Page 1865 - Saunders Comprehensive Review For NCLEX-RN

1. Scrotal and groin pain
2. Swelling in the scrotum and groin
3. Pus and bacteria in the urine
4. Fever and chills
5. Abscess development
C. Interventions
1. Encourage fluid intake.
2. Encourage bed rest with the scrotum elevated to
prevent traction on the spermatic cord, facilitate
drainage, and relieve pain.
3. Instruct the client in the intermittent application of
cold compresses to the scrotum.
4. Instruct the client in the use of tub or sitz baths.
5. Instruct the client in the administration of antibiotics
for self and sexual partner if the cause is chlamydial
or gonorrheal infection.
6. Instruct the client to avoid lifting, straining, and sexual
contact until the infection subsides.
7. Instruct the client to limit the force of the urine stream,
because organisms can be forced into the vas deferens
and epididymis from strain or pressure during
voiding.
8. Teach the client that condom use can help prevent
urethritis and epididymitis.
9. Teach the client measures to prevent UTI or STI
recurrence.
XXIV. Prostatitis
A. Description
1. Inflammation of the prostate gland commonly caused
by an infectious agent; may be acute or chronic.
2. The bacterial type occurs as a result of the organism
reaching the prostate via the urethra, bladder,
bloodstream, or lymphatic channels.
3. The abacterial type usually occurs following a viral
illness or a decrease in sexual activity.
B. Assessment
1. Bacterial prostatitis
a. Client becomes acutely ill.
b. Fever and chills
c. Frequency and urgency of urination;
dysuria
d. Perineal and low back pain
e. Urethral discharge
f. Prostate is tender, indurated, and warm
to the touch.
g. Urethral discharge on palpation of
prostate
h. WBCs are found in prostatic secretions.

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