of prostate cancer?
A) Have a digital rectal examination and prostate-specific antigen (PSA) test done yearly.
B) Have a transrectal ultrasound every 5 years.
C) Perform monthly testicular self-examinations, especially after age 50.
D) Have a complete blood count (CBC) yearly (including blood urea nitrogen [BUN] and creatinine assessment).
Ans: A
Feedback: The incidence of prostate cancer increases after age 50. The digital rectal examination, which identifies enlargement or irregularity of the prostate, and the PSA test, a tumor marker for prostate cancer, are effective diagnostic measures that should be done yearly. Testicular self-examinations won't identify changes in the prostate gland due to its location in the body. A transrectal ultrasound and CBC with BUN and creatinine assessment are usually done after diagnosis to identify the extent of disease and potential metastases.
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