Author Question: A male client has come to the clinic with symptoms of hematuria, back pain, bilateral lower ... (Read 24 times)

javeds · **on:** Jul 22, 2018

A male client has come to the clinic with symptoms of hematuria, back pain, bilateral lower extremity weakness, and fatigue. The nurse suspects that, with these symptoms, the client may have which of the following?

1. Benign prostatic hyperplasia (BPH)
2. Testicular cancer
3. Prostate cancer
4. Bladder cancer

Question 2

A client with low back pain has been instructed to use ice therapy at home at part of the treatment for the pain. When using ice, the client should be instructed to:

1. Apply ice for 30 minutes each time.
2. Apply ice for 15 minutes each time.
3. Avoid exercising for at least 2 hours after the application of ice.
4. Rest in bed for one hour after applying ice.

cascooper22 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3. Prostate cancer

Rationale:
Unfortunately, many clients with prostate cancer remain undiagnosed until the cancer is well established. Hematuria, back pain, cilateral lower extremity weakness, and fatigue are symptom associate with prostate cancer. The client with BPH will have voiding issues without the fatigue or weakness. Testicular cancer will not produce back pain or limb weakness. Bladder cancer will have symptoms of hematuria.

Answer to Question 2

2. Apply ice for 15 minutes each time.

Rationale:
Ice remaining on the skin longer than 15 minutes causes an adverse effect known as the rebound phenomenon. Maximum constriction with ice occurs when the skin reaches a temperature of 60F. Prolonged cold can create a drop in temperature at which point vasodilation occurs. The client should be instructed to apply ice for 15 minutes each time. The application of ice for 30 minutes is too long. There is no evidence to suggest that the client should not exercise for 2 hours after the application of ice or that the client needs to rest in bed for 1 hour after the application of ice.