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Daily #115 · Reproductive / Sexual Health · Archive

NCLEX-RN® question of the day

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The question

A 52-year-old male patient presents to the clinic reporting difficulty initiating urination, a weak urinary stream, and the sensation of incomplete bladder emptying for the past several months. His digital rectal exam reveals a smooth, symmetrically enlarged prostate without nodules. His PSA level is 3.8 ng/mL. Which nursing intervention is most appropriate at this time?

  1. Educate the patient that these symptoms are benign and require no follow-up.
  2. Instruct the patient to avoid fluids after 6 PM and report any worsening symptoms or inability to void.
  3. Encourage the patient to increase fluid intake to more than 3 liters per day to flush the urinary tract.
  4. Prepare the patient for an immediate prostate biopsy based on his PSA level.

Today's and yesterday's questions are open to everyone. Older questions in the archive open with a free account, and the rationale for every option appears once you answer.