During a blood pressure screening an elderly male tells the nurse ...

[fagboi]

During a blood pressure screening an elderly male tells the nurse he experiences a fluttering in his chest while doing yard work. He reports no other symptoms, and the frequency is intermittent.
 
  The nurse would interpret this finding to be consistent with: 1. Underlying illness that requires a medical evaluation.
   2. Nonspecific cardiac changes with aging.
   3. Hypothyroidism.
   4. Exercise intolerance.

Question 2

A 53-year-old male presents to the urologist with complaints of nocturia and difficulty starting a stream of urine. After medical testing is completed, a diagnosis of benign prostatic hyperplasia (BPH) is made.
 
  Which of the following statements by the client indicates the need for additional teaching? 1. There are nonsurgical treatment options available..
   2. This condition may lead to cancer of the prostate..
   3. As my condition progresses, I may need to consider surgical management..
   4. Alpha blockers can be used to control my symptoms..

[bimper21]

Answer to Question 1

1. Underlying illness that requires a medical evaluation.

Rationale:
New onset atrial fibrillation and other arrythmias may signal the onset of a serious underlying illness that requires further medical evaluation. Chest fluttering can be a sign of hyperthyroidism, not hypothyroidism. These symptoms are not normal cardiac changes. Exercise intolerance would include shortness of breath, which the client does not report.

Answer to Question 2

2. This condition may lead to cancer of the prostate..

Rationale:
This is a benign condition that does not necessarily progress to cancer. It is caused by an increase in size of the prostate gland and is seen in older males. There are nonsurgical treatments available, such as medication to shrink the gland or a surgical resection. Alpha blockers will help control the symptoms.