(^384) Medical-Surgical Nursing Demystified
NURSING DIAGNOSIS
- Risk of impaired urinary elimination
- Acute pain
NURSING INTERVENTIONS
- Monitor intake and output.
- Monitor pain level and response to pain medications.
- Strain urine to obtain stone for analysis in lab.
- Teach patient about:
- Adequate fluid intake.
- Medications used to reduce chance of recurrence.
- Dietary modifications needed based on content of stone.
Prostate Cancer
WHAT WENT WRONG?
Cancer of the prostate typically is found in the peripheral area of the prostate
gland. Nodules may be palpable on digital rectal exam. There is a greater inci-
dence as men age. African-American males and those with a family history of the
disease have a higher risk for prostate cancer. The symptoms of prostate cancer are
the same as those of benign prostatic hypertrophy.PROGNOSIS
Prostate cancer is the most common cancer found in American males, and the sec-
ond leading cancer-related cause of death. The number of cases of prostate cancer
found on autopsy are even higher than those found clinically. Screening for prostate
cancer has increased the number of cases identified.HALLMARK SIGNS AND SYMPTOMS
- Urinary hesitancy—difficulty initiating stream of urine due to pressure on
urethra and bladder neck
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