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What is the primary reason a client with prostate cancer experiences difficulty urinating?

  1. The kidneys' ability to filter urine is decreased.

  2. The tumor causes obstruction of urine from the urethra.

  3. The cancer results in hormonal changes, which affect urination.

  4. The protein-specific antigen in your blood is decreased.

The correct answer is: The tumor causes obstruction of urine from the urethra.

The primary reason a client with prostate cancer experiences difficulty urinating is due to the tumor causing obstruction of urine from the urethra. Prostate cancer commonly develops in the tissues surrounding the prostate gland, which is located just below the bladder and surrounds the urethra. As the tumor grows, it can compress or obstruct the urethra, leading to urinary symptoms such as difficulty starting or stopping urination, a weak urine stream, or even urinary retention. This obstruction is significant because it directly impacts the passage of urine from the bladder through the urethra. While other symptoms might arise from changes in kidney function or hormonal influences, the most immediate and direct issue affecting urination in the context of prostate cancer is the physical blockage caused by the tumor's presence.