Health Assessment Chapter 25: Male Genitourinary System

A 62-tear-old man states that his physician told him that he has an 'inguinal hernia' he asks the nurse to explain what a hernia is. Which response by the nurse is best?

A hernia is a loop of bowel protruding through a weak spot in the abdominal muscle

During an examination of an aging man, the nurse recognizing that which finding is an expected or normal change?

Decrease penis size

A 2-year-old boy has been diagnosed with "physiologic cryptorchidism." Considering this diagnosis, what will the nurse most likely observe during the assessment?

Absence of the testes in the scrotum, but the testes can be milked down.

The nurse is performing a genital examination on a male patient and notices urethral drainage. What should the nurse do when collecting urethral discharge for microscopic examination and culture?

Compress the glans between the examiners thumb and forefinger, and collect any discharge

When performing a genital examination on a 25-year-old man, the nurse notices deeply pigmented wrinkled scrotal skin with large sebaceous follicles. On the basis of this information, how should the nurse proceed?

Consider this finding as normal, and proceed with this examination

During an examination of an aging man, what finding would the nurse expect?

Decrease in size of the penis

A 55-year-old man is in the clinic for a yearly checkup. He is worried because his father died of prostate cancer. The nurse knows which tests should be performed at this time? SATA

Digital rectal examination Blood test for prostate-specific antigen

The nurse is performing a genitourinary assessment on a 50 yo obese male laborer. On examination, the nurse notices a painless round swelling close to the pubis in the area of the internal inguinal ring that is easily reduced when the individual is supine. What type of hernia do these findings suggest?

Direct inguinal

Which of these statements is most appropriate when the nurse is obtaining a genitourinary history from an older man?

Do you need to get up at night to urinate?

A 59 year old patient has been diagnosed with prostatitis and is being seen at the clinic for reports of burning and pain during urination. How should the nurse document this finding?

Dysuria

A 55-year-old man is experiencing severe pain of sudden onset in the scrotal area. It is somewhat relieved by elevation. On examination the nurse notices an enlargement, red scrotum that is very tender to palpation. Distinguishing the epididymis from the testis is difficult, and the scrotal skin is think and edematous. What do these findings suggest?

Epididymis

During a genital examination, the nurse notices that a male patient has clusters of small vesicles on the glans, surrounded by erythema. What does this finding suggest?

Genital herpes

When performing a genital assessment on a middle aged man, the nurse notices multiple soft, moist, painless Papuans in the shape of cauliflower-like patches scattered across the shaft of the penis. What does this finding suggest?

Genital warts

When The nurse is performing a genital examination on a male patient, which action is correct?

Having the patient shift his weight onto the left (unexamined) leg when palpating for a hernia on the right side.

During a health history, a patient tells the nurse that he has trouble in starting his urine stream. How should the nurse document this finding?

Hesitancy

When performing a genitourinary assessment, the nurse notices that the urethral meats is ventrally positioned. What does this indicate?

Hypospadias

The nurse is describing how to perform a testicular self examination for a patient. Which statement is most appropriate?

If you notice an enlarged testicle or a painless lump, call your healthcare provider

When performing a genitourinary assessment on a 16-year-old male adolescent, the nurse notices a swelling in the scrotum that increases with increased intra-abdominal pressure and decreases when he is lying down. The patient reports pain when straining. What do these findings indicate?

Indirect inguinal hernia

The nurse is aware that which statement is true regarding the incidence of testicular cancer?

Man with a history of cryptorchidism are at the greatest risk for the development of testicular cancer

When the nurse is conducting a sexual history from a male adolescent, which statement would be most appropriate to usage at the beginning of the interview?

Often adolescents your age have questions about sexual activity

During a physical examination, the nurse finds a male patient's foreskin is fixed and tight and will not retract over the glans. What is this conditioned called?

Phimosis

What is a common assessment finding in a boy younger than 2 years old?

Presence of a hydrocele, or fluid in the scrotum

When performing a scrotal assessment, the nurse notices that the scrotal contents show a red glow with trans illumination. How should the nurse proceed?

Suspect the presence of serous fluid in the scrotum

The nurse is providing patient teaching about an erectile dysfunction drug. One of the drug's potential side effects is prolonged, painful erection of the penis without sexual stimulation. What is the medical term for this condition?

Priapism

Which is an accessory glandular structure for the male genital organs?

Prostate

When the nurse is performing a genital examination on a male patient, the patient has an erection. How should the nurse respond?

Reassure the patient that this is a normal response and continue with their examination

A 2-month-old uncircumcised infant has been brought to the clinic for a well-baby checkup. How would the nurse proceed with the genital examination?

Retracting the foreskin should be avoided until the infant is 3 months old.

What is a structure of the external male genital?

Scrotum

When assessing the scrotum of a male patient, the nurse notices the presence of multiple firm, non tender, yellow 1-c,mm nodules. What does this finding indicates?

Sebaceous cysts

An older man is concerned about his sexual performance. In addition to a disease, what else should the nurse explain can cause a withdrawal from sexual activity later in life?

Side effects of medication

The nurse is inspecting the scrotum and testes of a 43 year old man. Which finding would require additional follow up and evaluation?

Skin on the scrotum is taut

The nurse is examining the glans and knows which finding is normal for this area?

Smegma may be present under the foreskin of an uncircumcised male

A 16-year-old boy is brought to the clinic for a problem that he refused to let his mother see. The nurse examines him, and finds that he has scrotal swelling on the left side. He had the mumps the previous week, and the nurse suspects that he has orchitis. Which of the assessment findings below support this diagnosis? Select all that apply.

Swollen testis Scrotal skin that is reddened Mass that does not transilluminate Scrotum that is tender upon palpation

During an examination, the nurse notices that a male patient has a red, round, superficial ulcer with a yellowish serous discharge on his penis. On palpation, the nurse finds a no tender base that feels like a small button between the thumb and fingers. What do these finding indicate?

Syphilitic chancre

A male patient with possible fertility problems asks the nurse where sperm is produced. Which answer should the nurse give the patient?

Testes

When the nurse is performing a testicular examination on a 25-year-old man, which finding is considered normal?

Testes that feel oval and movable and are slightly sensitive to compression

Which of these statements is true regarding the penis?

The corpus spongiosum expands into a cone of erectile tissue called the glans.

Which statement concerning the testes is true?

The cremaster muscle contracts in response to cold and draws the testicles closer to the body.

The mother of a 10 year old boy asks the nurse about the recognition of puberty. How should the nurse reply?

The first sign of puberty is an enlargement of the testes