Nursing Diagnosis of Prostate Cancers Client.
1) Risk for infection related to invasive procedure.
Desired outcome: Experience no sign of infection.
Nursing Interventions
Maintain a sterile catheter system.
Provide regular catheter and meatal
care with soap and water. Apply
antibiotic ointment around the
catheter site.
Ambulate with drainage bag
dependent.
Monitor vital signs, noting low-
grade fever, chills, rapid pulse and
respiration, restlessness, irritability,
disorientation.
Observe drainage from wounds,
around suprapubic catheter.
Change dressings frequently
(suprapubic or retropubic and
perineal incisions), cleaning and
drying skin thoroughly each time.
Use ostomy-type skin barriers.
Administer antibiotics as indicated
by doctor.
Rationale
Measures to prevent introduction
of bacteria that may
cause infection or sepsis.
Avoids backward reflux of urine,
which may introduce bacteria into
the bladder.
Patient who has had cystoscopy
and/or TURP is at increased risk
for surgical or septic shock related
to manipulation and
instrumentation.
Presence of drains, suprapubic
incision increases risk of infection,
as indicated by erythema, purulent
drainage.
Wet dressings cause skin irritation
and provide media for bacterial
growth, increasing risk of wound
infection.
Provides protection for
surrounding skin, preventing
excoriation and reducing risk of
infection.
May be given prophylactically
because of increased risk of
infection with prostatectomy.
2) Risk for sexual dysfunction related to change in health status.
Desired outcome: Discuss concerns about the possible changes in body image with the partner.
Nursing Interventions
Give opportunities or openings
for patient and SO to talk about
concerns of incontinence and
sexual functioning.
Discuss basic anatomy. Be open
and honest in answers to patients
questions.
Give accurate information about
expectation of return of sexual
function.
Discuss retrograde ejaculation if
transurethral or suprapubic
approach is used.
Instruct in perineal and
interruption and/or continuation
of urinary stream exercises.
Refer to sexual counsellor as
indicated.
Rationale
May have anxieties about the
effects of surgery and may be
hesitant about asking necessary
questions. Anxiety may have
affected ability to access
information given previously.
The nerve plexus that controls
erection runs posteriorly to the
prostate through the capsule. In
procedures that do not involve the
prostatic capsule, impotence and
sterility usually are not
consequences. Surgical procedure
may not provide a permanent
cure, and hypertrophy may recur.
Physiological impotence occurs
when the perineal nerves are cut
during radical procedures; with
other approaches, sexual activity
can usually be resumed in 68
weeks Note: Penile prosthesis
may be recommended to facilitate
erection and correct impotence
following radical perineal
procedure.
Seminal fluid goes into the
bladder and is excreted with the
urine. This does not interfere with
sexual functioning but will
decrease fertility and cause urine
to be cloudy.
Kegel exercises promote
regaining muscular control of
urinary continence and sexual
function.
Persistent or unresolved problems
may require professional
intervention.
Discharge Plan for Client.
1. Assess and re-educate the client and his partner about the surgery procedure that has been
done, especially about the anatomy. Must using the common language and term with the client:
The prostate is the male sex gland that helps make semen. It is about the size of a walnut and
wraps around the urethra. The urethra is the tube that carries urine from the bladder to the end of
the penis. In most cases, prostate cancer is slow growing.
2. Call 911 if this condition happens:
Leg feels warm, tender, and painful. It may look swollen and red.
Chest pain when take a deep breath or cough.
Feeling of lightheaded and short of breath.
Cough up blood.
3. Consult and follow with the urologist or oncologist if:

Fever occur.
Blood in the urine or have trouble urinating.
Pain that does not decrease or go away after taking up medicine.
Trouble of having an erection.
4. Medications:
Hormone therapy is medicine used to decrease testosterone (male hormone) levels.
Pain medicine may be given. Do not wait until the pain is severe.
Take your medicine as directed.
5. Do not smoke:

Nicotine can damage blood vessels and make it more difficult to manage your prostate cancer.
Smoking also increases your risk for new or returning cancer and delays healing after treatment.
Do not use e-cigarettes or smokeless tobacco in place of cigarettes or to help you quit. They still
contain nicotine. Ask your healthcare provider for information if you currently smoke and need
help quitting.