Ch. 43 Disorders of the male reproductive system

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After seeking care due to recent history of testicular enlargement and scrotal pain, a 22-year-old college student has been diagnosed with testicular cancer. Which of the patient's following statements indicates the need for further teaching?

"I can't shake this feeling like I've received a death sentence."

An adolescent male comes to the urgent care clinic. Upon assessment, the following is noted: history of circumcision, erythema of the glands, the prepuce with a malodorous discharge. Based on symptoms, the probable diagnosis would be

Acute superficial balanoposthitis

A patient is admitted into the emergency department with a sustained erection last thing for hours. Which additional treatments does the nurse anticipate administering? Select all that apply

Analgesics, sedation, and hydrating measures

Which of the following is the most common cause of recurrent urinary tract infections in males?

Chronic bacterial prostatitis

The nurse is reviewing the laboratory results of a client who has non-inflammatory prostatitis. The nurse would expect the results to include

Normal leukocyte Count

The community health nurse is providing men's health education on prostate cancer. Which risk factors for prostate cancer should the nurse include in the discussion? Select all that apply

High fat diet from processed meat and consuming high fat dairy items

Select the factor that would increase the males risk for the development of testicular cancer

History of cryptorchidism

Which chronic health issues increase a man's risk for developing erectile dysfunction? Select all that apply

Hypertension, hyperlipidemia, and diabetes

A patient calls the clinic and informs the nurse that he has sustained an erection for three hours and that it is extremely painful. The patient has a history of sickle cell disease and this has not happened to him in the past. Which of the following to the nurse instructed patient about??

If the patient does not seek medical attention, impotence may result

What late complications of a transurethral prostatectomy will the nurse address with the patient as part of discharge teaching?

Incontinence

Which statements are true regarding priapism? Select all that apply

It is not always related to sexual stimulation, it can be triggered by sickle cell disease, it can result in ischemia of the erectile tissue of the penis

Palliative care for patients diagnosed with terminal prostate cancer includes focal irradiation of symptomatic bone disease and which of the following?

Pain control

A client is concerned about having mumps orchitis and ask the nurse about the symptoms. Which is the nurses best response?

Painful enlargement of the test days with fever three days after infection

When assessing the client with chronic inflammatory bacterial prostatitis, the nurse recognizes which of these findings are typically present? Select all that apply

Painful urination, frequency in your nation, low back pain, and bacteruria

A nurse is providing teaching to the patience of a child who has undergone correct of surgery for cryptorchidism. The most important information for the nurse to provide is

Parents should be taught that their child needs frequent follow up visits

Which statements regarding prostate cancer are true? Select all that apply

Prognosis has improved because of PSA diagnostic screenings, African-American males are at highest risk for developing the disease, and age and is a risk factor

A 52-year-old male diagnosed with erectile dysfunction ask the nurse what will be implemented as a first option for treatment. The best response would be

Psychosexual counseling and PDE-five inhibitor medications

A 69-year-old client presents with urinary urgency and nocturia. After testing he has been diagnosed with BPH. When describing the etiology and prognosis of BPH, what should the nurse explained to the client?

Surgery can often be avoided if pharmacological interventions are successful

Which of the following disorders of the male genitourinary system creates the most urgent need for prompt and aggressive surgical treatment?

intravaginal testicular torsion


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