Question

A client complains of fever, perineal pain, and urinary frequency, urgency, and dysuria. To assess whether the client’s problem is related to bacterial prostatitis, the nurse would look at the results of the prostate examination, which should reveal that the prostate gland is a. tender and edematous with ecchymosis b. reddened, swollen, and boggy c. soft and swollen d. tender, indurated, and warm to the touch

Short answer

b. reddened, swollen, and boggy

Step-by-step solution

- Identify Symptoms

List the symptoms mentioned: fever, perineal pain, urinary frequency, urgency, dysuria.

- Understand Bacterial Prostatitis

Consider that a bacterial prostatitis usually presents with an inflamed and painful prostate. Symptoms include fever, pain, and urinary issues.

- Analyze Each Option

Look at each given option to determine which describes an inflamed and painful prostate: a. Tender and edematous with ecchymosis - describes traumab. Reddened, swollen, and boggy - describes inflammationc. Soft and swollen - describes soft tissue swelling.d Tender, indurated, and warm to the touch - inflammation

- Make a Selection

The correct description of the prostate for bacterial prostatitis is 'reddened, swollen, and boggy' as it indicates inflammation typically associated with an infection.

Key concepts

fever and perineal pain symptoms

Fever and perineal pain are key indicators of bacterial prostatitis. When a patient presents with these symptoms, it means that their body is responding to an infection or inflammation.
Fever is the body's way of fighting off infection. A rise in temperature helps to kill bacteria and viruses.

• Perineal pain refers to discomfort in the area between the anus and the scrotum in men.
• This pain often signals an issue with the prostate gland, given its proximity to the perineum.
  Combined, fever and perineal pain suggest acute inflammation and possible infection of the prostate.

urinary frequency and urgency

Urinary frequency and urgency are common symptoms of bacterial prostatitis. These symptoms arise from the inflammation of the prostate, which exerts pressure on the bladder and urethra.

• Urinary frequency means needing to urinate more often than usual.
• Urgency refers to a sudden, compelling need to urinate.
  These symptoms can be distressing and affect a patient's daily activities.
  Understanding these symptoms helps in identifying urinary tract-related issues, especially involving the prostate.

prostate inflammation indicators

Prostate inflammation indicators are critical for diagnosing bacterial prostatitis. During a prostate examination, the nurse looks for specific signs:

• A reddened, swollen, and boggy prostate points toward an inflamed state.
• Tenderness and warmth when touched also indicate inflammation.
  These physical signs correlate with the symptoms, confirming the presence of an infection.
  Recognizing these indicators is essential for appropriate medical intervention.

NCLEX-RN examination study

Studying for the NCLEX-RN examination requires understanding various medical conditions, including bacterial prostatitis.
Key areas to focus on include:

• Recognizing symptoms like fever, perineal pain, and urinary changes.
• Identifying physical examination findings such as a tender, swollen, and boggy prostate.
  This knowledge assists in making correct clinical judgments, crucial for the NCLEX-RN.
  Preparing thoroughly ensures that future nurses can provide accurate and effective patient care.