adult health

Question 1

Prostate screening:

Answer 1

Screening includes PSA blood tests and DRE to assess the prostate manually.
Screening begins at age 50, or earlier (40–45) for high-risk individuals (black ethnicity, family history of
prostate cancer).

Question 2

BPH management:

Answer 2

Teach clients to drink
2-3 L/day of fluid, limit fluid intake near bedtime,
and avoid medications like decongestants and
anticholinergics, which can worsen symptoms.

Question 3

Continuous bladder irrigation:

Answer 3

Adjust the flow
rate of CBI to maintain light pink or colorless urine and report bright red blood. Monitor for
TURP syndrome (dilutional hyponatremia) that
causes confusion, vomiting, and hypertension.

Question 4

BPH medication safety:

Answer 4

Teach clients taking
alpha-blockers (tamsulosin) to slowly change positions to prevent orthostatic hypotension.
Teach clients taking 5α-reductase inhibitors
(finasteride) that pregnant women should avoid
handling the medication.

Question 5

Prostatectomy postoperative care:

Answer 5

Teach
clients to avoid straining and strenuous activity
for 6 weeks and perform Kegel exercises for
incontinence.