A patient who was recently diagnosed with prostate cancer comes ...

[HCHenry]

A patient who was recently diagnosed with prostate cancer comes to the clinic with his wife. She says, My husband said he has a stage I tumor. Can you explain what this means? What is the most appropriate response by the nurse?
 
  1. Stage I means the cancer involves only the prostate, and surgery and radiation treatments are usually needed.
  2. Staging involves a definition of the type of tumor and the treatment plan.
  3. Did your husband tell you he had a stage I tumor?
  4. Let's wait until the doctor comes, and you can talk with him.

Question 2

The nurse is reviewing a patient's medical record. Which manifestation should the nurse use to confirm a diagnosis of prostatodynia?
 
  1. negative urine culture
  2. denies history of STIs
  3. patient experiencing lower back pain
  4. fever is absent

[jazzlynnnnn]

Answer to Question 1

Correct Answer: 1
Grading and staging help determine prognosis and guide treatment decisions. A stage I cancer is confined to the prostate, and treatment will focus on radiation therapy and surgery. The nurse needs to provide factual information and educate the wife. The nurse should not ask the wife about something she already stated. The nurse does not need to wait for the doctor to talk with the patient and spouse. This response could increase the wife's anxiety.

Answer to Question 2

Correct Answer: 1
No evidence of urinary or prostatic infection or inflammation by a negative urine culture is a confirmation of prostatitis. History of UTIs, low back pain, or fever are not used to confirm prostatitis.

[HCHenry]

TYSM

[bulacsom]

Gracias!