.S.M. is a 68-year-old male who is being seen at your clinic for routine health maintenance and health promotion. He reports that he has been feeling well and has no specific complaints, except for some trouble “emptying my bladder”. Vital signs at this visit are 148/88, 82, 16, 96.9F.
He had lab work completed last week and the results are listed below. While obtaining your nursing history, you record no family history of cancer or genitourinary problems. S.M. reports frequency, urgency, and nocturia X 4; he has a weak stream and has to sit to void.
These symptoms have been progressive over the past 6 months. He reports he was diagnosed with a large prostate a number of years ago. Lab Results: Sodium 140 mEq/L Potassium 4.2 mEq/L Chloride 100 mEq/L Bicarbonate 26 mEq/L BUN 19 mq/dL Creatinine 0.8 mq/dL Glucose 94 mq/dL RBC 5.2 million/mm3 WBC 7400 mm3 Hgb 15.2 g/dL Hct 46% Platelets 348,000/mm3 Prostate-specific antigen (PSA) 0.23ng/mL.
Urinalysis WNL Discussion Questions:
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