Chapter 14 Coursepoint Pathophysiology

If not treated urgently, testicular torsion can result in which complication?

Loss of testicular perfusion

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 statement by the client indicates the need for further teaching?

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

The nurse is caring for a female client who has excess testosterone. Which other findings should the nurse anticipate for the client? Select all that apply

-Decreased gonadotropin-releasing hormone -Decreased luteinizing hormone

Which condition would be considered a structural abnormality or disease process that could cause menstrual pain known as secondary dysmenorrhea? Select all that apply.

-Endometriosis -Uterine fibroids

The nurse is caring for a female adolescent client who exhibits altered reproductive organ development and impaired skeletal growth. The nurse should anticipate alterations in which hormones? Select all that apply.

-Estradiol -Estrone -Estriol

Place the phases of the ovulatory cycle in the correct chronological order.

1) Menstrual phase 2)Proliferative phase 3)Secretory phase 4)Premenstrual phase

While breast-feeding her 3-month-old infant, the mother notices the breast area is hard, inflamed, and tender to touch. The clinic nurse explains that this is likely caused by:

Ascending bacterial infection

A 29-year-old client had a Papanicolaou smear performed during her most recent visit to her primary care provider. This diagnostic procedure aims to identify:

Atypical cervix cellular changes

The anatomy of the prostate gland is made up of three concentric areas surrounding the prostatic urethra, into which they open. The nurse understands that an overgrowth of the mucosal glands can cause which disorder in older men?

Benign prostatic hyperplasia

A 59-year-old woman with a recent diagnosis of breast cancer has begun a course of hormone therapy. What is the goal of this pharmacologic treatment?

Blocking effects of estrogen on the growth of malignant cells

Which physiologic changes result in menopause?

Cessation of ovarian function and decreased estrogen levels

A 45-year-old client reports "needing to bear down with urination," frequency, and occasional loss of urine when coughing. Based on symptoms, which diagnosis is most appropriate for this client?

Cystocele

The nurse is caring for a client with impaired ovarian interstitial cell function. Which other finding should the nurse anticipate?

Decreased estrogen

A client has been diagnosed with an anterior pituitary tumor. Synthesis and release of follicle-stimulating hormone (FSH) has become deranged. What are the potential consequences of this alteration in endocrine function?

Dysfunction of spermatogenesis

A client has developed priapism. For which outcome is this client at risk?

Impotence

Which process is a component of the pathogenesis of proliferative breast lesions without atypia?

Growth of ductile or lobular epithelial cells

Select the factor that would increase a male's risk for the development of testicular cancer.

History of cryptorchidism

Which physiologic process results from the synthesis and release of testosterone?

Musculoskeletal growth

Which disorder of the female genitourinary system is most likely to result from a disruption in normal endocrine function?

Polycystic ovary syndrome (PCOS)

Which physiologic process is caused by estrogens?

Promotion of ovarian follicle growth

Select the structure responsible for secreting fructose that will provide energy for spermatic motility.

Seminal vesicles

The nurse is caring for a client with a tumor of the hypothalamus. For which complication should the nurse monitor?

Sex hormone alterations

The nurse is caring for an infant with an undescended testis. Which of these does the nurse teach the parents is the appropriate treatment?

The surgical placement of the testis in the scrotum is needed

Which factor places a male client at risk for balanitis?

Uncircumcised penis

A client with a family history of breast cancer has just learned that she carries the BRCA1 and BRCA2 mutation. When educating this client about follow-up care, which statement would be most appropriate?

You should have more frequent breast evaluations using an MRI rather than standard mammography."