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NRSG 110: Med Surg 2 > [Exam 3] Chapter 59: Assessment and Management of Problems R/T Male Reproductive Processes (Page1762-1764, 1171-1178) > Flashcards

[Exam 3] Chapter 59: Assessment and Management of Problems R/T Male Reproductive Processes (Page1762-1764, 1171-1178) Flashcards

1
Q

Benign Prostatic Hyperplasia: What is this?

A

A noncancerous enlargement or hypertrophy of the prostate. and one of the most common causes of diseases in aging men

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2
Q

Benign Prostatic Hyperplasia: What can this cause?

A

Bothersome lower urinary tract symptoms that affect quality of life by interfering with normal daily acativites and sleeping

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3
Q

Benign Prostatic Hyperplasia: What age does this occur?

A

Men older than 40

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4
Q

Benign Prostatic Hyperplasia: What is a critial mediator of prostatic growth?

A

DHT, dihydrotesterone

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5
Q

Benign Prostatic Hyperplasia: What causes this to occur?

A

When men have elevated estrogen levels and when prostate tissue becomes for sensitive to estrogen levels and less respopnsive to DHT

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6
Q

Benign Prostatic Hyperplasia: Risk factors for this?

A

SMoking

Heavy Alcohol

Obesity

REduced Activity

Hypertension

Diabetes/Hypertension

Western Diet (High animal fat and protein diet)

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7
Q

Benign Prostatic Hyperplasia: Common and age-related from what process?

A

Cell proliferation forms nodules that grow and glandular cells enlarge

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8
Q

Benign Prostatic Hyperplasia: What direction does growth occur?

A

Inward, pressing on urethra leading to urinary retention

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9
Q

Benign Prostatic Hyperplasia: How long does it take for chcanges to occur?

A

Occur over long period of time

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10
Q

Benign Prostatic Hyperplasia: Necessary preconditions to have this?

A

48 or older and must have testes

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11
Q

Benign Prostatic Hyperplasia: This is a result of complex interactions in the body involving what?

A

Resistance in the prostatic urethra to mechanical and spastic effects , and bladder pressure during voiding

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12
Q

Benign Prostatic Hyperplasia: Obstructive and Irritative symptoms may include ?

A

Urinary frequency, urgency, nocturia, hestancy to start urinating and decreased and intermittent force of stream

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13
Q

Benign Prostatic Hyperplasia: What are some manifestations as to how this could look?

A

Urinary symptoms of urinary obstruction, urinary retention (check to see elevated BUN) , urinary tract infections, and decreased bladder contractility

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14
Q

Benign Prostatic Hyperplasia: What complications will this lead into?

A

Infections of bladder and kidney

Hydroureter and Hydronephrosis

Renal Insufficiency

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15
Q

Benign Prostatic Hyperplasia: Generalized symptoms like this?

A

Fatigue, Anorexia, N/V, Pelvic Discomfort

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16
Q

Benign Prostatic Hyperplasia: Health history focuses on

A

unriary tract, previous surgeries, health issues, and family history of prostate disease

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17
Q

Benign Prostatic Hyperplasia: Nursing Diagnosis includes what?

A

Deficient Knowledge (Avoid Alcohol)

Urinary Retention

RF Infection

RF Imbalance Fluid Volume

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18
Q

Benign Prostatic Hyperplasia: What does a DRE reveal?

A

Large, rubbery and nontender prostate gland

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19
Q

Benign Prostatic Hyperplasia: Goals for treatment incude what?

A

Improve urine flow, relieve obstruction, and prevent disease progression

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20
Q

Benign Prostatic Hyperplasia: If ptient admitted on emergency basis because he is unable to void, what immediately happens?

A

Immediately catheterized

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21
Q

Benign Prostatic Hyperplasia and Medication: Which ones will be used?

A

Anti-Androgen Agents and Alpha-Adrenergic Antagonists

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22
Q

Benign Prostatic Hyperplasia and Medication: What do Anti-Androgen Agents do?

A

Cause the prostate to shrink

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23
Q

Benign Prostatic Hyperplasia and Medication: What do Alpha-ADrenergic Antagonists do?

A

Stop smooth muscle contraction of prostate that may be blocking urethra

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24
Q

Benign Prostatic Hyperplasia and Surgical Interventios: Which one do we need to know?

A

Transurethral Resection of the Prostate (TURP)

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25
Q

Benign Prostatic Hyperplasia and TURP: What does this involve?

A

Surgical removal of the inner portion of the prostate through an endoscope inserted through the urethra, no external skin incision is made

26
Q

Benign Prostatic Hyperplasia and TURP: What can this be performed with?

A

Ultrasound guidance

27
Q

Benign Prostatic Hyperplasia and TURP: What happens to the treated tissue?

A

. Goes into the bladder and vaporizes or become necrotic and sloughs

28
Q

Benign Prostatic Hyperplasia and TURP: Debrie from procedure comes from?

A

the bladder

29
Q

Benign Prostatic Hyperplasia and TURP Diagnoses: What are they?

A

Anxieety

Acute Pain Pre/Postoperatively

RF Imbalanced Fluid VOlume Postop

Deficient Knowledge

30
Q

Benign Prostatic Hyperplasia and TURP: Complications and Potential Problems?

A

Heorrhage and Shock

Infection

DVT

Catheter Obstruction

Comp. With Catheter Removal

Urinary Incontinence

Sexual Dysfunction

31
Q

Benign Prostatic Hyperplasia and TURP: Major goals before surgery include

A

adequate preparation and reduction of anxiety and pain

32
Q

Benign Prostatic Hyperplasia and TURP: Major goals after surgery include

A

maintenance of lfuid volume balance, relief of pain and discomfort, ability to perform self-care activites, and absence of complications

33
Q

Benign Prostatic Hyperplasia and TURP: How is the bladder irrigated?

A

A three way irrigation catheter system is used

34
Q

Benign Prostatic Hyperplasia and TURP - Three-Way System for Bladder Irrigation: Bag is filled with what?

A

Sterile solution

35
Q

Benign Prostatic Hyperplasia and TURP - Three-Way System for Bladder Irrigation: Bag is hooked up to what?

A

Triple lumen catheter, which rinses out blood and debris that TURP did

36
Q

Benign Prostatic Hyperplasia and TURP - Three-Way System for Bladder Irrigation: What does the outflow catheter do?

A

Collects all the waste that is leaving the body

37
Q

Benign Prostatic Hyperplasia and TURP - Three-Way System for Bladder Irrigation: What is the bulb inflation?

A

A balloon is placed inside the body in order to keep it in place

38
Q

Benign Prostatic Hyperplasia and TURP - Three-Way System for Bladder Irrigation: What to watch for?

A

Make sure it does not get clotted, because fluid will stop flowing and rupture bladder.

39
Q

Benign Prostatic Hyperplasia and TURP - Three-Way System for Bladder Irrigation: Why do you not want the bag to run dry?

A

The blood will clot and will not be able to get out

40
Q

Benign Prostatic Hyperplasia and TURP - Three-Way System for Bladder Irrigation: With irrigation solution flowing in a lot, what else must you do?

A

Empty the cather drainage bag regularly as well

41
Q

Benign Prostatic Hyperplasia and TURP - Three-Way System for Bladder Irrigation: How to calculate I/O?

A

Ex: Subtract the 500 mL of the bag from the total 1000 mL in the bag

42
Q

Benign Prostatic Hyperplasia and TURP - Three-Way System for Bladder Irrigation: Additional complications from this?

A

Infections

Hemorrhage

Clotting

43
Q

Benign Prostatic Hyperplasia and TURP - Three-Way System for Bladder Irrigation: How will drainage appear immediately following surgery?

A

REddish pink and then clears to link pink within 24 hours but monitor for Hemorrhage

44
Q

Benign Prostatic Hyperplasia and TURP: PAtient is advised to discotninue what before surgery?

A

Aspirin and NSAIDS and PLatelet Inhibitors 10-14 days before surgery

45
Q

Benign Prostatic Hyperplasia and TURP - Relief of Pain: Monitor what?

A

Urinary drainage and keep catheter patent

46
Q

Benign Prostatic Hyperplasia and TURP - Relief of Pain: Assessment of pain may include what?

A

Bladder spasms that cause feelings of pressure and fullness in bladder, urgency to void, or bleeding from the urethra around the catheter

47
Q

Benign Prostatic Hyperplasia and TURP - Relief of Pain: What can we give to relieve bladder spasms?

A

Muscle relaxants

48
Q

Benign Prostatic Hyperplasia and TURP - Relief of Pain: What other than meds can be done to relieve spasms?

A

Warm compress or sitz baths

49
Q

Benign Prostatic Hyperplasia and TURP - Relief of Pain: What meds could be administered?

A

Analgeics and Antispasmodics (smooth muscle relaxant)

50
Q

Benign Prostatic Hyperplasia and TURP - Relief of Pain: Encourage patient to do what after surgery?

A

To walk (need help because people need to hold bags and sterile solution) but avoid sitting for prolonged periods

51
Q

Benign Prostatic Hyperplasia and TURP - Relief of Pain: They should prevent what?

A

Constipation (Full bowel can press on bladder and urethra)

52
Q

Benign Prostatic Hyperplasia and TURP - Relief of Pain: Irrigate catheter to prevent what?

A

Clot formation

53
Q

Benign Prostatic Hyperplasia and TURP - Reduction of Anxiety: What can be done for this?

A

Be sensitive to potentially embarassing and culturally charged issues

Establish professional , trusting relationship

Provide Privacy

Allow patietn to verbalize concern (Worried about impotence, incontinence? Goes away afer 1 year)

Provide and reinforce information

54
Q

Benign Prostatic Hyperplasia and TURP - Reduction of Anxiety: What can help with incontinence?

A

Kegel Exercises

55
Q

Benign Prostatic Hyperplasia and TURP - Interventions: Provide patient education including…

A

explanations of anatomy and function, diagnostic tests, surgery and the surgical experience

56
Q

Benign Prostatic Hyperplasia and TURP - Rehab and Home Care: Patient and family education for home care including care of

A

drainage devices and recognitiona nd prevention of complications

57
Q

Benign Prostatic Hyperplasia and TURP - Rehab and Home Care: What information should be said about regaining bladder continence?

A

Control is gradual process (dribbling may continue for up to 1 year depending on type of surgery

Perineal Exercises

58
Q

Benign Prostatic Hyperplasia and TURP - Rehab and Home Care: What should you avoid?

A

Straining heavy lifting, long car trips (6-8 weeks)

59
Q

Benign Prostatic Hyperplasia and TURP - Rehab and Home Care: Diet?

A

Encourage fluids, avoid coffee, alcohol, and psicy foods

60
Q

Benign Prostatic Hyperplasia and TURP - Rehab and Home Care: Assessment and referral to what issuses?

A

Sexual issues

NRSG 110: Med Surg 2 (29 decks)

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