Male GU System- FINAL HA

The nurse teaches a patient about testicular self-examination. Which statement would be appropriate for the nurse to include?

"The cure rate of testicular cancer is almost 100% when detected early."

What are the objective assessment findings recorded by the nurse after examining a male patient's genitourinary system? Select all that apply.

After an assessment of the genitourinary system, the nurse documents the findings as subjective and objective. Objective findings are collected by the nurse through the skills of physical examination such as inspection and palpation. Objective findings include unevenness of the left and right testis; swollen, erythematous, tender glans penis; and the presence of white discharge from the penis. Subjective data include the data that is obtained from the history given by the patient. The frequency of urination (4 or 5 times/day) and pain while passing urine are subjective findings.

When should the nurse obtain a patient's sexual history?

Before a genital examination The nurse obtains a sexual history before the genital examination. Information regarding sexual health practices will help in understanding the potential risks and help guide the nurse during the examination of the genitalia. The patient may not be comfortable during the examination and may perceive any discussion regarding personal sexual practices as judgmental. Performing the examination prior to the interview will not help in understanding which areas need a detailed examination. The patient may be unwilling or embarrassed to share information with the nurse. However, instead of depending on the patient's inclination, the nurse should inform the patient that sexual history is necessary to understand the patient's condition.

Which structure controls the size of the scrotum?

Cremaster muscle The cremaster muscle is located in the wall of the scrotal sac. It controls the size of the scrotum by responding to the surrounding temperature. The frenulum is a fold of the foreskin extending from the urethral meatus ventrally. The epididymis is a comma-shaped structure, curved over the top and the posterior surface of the testis, which stores sperm. The inguinal canal is a narrow tunnel passing obliquely between the layers of the abdominal muscle. These structures are not associated with the shape and size of the scrotum.

What condition does the nurse suspect in the patient whose creatinine level is 3.0 mg/dL?

Decreased kidney function

Which medication does the primary health care provider prescribe to a patient who is at risk of developing an HPV-related cervical cancer?

HPV4 (Gardasil) HPV4 (Gardasil) is a human papillomavirus (HPV) vaccine used for preventing infections caused by the human papillomavirus. HPV also causes cervical cancer in female patients; therefore, HPV4 (Gardasil) is prescribed to the patient at risk for HPV-related cervical cancer. Acyclovir (Zovirax) is used in the treatment of genital herpes. Penicillin G (Pfizerpen) is used to prevent sexually transmitted infections like syphilitic chancre. Lidocaine-prilocaine cream (EMLA) acts a local anesthetic agent and is used to prevent pain during the circumcision procedure.

The nurse is reviewing the data obtained on the examination of a male genitourinary system. Which assessment finding does the nurse consider normal?

Left scrotal sac is lower than right The left scrotal sac appears low because the left testis has a longer spermatic cord when compared to the right testis. The scrotal sac is not usually tender. Tenderness of the scrotal sac may be indicative of inflammation of the scrotal contents. A narrowed opening of the prepuce indicates phimosis, which is an abnormal finding. Hard and enlarged nodes in the inguinal area may be indicative of tumor and hernia.

Which assessment technique reveals the presence of a nontender nodule during the physical assessment of a patient with a syphilitic chancre?

Palpation

A patient reports an involuntary, sustained, painful erection that is not associated with sexual arousal. Which condition does the patient have?

Priapism

Which patient is at highest risk for developing prostate cancer?

Risk factors for developing prostate cancer include advanced age (over 65 year of age), African American race, and a first degree relative (father, brother, or son) who has been diagnosed with prostate cancer. Benign prostatic hypertrophy and multiple-partner sexual activity are not risk factors for prostate cancer. Increased levels, not decreased levels, of prostate specific antigen are associated with prostate cancer.

Which statement, if made by the nurse while instructing the patient about testicular self-examination, is appropriate?

The nurse instructs the patient to perform a testicular self-examination monthly to detect any abnormal lumps or lesions. The use of cold water will stimulate a muscle reflex and retract the scrotal contents. Therefore, the nurse should ask the patient to perform the testicular self-examination in the shower with warm water. The nurse should ask the patient to hold the scrotum gently, because too much pressure will cause pain. Normal testicles feel rubbery and have a smooth surface. Therefore, it is not necessary to report this finding to the primary health care provider.

While examining a patient's penis, the nurse finds that the patient has a narrow, red, and edematous urethral meatus with purulent discharge. What does the nurse infer from these findings?

The patient has urethritis. The urethral meatus is located centrally at the tip of the glans. Normally, the edge of the meatus appears pink and smooth, without any discharge. If the meatus is red in color, everted, and edematous, with purulent discharge, it indicates that the patient has urethritis. If the patient is unable to retract the foreskin, it indicates that the patient has phimosis. A cystic collection of serous fluid in the tunica vaginalis surrounding the testis is known as hydrocele. Undescended testes indicate cryptorchidism.

Phimosis

a condition in which the foreskin cannot be retracted due to narrowed opening of the prepuce

epispadias

the urethral meatus is located dorsally