Several patients call the urology clinic requesting appointments ...

[elizabeth18]

Several patients call the urology clinic requesting appointments with the health care provider as soon as possible. Which patient will the nurse schedule to be seen first?
 
  a. 22-year-old who has noticed a firm, nontender lump on his scrotum
  b. 35-year-old who is concerned that his scrotum feels like a bag of worms
  c. 40-year-old who has pelvic pain while being treated for chronic prostatitis
  d. 70-year-old who is reporting frequent urinary dribbling after a prostatectomy

Question 2

A 76-year-old patient who has been diagnosed with stage 2 prostate cancer chooses the option of active surveillance. The nurse will plan to
 
  a. vaccinate the patient with sipuleucel-T ( Provenge).
  b. provide the patient with information about cryotherapy.
  c. teach the patient about placement of intraurethral stents.
  d. schedule the patient for annual prostate-specific antigen testing.

[cupcake16]

Answer to Question 1

ANS: A
The patient's age and symptoms suggest possible testicular cancer. Some forms of testicular cancer can be very aggressive, so the patient should be evaluated by the health care provider as soon as possible. Varicoceles do require treatment, but not emergently. Ongoing pelvic pain is common with chronic prostatitis. Urinary dribbling is a common problem after prostatectomy.

Answer to Question 2

ANS: D
Patients who opt for active surveillance need to have annual digital rectal exams and prostate-specific antigen testing. Vaccination with sipuleucel-T, cryotherapy, and stent placement are options for patients who choose to have active treatment for prostate cancer.