Question 1

A 70-year-old man is visiting the clinic for "difficulty in passing urine." In the history,he indicates he has to urinate frequently,especially at night.He experiences burning when he urinates and has noticed pain in his back.Given this history,what might the nurse expect to find during the physical assessment?

Accepted Answer

Subjective data for carcinoma of the prostate: frequency,nocturia,hematuria,weak stream,hesitancy,pain or burning on urination,and continuous pain in lower back,pelvis,and thighs.Objective data: A malignant neoplasm 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.

Question 2

While assessing a hospitalized,bedridden patient,the nurse notes that the patient has been incontinent of stool.The stool is loose and grey-tan in colour.The nurse recognizes that this finding indicates which of the following?

Accepted Answer

The presence of grey-tan (clay-coloured)stool indicates absent bile pigment,which can occur with obstructive jaundice.

Question 3

A 40-year-old male of African descent is in the office for his annual physical.Which statement is true regarding screening for prostate cancer,according to the Canadian Cancer Society?

Accepted Answer

According to the Canadian Cancer Society (2010),males of African descent and/or those with a family history of prostate cancer should consider starting testing at an earlier age than the recommended 50 years of age.It is recommended that DRE and PSA are done together.BPH does not increase the risk for developing prostate cancer.

Question 4

A 62-year-old man is experiencing fever,chills,malaise,and urinary frequency and urgency.He also reports urethral discharge and a dull aching pain in the perineal and rectal area.These symptoms are most consistent with which of the following?

Accepted Answer

The common presenting symptoms of prostatitis are fever,chills,malaise,and urinary frequency and urgency.The individual may also have dysuria,urethral discharge,and a dull aching pain in the perineal and rectal area.

Question 5

During a DRE,the nurse notes that the patient has hard feces in the rectum.The patient complains of feeling "full," has a distended abdomen,and states that she has not had a bowel movement "for several days." The nurse suspects which condition?

Accepted Answer

A fecal impaction is a collection of hard,desiccated feces in the rectum.The obstruction often results from decreased bowel motility,in which more water is reabsorbed from the stool.

Question 6

During a health history of a patient who complains of chronic constipation,she asks the nurse about high-fibre foods.The nurse relates that an example of a high-fibre food would be:

Accepted Answer

High-fibre foods of the soluble type (beans,prunes,barley,broccoli)have been shown to lower cholesterol,and those of the insoluble type (cereals,wheat germ)reduce the risk of colon cancer.

Question 7

Which of the following is an abnormal finding upon palpation of the prostate gland through the rectum?

Accepted Answer

The normal prostate gland should feel smooth,elastic,and rubbery.It is slightly movable,is heart-shaped with a palpable central groove,and is nontender to palpation.

Question 8

The nurse is performing a digital examination of a patient's prostate gland and notes a normal prostate gland includes the following characteristics: (Select all that apply. )

Accepted Answer

The gland should be 2.5 cm long by 4 cm wide,and it should not protrude more than 1 cm into the rectum.It should be heart-shaped with a palpable central groove and should have a smooth surface and elastic,rubbery consistency.

Question 9

The nurse notes that a patient has had a pale,yellow,greasy stool,or steatorrhea,and recalls that this is caused by:

Accepted Answer

Steatorrhea (pale,yellow,greasy stool)is caused by increased fat content in the stool,as in malabsorption syndrome.

Quiz 23: Anus,rectum and Prostate