Author Question: The health care provider prescribes the following interventions for a patient with acute prostatitis ... (Read 90 times)

brutforce · **on:** Jun 25, 2018

The health care provider prescribes the following interventions for a patient with acute prostatitis caused by E. coli. Which intervention should the nurse question?

a. Instruct patient to avoid sexual intercourse until treatment is complete.
b. Administer ibuprofen (Advil) 400 mg every 8 hours as needed for pain.
c. Catheterize the patient as needed if symptoms of urinary retention develop.
d. Give trimethoprim/sulfamethoxazole (Bactrim) DS 1 tablet daily for 28 days.

Question 2

Which assessment information is most important for the nurse to report to the health care provider when a patient asks for a prescription for testosterone replacement therapy (TRT)?

a. The patient has noticed a decrease in energy level for a few years.
b. The patient's symptoms have increased steadily over the last few years.
c. The patient has been using sildenafil (Viagra) several times every week.
d. The patient has had a gradual decrease in the force of his urinary stream.

ju · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
Although acute urinary retention may occur, insertion of a catheter through an inflamed urethra is contraindicated and the nurse will anticipate that the health care provider will need to insert a suprapubic catheter. The other actions are appropriate.

Answer to Question 2

ANS: D
The decrease in urinary stream may indicate benign prostatic hyperplasia (BPH) or prostate cancer, which are contraindications to the use of testosterone replacement therapy (TRT). The other patient data indicate that TRT may be a helpful therapy for the patient.