The nurse is reinforcing instructions to a client being discharged from the clinic with a diagnosis of acute prostatitis. Which statement by the client indicates an understanding of the instructions?

Question

The nurse is reinforcing instructions to a client being discharged from the clinic with a diagnosis of acute prostatitis.  Which statement by the client indicates an understanding of the instructions?

Quizplus · Accepted Answer

Prostatitis is inflammation of the prostate gland, usually caused by a bacterial infection. Symptoms include rectogenital pain, burning, urinary hesitancy, and/or urinary urgency. Management of prostatitis includes antimicrobial and anti-inflammatory medications (eg, ibuprofen). Alpha-adrenergic blockers (eg, tamsulosin, alfuzosin) help relax the bladder and prostate. Suprapubic catheterization may be necessary for urinary retention in severe cases of acute prostatitis. Urethral catheterization is contraindicated due to the risk of exacerbating pain and urethral inflammation. Clients should be instructed to: Hydrate with clear liquids (eg, water, fruit juices). Avoid coffee, tea, and other caffeinated beverages due to diuretic and stimulant properties, which may worsen symptoms (Option B). Complete the full course of antibiotics regardless of symptom improvement to ensure infection resolution (Option C). Engage in sexual intercourse or masturbation to reduce discomfort related to retained prostatic fluid. Clients should use a barrier prophylactic method (eg, condoms) when engaging in sexual activity with a partner to prevent transmission of the causative organism (Option A). Take stool softeners as prescribed to reduce straining during defecation; tension of the pubic muscles presses against the prostate, causing pain (Option D). Take sitz baths, in which the hips and buttocks are immersed in warm water, to help relieve symptoms. Educational objective: Clients with prostatitis should be instructed to take anti-infective and anti-inflammatory medications, stool softeners, and sitz baths and to decrease retained prostatic fluid via ejaculation. Hydration and avoidance of caffeine should also be promoted.

The Nurse Is Reinforcing Instructions to a Client Being Discharged