A 70-year-old man is visiting the clinic for difficulty in ...

[D2AR0N]

A 70-year-old man is visiting the clinic for difficulty in passing urine. In the health history, he indicates that he has to urinate frequently, especially at night. He has burning when he urinates and has noticed pain in his back.
 
  Considering this history, what might the nurse expect to find during the physical assessment?
  a.
  Asymmetric, hard, and fixed prostate gland
  b.
  Occult blood and perianal pain to palpation
  c.
  Symmetrically enlarged, soft prostate gland
  d.
  Soft nodule protruding from the rectal mucosa

Question 2

A 40-year-old black man is in the office for his annual physical examination. Which statement regarding the PSA blood test is true, according to the American Cancer Society? The PSA:
 
  a. Should be performed with this visit.
  b. Should be performed at age 45 years.
  c. Should be performed at age 50 years.
  d. Is only necessary if a family history of prostate cancer exists.

[lkoler]

Answer to Question 1

ANS: A
Subjective symptoms of carcinoma of the prostate include frequency, nocturia, hematuria, weak stream, hesitancy, pain or burning on urination, and continuous pain in lower back, pelvis, and thighs. Objective symptoms of carcinoma of the prostate include a malignant neoplasm that often starts as a single hard nodule on the posterior surface, producing asymmetry and a change in consistency. As it invades normal tissue, multiple hard nodules appear, or the entire gland feels stone hard and fixed.

Answer to Question 2

ANS: B
According to the American Cancer Society (2006), the PSA blood test should be performed annually for black men beginning at age 45 years and annually for all other men over age 50 years.

[D2AR0N]

Correct answers!

[lkoler]

Great! Please up vote