Question

The nurse reviews the medical orders for a client with acute prostatitis. The nurse would question the order for which intervention? a. NSAIDS b. Broad-spectrum antibiotics c. Massage prostate d. Sitz baths

Short answer

Massage prostate (c)

Step-by-step solution

- Understand the Condition

Acute prostatitis is inflammation of the prostate gland caused primarily by bacterial infection. Symptoms can include fever, chills, dysuria, and perineal pain. Treatment typically includes antibiotics, pain management, and supportive care.

- Assess Each Intervention

Evaluate each intervention for its appropriateness in treating acute prostatitis: a. NSAIDs: These are nonsteroidal anti-inflammatory drugs used to reduce pain and inflammation. b. Broad-spectrum antibiotics: These antibiotics are used to treat a wide range of bacteria and are suitable for initial treatment of an infection. c. Massage prostate: This procedure involves manipulating the prostate, which could exacerbate inflammation or spread infection. d. Sitz baths: These are warm water baths that can help relieve pain and discomfort in the pelvic area.

- Identify the Questionable Intervention

Among the options given, massaging the prostate (Option c) can be harmful because it has the potential to worsen the infection and inflammation by spreading bacteria and increasing pain.

Key concepts

acute prostatitis treatment

Acute prostatitis is an infection-related inflammation of the prostate gland. This condition usually requires immediate medical attention to alleviate symptoms and prevent complications. Key elements in the management of acute prostatitis include:

• Antibiotics: Broad-spectrum antibiotics, such as ciprofloxacin or trimethoprim-sulfamethoxazole, are commonly prescribed to target a wide range of bacteria early in the treatment process.
• Pain management: NSAIDs (nonsteroidal anti-inflammatory drugs) are effective in reducing pain and inflammation associated with acute prostatitis. They help manage symptoms like perineal pain and dysuria.
• Supportive care: Measures such as sitz baths—warm water baths for the pelvic area—can greatly relieve discomfort and enhance patient comfort during recovery.

Treatment generally lasts for several weeks to ensure the infection is entirely cleared. It's essential for the patient to complete the full course of antibiotics, even if symptoms improve early on. Early diagnosis and swift intervention can make a significant difference in recovery outcomes.

nursing care plan for prostatitis

A nursing care plan for a patient with acute prostatitis aims to alleviate symptoms, support recovery, and educate the patient. Here are the primary components:

• Assessment: Monitor and document symptoms such as fever, dysuria, perineal pain, and urinary retention. Regularly assess vital signs to detect any changes that require intervention.
• Pain management: Administer prescribed NSAIDs and monitor their effectiveness. Advise patients on additional methods for pain relief, such as sitz baths or warm compresses.
• Antibiotic therapy: Ensure compliance with the prescribed antibiotic regimen. Educate the patient about the importance of completing the entire course of antibiotics to prevent recurrence or resistance.
• Hydration and nutrition: Encourage fluid intake to help flush the urinary system and prevent dehydration. Offer nutritional advice to support overall health and recovery.
• Education: Teach the patient about avoiding activities that could exacerbate symptoms—such as heavy lifting and prolonged sitting. Emphasize the importance of follow-up appointments to monitor recovery progress.

Implementing a comprehensive nursing care plan enhances the overall treatment experience, supports recovery, and reduces the risk of complications.

contraindications in prostatitis management

Certain interventions and activities should be avoided in the management of acute prostatitis to prevent worsening symptoms or complications. Here are the key contraindications:

• Prostate massage: This is explicitly contraindicated in acute prostatitis. Massaging an inflamed and infected prostate can cause the spread of bacteria and increase inflammation and pain. It can potentially convert a localized infection into a systemic one.
• Vigorous physical activity: High-intensity exercises and heavy lifting can exacerbate symptoms and increase discomfort. Patients should be advised to rest and avoid activities that strain the pelvic area.

Awareness and avoidance of these contraindications are crucial for effective prostatitis management. The focus should remain on treatments that reduce infection and mitigate pain without exacerbating the condition.