Author Question: A patient returning from surgery for a perineal radical prostatectomy will have a nursing diagnosis ... (Read 41 times)

fagboi · **on:** Jun 25, 2018

A patient returning from surgery for a perineal radical prostatectomy will have a nursing diagnosis of risk for infection related to

a. urinary incontinence.
b. prolonged urinary stasis.
c. possible fecal wound contamination.
d. placement of a suprapubic bladder catheter.

Question 2

A 53-year-old man is scheduled for an annual physical exam. The nurse will plan to teach the patient about the purpose of

a. urinalysis collection.
b. uroflowmetry studies.
c. prostate specific antigen (PSA) testing.
d. transrectal ultrasound scanning (TRUS).

dreamfighter72 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
The perineal approach increases the risk for infection because the incision is located close to the anus and contamination with feces is possible. Urinary stasis and incontinence do not occur because the patient has a retention catheter in place for 1 to 2 weeks. A urethral catheter is used after the surgery.

Answer to Question 2

ANS: C
An annual digital rectal exam (DRE) and PSA are usually recommended starting at age 50 for men who have an average risk for prostate cancer. Urinalysis and uroflowmetry studies are done if patients have symptoms of urinary tract infection or changes in the urinary stream. TRUS may be ordered if the DRE or PSA is abnormal.