Male
Erectile dysfunction would not be characterized as the inability to: 1- achieve an erection after sexual activity. 2- achieve an erection. 3- achieve or maintain an erection that is sufficiently rigid for sexual activity. 4- sustain erection for a satisfactory period of time.
1
Which of the following would a nurse include in a teaching plan for a client with benign prostatic hyperplasia who is not yet a candidate for surgery? 1- Maintaining optimal bladder emptying 2- Using appropriate coping to allay anxiety 3- Performing deep breathing exercises periodically 4- Doing leg exercises at least daily
1
Which of the following would the nurse expect to be done to assess the size of the prostate? A. Digital rectal examination B. Transillumination C. Pelvic examination D. Bladder percussion
1
A client has undergone a digital rectal examination. This assessment will allow the clinician to diagnose which of the following? a.Urinary incontinence b.ED c.BPH d.Testicular cancer
3
A patient comes to the emergency department and tells the nurse, "I took a pill to help me perform and then passed out." The nurse is assessing the patient and finds a nitroglycerin patch on his back. What is the first intervention the nurse must perform? 1. Take the patient's blood pressure. 2. Ask the patient to obtain a urine specimen. 3. Start an IV. 4. Administer atropine 0.5 mg.
1
A patient is recovering in the PACU following a transurethral resection of the prostate (TURP). The patient is receiving continuous bladder irrigation (CBI), and the nurse has observed several clots in the collection bag and tubing. In the last few minutes, output has ceased despite the continued infusion of normal saline through the patient's triple-lumen urinary catheter. How should the nurse respond to this assessment finding? 1- Slow the rate of CBI to half of the previous rate. 2- Reposition the patient to a semi-Fowler's position. 3- Manually irrigate the patient's catheter with normal saline. 4- Remove the triple-lumen catheter and replace it with a double-lumen catheter.
3
A client is scheduled for a transurethral rescection of the prostate (TURP). Which statement demonstrates that the expected outcome of "client demonstrates understanding of the surgical procedure and aftercare" has been met? 1- "I'll have to stay in the hospital for about 3 to 4 days after the surgery." 2- "I'll have a small incision on my lower abdomen after the procedure." 3- "The surgeon is going to remove the entire prostate gland." 4- "The surgeon is going to insert a scope through my urethra to remove a portion of the gland."
4
The nurse is obtaining a health history from a 58-year-old client stating that he is having difficulty obtaining an erection during sexual activity. The client asks how an "erectile medication" works and if there are any side effects to the medication. The nurse explains the action of the medication and directions for use and warns of which side effect related to the client's history? 1. Arthritis with corticosteroid use 2. Chronic pain with narcotic use 3. Asthma with beta-adrenergic inhaler use 4. Hypotension with nitrate use
4
A client asks the nurse what PSA is. The nurse should reply that it stands for: a) prostate-specific antigen, which is used to screen for prostate cancer. b) Papanicolaou-specific antigen, which is used to screen for cervical cancer. c) pneumococcal strep antigen, which is a bacteria that causes pneumonia. d) protein serum antigen, which is used to determine protein levels.
A
A nurse is teaching a 53-year-old man about prostate cancer, given the fact that the client has a family history of the disease. What information should the nurse provide to best facilitate the early identification of prostate cancer? A. Have a digital rectal examination and prostate-specific antigen (PSA) test done as recommended. B. Have a transrectal ultrasound every 5 years. C. Perform monthly testicular self-examinations, especially after age 60. D. Have a complete blood count (CBC), blood urea nitrogen (BUN), and creatinine assessment performed annually.
A
After having transurethral resection of the prostate (TURP), a client returns to the unit with a three-way indwelling urinary catheter and continuous closed bladder irrigation. Which finding suggests that the client's catheter is occluded? > The urine in the drainage bag appears red to pink. > The client reports bladder spasms and the urge to void. > The normal saline irrigant is infusing at a rate of 50 drops/minute. > About 1,000 ml of irrigant have been instilled; 1,200 ml of drainage have been returned.
B
A 53-yr-old patient is scheduled for an annual physical examination. The nurse will plan to teach the patient about the purpose of a. urinalysis collection. b. uroflowmetry studies. c. prostate specific antigen (PSA) testing. d. transrectal ultrasound scanning (TRUS).
C
A nurse is caring for a 33-year-old male client who has come to the clinic for a physical examination. The client states not having a routine physical in 5 years. The health care provider's digital rectal examination (DRE) reveals "stony" hardening in the posterior lobe of the prostate gland that is not mobile. The nurse recognizes that the observation typically indicates what? A. A normal finding B. A sign of early prostate cancer C. Evidence of a more advanced lesion D. Metastatic disease
C
A nurse is performing an admission assessment on a 40-year-old man who has been admitted for outpatient surgery on the right knee. While taking the client's family history, the client states, "My father died of prostate cancer at age 48." The nurse should instruct the client on which of the following health promotion activities? A. The client will need PSA levels drawn starting at age 55. B. The client should have testing for presence of the CDH1 and STK11 genes. C. The client should have PSA levels drawn regularly. D. The client should limit alcohol use due to the risk of malignancy.
C
A client is having prostate-specific antigen (PSA) testing done. Which result would the nurse identify as abnormal? • 2.7 nanograms/milliliter • 3.2 nanograms/milliliter • 3.8 nanograms/milliliter • 4.6 nanograms/milliliter
D
The nurse will plan to teach a 51-yr-old man who is scheduled for an annual physical examination about a(n) a. increased risk for testicular cancer. b. possible changes in erectile function. c. normal decreases in testosterone level. d. prostate specific antigen (PSA) testing.
D
A 65-year-old man complains to his health care provider that, when he urinates, he has to start and stop several times over a period of minutes in order to fully empty his bladder. The nurse is aware that this is not uncommon in men over the age of 60. This "double voiding" is directly related to which of the following? Hyperplasia of the prostate gland Thickening of the seminiferous tubules Fibrotic changes of the corpora cavernosa Hypogonadism
Hyperplasia of the prostate gland
A client with a recent history of benign prostatic hypertrophy (BPH) will soon begin treatment with finasteride. Before beginning this course of therapy, the nurse should caution the client to be aware of what potentially adverse effect? a. sexual dysfunction b. tinnitus c. photosensitivity d. urinary retention
a
The nurse is preparing a presentation for a men's community group about health promotion. Which of the following would the nurse include as a current recommendation for screening? > Monthly testicular self-examination (TSE) > Annual digital rectal examination (DRE) after age 35 years > Annual prostate-specific antigen (PSA) testing after age 40 years > Transrectal ultrasound every 5 years after age 50 years
a
Which of the following would a nurse include in a teaching plan for a client with benign prostatic hyperplasia who is not yet a candidate for surgery? Maintaining optimal bladder emptying Using appropriate coping to allay anxiety Performing deep breathing exercises periodically Doing leg exercises at least daily
a
A client's prostate-specific antigen (PSA) level is 2.0 ng/mL. Which action by the nurse is most appropriate? a. Inform the client that the results are normal and no cancer has been detected. b. Inform the client that results are normal and schedule a digital rectal examination. c. Let the client know that the results are elevated and he is at risk for prostate cancer. d. Tell the client that cancer is indicated and that the health care provider recommends watchful waiting.
b
A patient is receiving finasteride (Proscar) for treatment of benign prostatic hyperplasia. The nurse will tell him that a possible effect of this medication is a. alopecia. b. increased hair growth. c. urinary retention. d. increased prostate size.
b
The health care provider prescribes finasteride (Proscar) for a patient who has benign prostatic hyperplasia (BPH). When teaching the patient about the drug, the nurse informs him that a. he should change position from lying to standing slowly to avoid dizziness. b. his interest in sexual activity may decrease while he is taking the medication. c. improvement in the obstructive symptoms should occur within about 2 weeks. d. he will need to monitor his blood pressure frequently to assess for hypertension.
b
d A client comes to the emergency department reporting severe testicular pain that started about 1 hour ago. Examination reveals a thickened spermatic cord, an elevated testis, and testicular tenderness. The nurse would interpret these findings to suggest which of the following? • Epididymitis • Testicular torsion • Orchitis • Testicular cancer
b
Which of the following should be included when teaching a client about the management of benign prostatic hyperplasia (BPH)? Select all that apply. Moderate use of alcohol is useful for bladder relaxation. Do not delay the urge to void. Low-dose Benadryl will promote restful sleep. Prolonged exposure to heat increases bladder spasms. Painless hematuria is a common symptom of BPH. Schedule digital rectal exams.
b,f
A 72-year-old patient has been diagnosed with benign prostatic hypertrophy (BPH) and will begin treatment with tamsulosin (Flomax). The patient admits that he is skeptical about the drug's ability to relieve his distressing symptoms. The nurse should respond in what way? A. "Flomax makes your urine less alkaline, reducing the irritation that makes your prostate enlarge." B. "Flomax increases the strength of your bladder muscle and results in a stronger flow of urine." C. "Flomax can relax your prostate and your bladder neck, making it easier to pass urine." D. "Flomax can increase the amount of urine your kidneys produce, resulting in better urine flow."
c
A client comes to the clinic reporting urinary symptoms. Which statement would most likely alert the nurse to suspect benign prostatic hyperplasia (BPH)? "I've had a fever and noticed I've been running to the bathroom more often." "I'm waking up at night to urinate and I've noticed some burning, too." "I've had trouble getting started when I urinate, often straining to do so." "I've had some pain in my lower abdomen lately and felt a bit sick to my stomach."
c
A client comes to the clinic reporting urinary symptoms. Which statement would most likely alert the nurse to suspect benign prostatic hyperplasia (BPH)? • "I've had a fever and noticed I've been running to the bathroom more often." • "I'm waking up at night to urinate and I've noticed some burning, too." • "I've had trouble getting started when I urinate, often straining to do so." • "I've had some pain in my lower abdomen lately and felt a bit sick to my stomach."
c
A client with erectile dysfunction is prescribed sildenafil (Viagra). Which of the following would the nurse include in the teaching plan for this client? > "You need to take this medication throughout the day to be effective." > "The effects of this medication usually last for up to 48 hours." > "You may experience headache and some flushing with this drug." > "Your blood glucose level might increase when you take this drug."
c
A patient will begin taking finasteride (Propecia) to treat benign prostatic hypertrophy (BPH) and asks the nurse how long the medication will be necessary. The nurse will tell the patient that he will need to take this medication for how long? a. 6 months b. 12 months c. Indefinitely d. Until symptoms resolve
c
After experiencing several months of worsening nocturia, a patient has been assessed for benign prostatic hypertrophy (BPH) and has begun drug treatment. In addition to nocturia, what other sign or symptom is most likely to accompany BPH? A. Flank pain B. Erectile dysfunction C. Urinary frequency D. Hematuria
c
When reviewing patient laboratory results, the nurse in the clinic notes elevated prostate specific antigen (PSA) levels in the following four patients. Which patient's PSA result is most important to report to the health care provider? a. A 75-year-old who uses saw palmetto to treat benign prostatic hyperplasia (BPH) b. A 38-year-old who is being treated for acute prostatitis c. A 48-year-old whose father died of metastatic prostate cancer d. A 52-year-old who goes on long bicycle rides every weekend
c
A client is scheduled for a transurethral rescection of the prostate (TURP). Which statement demonstrates that the expected outcome of "client demonstrates understanding of the surgical procedure and aftercare" has been met? • "I'll have to stay in the hospital for about 3 to 4 days after the surgery." • "I'll have a small incision on my lower abdomen after the procedure." • "The surgeon is going to remove the entire prostate gland." • "The surgeon is going to insert a scope through my urethra to remove a portion of the gland."
d
The health care provider orders a blood test for prostate-specific antigen (PSA) when an enlarged prostate is palpated during a routine examination of a 56-year-old man. When the patient asks the nurse the purpose of the test, the nurse's response is based on the knowledge that a. elevated levels of PSA are indicative of metastatic cancer of the prostate. b. PSA testing is the "gold standard" for making a diagnosis of prostate cancer. c. baseline PSA levels are necessary to determine whether treatment is effective. d. PSA levels are usually elevated in patients with cancer of the prostate.
d
The nurse is providing an educational event at the local PTO on prostate cancer. A 53-year-old male attendee asks about the prevention and detection of prostate cancer. What information should the nurse provide to this patient that would assist in the early identification of prostate cancer? a) Have a complete blood count (CBC) yearly (including blood urea nitrogen [BUN] and creatinine assessment) b) Perform monthly testicular self-examinations, especially after age 50. c) Have a transrectal ultrasound every 5 years. d) Have a digital rectal examination and prostate-specific antigen (PSA) test done yearly.
d) Have a digital rectal examination and prostate-specific antigen (PSA) test done yearly.
A client with benign prostatic hyperplasia (BPH) doesn't respond to medical treatment and is admitted to the facility for surgical intervention. Before providing preoperative and postoperative instructions to the client, the nurse asks the surgeon which prostatectomy procedure will be done. What is the most widely used procedure for treatment of BPH?
turp
