A man reports to the healthcare professional that he had a sudden onset of malaise, low back pain, and perineal pain with high fever and chills, dysuria, nocturia, and urinary retention. What action by the healthcare professional is most appropriate?
A)Assess the man's recent sexual history.
B)Recommend heat and acetaminophen for back pain.
C)Prepare the man for prostatic massage.
D)Assist the man in obtaining a urine sample.

Question

Quizplus · Accepted Answer

Bacterial prostatitis can exhibit common manifestations that include a sudden onset of malaise, low back and perineal pain, high fever (up to 40°C [104°F]), and chills, as well as dysuria, inability to empty the bladder, nocturia, and urinary retention. Since it is most often associated with a urinary tract infection (UTI), the specific causative organism can usually be identified from a urinalysis. The professional should assist and educate the man on obtaining the appropriate specimen. While possible that prostatitis could be sexually transmitted, that is not as common as developing the infection secondary to a UTI. Heat and mild analgesics are helpful, but do nothing to identify the causative organism for appropriate treatment. A sample of fluid may be obtained for culture by prostatic massage, but this is very painful and would most likely not be done if other diagnostic tools are available.

A Man Reports to the Healthcare Professional That He Had