Question

A client who has a diagnosis of possible prostate cancer is being discharged after a transrectal ultrasound with biopsy of the prostate. The nurse should reinforce the teaching that which of the following symptoms be reported? A. Headache B. Leg pain C. Dysuria D. Constipation

Short answer

Answer: Dysuria

Step-by-step solution

Understand the procedure and possible complications

A transrectal ultrasound with biopsy of the prostate is a procedure used to diagnose prostate cancer by extracting tissue samples from the prostate gland. Possible complications of this procedure include infection, bleeding, and urinary difficulties.

Evaluate each symptom in relation to the procedure

We will now assess each of the given symptoms to see if they could be related to the procedure or its complications: A. Headache: Headache is not a common complication of transrectal ultrasound with prostate biopsy and is not directly related to the procedure. B. Leg pain: Leg pain is not directly related to the procedure and is not a common complication. C. Dysuria: Dysuria, or painful urination, may occur after prostate biopsy due to irritation or infection. This can be a sign of complications and should be reported. D. Constipation: Constipation is not directly related to the procedure and is not a common complication.

Select the correct answer

Based on our evaluation of each symptom, the correct answer is C. Dysuria, as it can be a sign of complications after the transrectal ultrasound with prostate biopsy.

Key concepts

Prostate Cancer Diagnosis

Prostate cancer is one of the most common types of cancer affecting men and is often diagnosed via a transrectal ultrasound with prostate biopsy. This diagnostic procedure involves using an ultrasound device to visualize the prostate gland and obtain tissue samples for pathological examination. By analyzing these tissue samples under a microscope, doctors can determine the presence of cancer cells and assess the grade of the cancer.

It is crucial for students to understand that the aim of the biopsy is to provide accurate diagnosis, which is vital for determining the appropriate treatment. While the procedure is commonly used due to its effectiveness, it is not without risks. Thus, informed consent and a clear understanding of the purpose and implications of the procedure are essential for both the patient and healthcare professionals involved.

Post-Procedure Complications

After undergoing a transrectal ultrasound with prostate biopsy, patients may experience a range of post-procedure complications. It's fundamental to recognize symptoms that could suggest complications such as infection or significant bleeding. While dysuria, which refers to painful or difficult urination, is a common symptom post-biopsy, other symptoms to be vigilant about include hematuria (blood in the urine), rectal bleeding, fever, and any signs of infection.

Understanding these potential complications is key to patient education and ensuring that individuals know when they should seek medical attention. Healthcare providers should reinforce this knowledge before discharge, emphasizing that while some symptoms like mild discomfort might be typical, the occurrence of severe pain or prolonged bleeding warrants immediate medical attention.

Nursing Care Post-Biopsy

The role of nursing care following a transrectal ultrasound with prostate biopsy is paramount in preventing complications and promoting recovery. Nurses should educate patients on how to manage any immediate side effects, such as temporary urinary discomfort, and advise them on the importance of monitoring for signs of infection or excessive bleeding. The immediate post-procedural care might include applying an ice pack to reduce swelling, instructions on medication use, advice on fluid intake to flush out any remaining blood clots, and guidance on resuming normal activities.

Furthermore, nurses should provide clear instructions on follow-up care, including when to report any adverse symptoms, emphasizing those that are more concerning, such as dysuria, which could indicate a urinary tract infection or other complications. By doing so, nursing care becomes a vital link between the procedure and the patient’s overall recovery process and outcomes.