Male Reproductive Disorders
A 62-year-old male client is admitted to the hospital for transurethral resection of the prostate (TURP). Which statement by the nurse would be the most appropriate to address the client's concerns regarding the surgery and his sexual function?
"It's not unusual for a man to worry about how this surgery will affect his sex life. What are some of your concerns?"
A nurse is reinforcing teaching with a client who is scheduled for a transrectal ultrasound (TRUS). Which of the following information should the nurse include?
"Sound waves will be used to create a picture of your prostate." - A TRUS creates an image of the prostate using sound waves
A nurse is reinforcing instructions with a client who is scheduled for a transurethral resection of the prostate (TURP) about his postoperative care. Which of the following information should the nurse include in the teaching?
"You may have a continuous sensation of needing to void even though you have a catheter." - To reduce the risk of postoperative bleeding, the client will have a catheter with a large balloon that places pressure on the internal sphincter of the bladder. Pressure on the sphincter causes a continuous sensation of needing to void
A nurse in a provider's office is collecting history data from a client who is undergoing an evaluation for benign prostatic hyperplasia (BPH). The nurse should identify that which of the following findings are indicative of this condition? (Select all that apply) (3)
1. Frequent urinary tract infections 2. Hematuria 3. Urinary incontinence (due to an increased volume of residual urine)
A nurse is reinforcing discharge instructions with a client who is postoperative following a TURP. Which of the following instructions should the nurse include? (Select all that apply.) (3)
1. If urine appears bloody, stop activity and rest 2. Avoid drinking caffeinated beverages 3. Take a stool softener once a day - Excessive activity can cause recurrence of bleeding. The client should rest to promote reclotting at the incisional site - The client should avoid caffeine and other bladder stimulants - The client should take a stool softener to keep the stool soft and thus prevent the complication of bleeding at the time of a bowel movement
The nurse is examinings client who is manifesting symptoms of acute bacterial prostatitis. Which condition is the usual causative factor of this disorder?
Ascending urinary tract infection
A client is admitted to the hospital with a diagnosis of benign prostatic hyperplasia (BPH), and transurethral resection of the prostate (TURP) is performed. Four hours after surgery, a nurse takes the client's vital signs and empties the urinary bag. Which of the following assessment findings would indicate the need to notify the physician?
Blood pressure of 100/50 mmHg, pulse of 130 beats per minute - Frank bleeding (arterial or venous) may occur during the first day after surgery. Some hematuria is usual for several days after surgery. A urinary output of 200 ml greater than intake is adequate. Bladder spasm are expected to occur following surgery. A rapid pulse with a low blood pressure is a potential sign of excessive blood loss. The physician should be notified
A client with benign prostatic hyperplasia (BPH) undergoes a transurethral resection of the prostate (TURP). Postoperatively, the client is receiving continuous bladder irrigation. A nurse assesses the client for signs of transurethral resection (TURP) syndrome. Which of the following assessment data would indicate the onset of this syndrome?
Bradycardia and confusion - TUR syndrome is caused by increased absorption of non-electrolytes irrigating fluid used during surgery. The client may show signs of cerebral edema and increased intracranial pressure, such as increased blood pressure, bradycardia, confusion, disorientation, muscle twitching, visual disturbances, and nausea and vomiting
A client has epididymitis as a complication of urinary tract infection (UTI). The nurse is giving the client instructions to prevent a recurrence. The nurse determines that the client needs further instruction if the client states the intention to:
Continue to take antibiotics until all symptoms are gone
________ indicates painful voiding
Dysuria
T/F - Cryptorchidism must be treated by surgical intervention
False
T/F - Testicular cancer is the most common form of cancer in men between 20 and 34 years of age
False
T/F - The incidence or erectile dysfunction decreases with age.
False
T/F - The testicular examination must be performed before a shower or bath, resulting in ease of access to the testes
False
A nurse is assessing a client with epididymitis. The nurse anticipates which of the following findings on physical assessment?
Fever, nausea, vomiting and painful scrotal edema
A nurse is caring for a client who had prostatectomy. During the early postoperative period, which of the following complications would the nurse most closely monitor in this client?
Hemorrhage - Hemorrhage is the msot common complications after prostate surgery. The main reason for this is that the prostate lies deep within the pelvis and is surrounded by highly vascular tissue that requires resection to reach the prostate.
_______ is an accumulation of fluid in the space between the membranes covering the testicle
Hydrocele
Location of the urethral meatus on the underside of the penis is ______.
Hypospadias
A male client is taking the antihypertensive drug methyldopa (Aldomet). The nurse should advise the client that this drug has been known to cause.***
Increased ejaculatory ability
The nurse is caring for a client with a varicocele explains the side effects of this condition. With what disorder is this condition associated?
Infertility
A nurse is preparing a plan of care for a client affected with Peyronie disease. What measure should be included in the nursing care plan for the client?
Inform the client about the surgery to remove the scar tissue
Which of the following statement is correct regarding testicular cancer?
Males with a history of cryptochidism are at highest risk for testicular cancer - Males with a history of undescended testicles (cryptochidism) are at greatest risk for developing testicular cancer
The nurse is speaking to a local men's group about the risk factors for testicular cancer. Which risk factor should the nurse include?
Not sexually active
Inflammation of the testes is known as ________.
Orchitis
________ refers to abnormal and persistent penile erection without sexual stimulation
Priapism
Which complications could result if benign prostatic hypertrophy (BPH) is left untreated? ***
Renal insufficiency
A client returns from surgery after having a perineal prostatectomy. Which nursing diagnosis would the nurse consider highest priority in the immediate postoperative period?
Risk for injury related to hemorrhage
The nurse is caring for a client with prostatitis. Which nursing intervention is recommended for this disorder?
Sitz bath
A 20-year-old male client is diagnosed with orchitis secondary to mumps. The nurse is aware that this infection of the testes may cause which condition?
Sterility
A nurse is caring for a client who has a new diagnosis of benign prostatic hyperplasia (BPH). The nurse should anticipate a prescription for which of the following medications?
Tamsulosin (Urinary retention medication) - Tamsulosin (Flomax): an alpha adrenergic receptor antagonist/Alpha blocker that relaxes the bladder outlet and the prostate gland, which improves urinary flow
A client complains of fever, perennial pain, urinary urgency, and dysuria. To assess whether the client's problem is related to prostatitis, the nurse would look at the results of the prostate examination, which should reveal that the prostate gland is:
Tender, indurated, and warm to the touch - The client with prostatitis has a prostate gland that is swollen and tender, but which is also warm to the touch, firm, and indurated. Systemic symptoms include fever with chills, perineal and low back pain, and signs of urinary tract infection (which often accompany the disorder)
A 50-year-old client is scheduled for a test for prostate-specific antigen (PSA). What should the nruse tell the client with respect to the procedure?
The test is often repeated each year even if this result is negative
A nurse is counseling an elderly male regarding recent sexual difficulties. The nurse's discussion should be based on which of the following?
Therapeutic medications may alter sexual function - One of the greatest influences on the sexual function of older adult client is the adverse effects of therapeutic medications. The nurse should thoroughly assess for medications that may alter sexual function, such as antihypertensives and cardiac medicaitons. Sexual dysfunction is not a normal result of aging
A client is undergoing transurethral resection of the prostate (TURP). What is the purpsoed of this procedure?
To remove a small tissue sample of the prostate
A teenager presents at the ER with severe scrotal and abdominal pain, vomiting, and nausea. He tells the nurse that he particiapted in a polar bear plunge in his community (jumping into cold water off-seaon). What conditions would the nurse suspect?
Torsion of the spermatic code
T/F - Early prostate cancer is often asymptomatic and without pain
True
A nurse at a university student health center is assessing a 20-year-old man who presents with all of the following symptoms. Which one should indicate to the nurse that the student may have a gonorrheal infection?***
Urethral discharge
A client with prostatitis secondary to kidney infection has received instructions on management of the condition at home and prevention of occurrence. A nurse evaluates that the client understood the instructions if the client verbalized the intention to:
Use warm sitz baths and analgesics to increase comfort - Treatment of prostatitis includes medicaiton with antibiotics, analgesics, and stool softeners. The client is also taught to rest, increase fluid intake, and use sitz baths for comfort. Antimicrobial therapy is always continued until the prescription is completely finished.
A client is scheduled for an intravenous pyelogram (IVP). Before the test, the priority nursing action would be to:
Determine a history of allergies - Iodine-based dye used during the IVP can cause allergices reactions such as itching, hives, rash, a tight feeling in the throat, shortness of breath, and bronchospasm. Assessing for allergies is the priority
A nurse is caring for a client who had a spinal cord injury. To prevent autonomic dysreflexia in this client, the nurse should take measures for the client to avoid:
Developing urinary retention
A nurse is caring for an older adult client who is having an annual physical exam. Which of the following findings indicates additional follow-up is needed in regard to the prostate gland? (Select all that apply) (3)
1. Prostate-specific antigen (PSA) is 7.1 ng/mL 2. A digital rectal exam (DRE) reveals an enlarged and nodular prostate 3. The client reports a weak urine stream - Although the PSA level is typically elevated in older adult clients, PSA greater than 4 ng/mL warrants additional follow-up - An enlarged and nodular prostate is a possible indication of prostate cancer and requires further evaluation - A weak urine stream is a manisfestation of benign prostatic hyperplasia and warrants follow-up
What is a valid indication for circumcision in male infants?
Cultural beliefs - Of the choices given, the msot valid indication for circumsion in male infants is for cultural reasons. The other options are inaccurate.
A client returns to his room following a transurethral resection of the prostate (TURP) for benign prostatic hypertrophy (BPH). Which of the following would cause the nurse to suspect postoeprative hemorrhage?
Decreased blood pressure, increase pulse, increased respirations
A nurse is taking a history of a client who has had benign prostatic hyperplasia (BPH) in the past. To determine if the client is currently experiencing difficulty, the nurse asks the client about the presence of which of the following early symptoms?
Decreased force in stream of urine
The nurse is explaining to a client that during testing for arterial problems of his penis, an erection may occur that may not go away at first and he will need to be monitored until it has resolved or been medically reversed. What type of testing is this client undergoing?
Duplex Doppler ultrasonography
A male client has a tentative diagnosis of urethritis. A nurse assesses the client for which of the following manifestations of the disorder
Dysuria and penile discharge - Urethritis in the male client often results from chlamydial infection, and is characterized by dysuria, which is accompanied by a clear to mucopurulent discharge. Because this disorder often coexist with gonorrhea, diagnostic tests are done for both, and include culture and rapid assay
