N213: Health Differences Across the Life Span 3

N213: Health Differences Across the Lifespan 3 Study Guide ©2017 Achieve Test Prep Page 174 of 204 • Prostate discomfort Signs and symptoms of chronic bacterial prostatitis: • Frequent urinary tract infection • Fever uncommon • Possibly no symptoms • Lower back pain • Perineal discomfort • Urinary frequency • Dysuria • Urinary urgency For chronic abacterial prostatitis, the only symptom is long standing pain in the perineum that is achy, yet dull in nature. Nursing assessment for prostatitis: • Inquire about length of symptoms and history of infection, chronic urinary tract infections, or infection in a sexual partner • Ask if there is any history of prostate disease • Check vital signs, especially temperature for increased fever • Examine prostate for swelling and tenderness withpalpation • Review laboratory reports: Urinalysis with culture and sensitivity and prostate culture Nursing diagnosis for prostatitis: • Pain related to inflammation and swelling of the prostate • Altered body temperature related to infection • Knowledge deficit related to disease, medication compliance, and treatment plan Nursing interventions for prostatitis: • Monitor vital signs for increased temperature and give antipyretics per MDorder • Assess pain levels and administer analgesics per MDorder • Give antibiotics per MD order: Cipro (ciprofloxacin), trimethoprim-sulfamethoxazole (Bactrim), doxycycline (Vibramycin), floxacin (Floxin), and tetracycline • Give anti-spasmodics per MD order to assist with pain relief • Give stool softeners to reduce straining to the perineum area and pressure on theprostate Signs and symptoms of acute bacterial prostatitis: • Chills • Fever • Discharge from the urethra • Dysuria • Trouble urinating • • • • Malaise Muscle pain (myalgia) Swelling Clouded urine