Mr. Dunn is a 62-year-old male who has complained of frequent urination and difficulty initiating the flow. Digital palpation of the prostate revealed a nodular growth. His prostate specific antigen (PSA) has come back elevated this year and he has been called back to the healthcare provider’s office for a follow-up. The healthcare provider has recommended a transurethral resection of the prostate (TURP).a. Discuss the significance of Mr. Dunn’s elevated PSA and digital rectal examination. b. List reasons why the healthcare provider might have recommended the (TURP) to Mr. Dunn. c. After the TURP procedure has been completed, Mr. Dunn is returned to his hospital room with continuous bladder irrigation. What things would present an urgent need to stop the bladder irrigation?
Mr. Dunn is a 62-year-old male who has complained of frequent urination and difficulty initiating the flow. Digital palpation of the prostate revealed a nodular growth. His prostate specific antigen (PSA) has come back elevated this year and he has been called back to the healthcare provider’s office for a follow-up. The healthcare provider has recommended a transurethral resection of the prostate (TURP).a. Discuss the significance of Mr. Dunn’s elevated PSA and digital rectal examination. b. List reasons why the healthcare provider might have recommended the (TURP) to Mr. Dunn. c. After the TURP procedure has been completed, Mr. Dunn is returned to his hospital room with continuous bladder irrigation. What things would present an urgent need to stop the bladder irrigation?
Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
6th Edition
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Chapter27: Male Reproductive System
Section: Chapter Questions
Problem 1CR
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Question
Mr. Dunn is a 62-year-old male who has complained of frequent urination and
difficulty initiating the flow. Digital palpation of the prostate revealed a nodular
growth. His prostate specific antigen (PSA) has come back elevated this year and he
has been called back to the healthcare provider’s office for a follow-up. The
healthcare provider has recommended a transurethral resection of the prostate
(TURP).a. Discuss the significance of Mr. Dunn’s elevated PSA and digital rectal
examination.
b. List reasons why the healthcare provider might have recommended the
(TURP) to Mr. Dunn.
c. After the TURP procedure has been completed, Mr. Dunn is returned to his
hospital room with continuous bladder irrigation. What things would present
an urgent need to stop the bladder irrigation?
2. A 30-year-old client with testicular cancer is advised to undergo a unilateral
orchiectomy to remove the testes. The client is reluctant to undergo the surgery
because he fears he will not be able to continue a normal sex life and may become
impotent. “I’m worried about the results of the surgery and how it will affect my
marriage.” How should the nurse respond to this client?
3. A 35-year-old male client with a urinary tract infection is admitted to the healthcare
facility. During the initial assessment, the client tells the nurse that this is the second
time he has had a urinary tract infection. What are the risks associated with urinary
tract infection that the client must be made aware of?
4. A client who had prostate cancer underwent a prostatectomy. After the removal of the
urinary catheter, the client developed urinary incontinence. What instructions should
the nurse provide the client to help him manage urinary incontinence?
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