Male reproductive

The nurse knows that a patient being screened for prostate cancer needs further instruction when he makes which of the following statements?

"I understand blood in the urine is the first symptom of prostate cancer." Explanation: While blood in the urine can be a sign of prostate cancer, it does not occur frequently with this disease.

The nurse is teaching a young adult male how to perform testicular self-examination (TSE). The nurse determines that the client has understood the instructions when he states which of the following?

"The best time to do it is once a month after I take my warm morning shower."

A client is having prostate-specific antigen (PSA) testing done. Which result would the nurse identify as abnormal?

4.6 Normal prostate-specific antigen (PSA) levels are less than 4.0 nanograms/milliliter (ng/mL).

Which client would the nurse identify as being at highest risk for the development of testicular cancer?

A 25-year-old male with a history of cryptorchidism Explanation: Testicular cancer is most common in between 15 and 34 years of age and is the leading cause of cancer deaths in men between 25 to 34 years of age. I

A group of students are reviewing information about the classifications of testicular cancer. The students demonstrate understanding of the information when they describe which of the following?

Choriocarcinoma is an example of a nonseminoma. Explanation: Testicular tumors are classified as germinal or nongerminal.

A nurse is preparing a presentation for a local senior citizen group about age-related changes in the body systems. Which of the following would the nurse include as associated with the male reproductive system? Select all that apply.

Decrease in sexual energy level • Loss of testicular firmness • Thickening of the seminiferous tubules

Robert James is a 71-year-old man with erectile dysfunction. His healthcare provider prescribed a PDE5 inhibitor to treat his dysfunction. The nurse is meeting with Robert to review the newly prescribed medication. Which of the following would the nurse include in the client education?

Depending on the drug, most are taken "on demand" 15 minutes, 1/2 hour, to 1 hour before sexual activity.

Lately, a 75-year-old man is having difficulty emptying his bladder. He is unable to empty it completely and yet it feels full, giving rise to discomfort. The physician suspects prostate cancer. Which of the following questions would you expect the physician to ask the patient? Select all that apply.

Do you pass blood in the urine?" • "Do you have a burning sensation during urination?" • "Do you have a family history of prostate cancer?"

48-year-old man recently diagnosed with benign prostatic hyperplasia (BPH), reports taking Serenoa repens (saw palmetto berry). The nurse needs to intervene if the physician orders which of the following treatments?

Finasteride (Proscar)

A triple-lumen indwelling urinary catheter is inserted for continuous bladder irrigation following a transurethral resection of the prostate. In addition to balloon inflation, the functions of the three lumens include:

continuous inflow and outflow of irrigation solution.

The diagnosis of prostate cancer is confirmed by which of the following?

Histologic exam of tissue

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 TSE

The nurse is providing instruction for testicular self-examination to a group of young adolescents. Which is the most correct examination technique?

Palpate each testicle separately, following a warm shower.

A hydrocele is suspected in a client with scrotal edema. Which assessment technique would the nurse anticipate to be done first?

Transillumination of the scrotum

A client is undergoing a diagnostic workup for suspected testicular cancer. When obtaining the client's history, the nurse checks for known risk factors for this type of cancer. Testicular cancer has been linked to:

cryptorchidism. Cryptorchidism (failure of one or both testes to descend into the scrotum) appears to play a role in testicular cancer, even when corrected surgically.

In a client with benign prostatic hyperplasia (BPH), which assessment finding provides the best indication of urinary retention?

frequency

Students preparing for a test are reviewing the structure and function of the male reproductive system. They demonstrate understading of the material when they identify which of the following as the site of spermatogenesis?

testes

A nurse is teaching a male client to perform monthly testicular self-examinations. Which point is appropriate to make?

Testicular cancer is a highly curable type of cancer.

Which of the following involves implantation of interstitial radioactive seeds under anesthesia to treat prostate cancer?

Brachytherapy Explanation: Brachytherapy involves the implantation of interstitial radioactive seeds under anesthesia.

Which of the following should be included as part of the home care instructions for a patient with epididymitis and orchitis?

antibiotics

Which assessment finding would create the greatest risk to a client ordered a phosphodiesterase (PDE5) inhibitor such as sildenafil (Viagra)?

use of nitrates

Which factor should be checked when evaluating the effectiveness of an alpha-adrenergic blocker given to a client with benign prostatic hyperplasia (BPH)?

voiding pattern

A client comes to the emergency department complaining of moderate to severe testicular pain and tenderness. Both testicles are swollen and a penile discharge is present. The client is diagnosed with viral orchitis. Which of the following would the nurse include in this client's plan of care?

apply ice

The nurse is caring for a patient who had a 1-day postoperative transurethral resection of the prostate (TURP). Which of the following assessment findings does the nurse expect? Select all that apply.

• Large amounts of amber-colored urine in the drainage bag • Reports of the urge to void from the patient • Drainage tube secured to the inner thigh

(see full question) A client diagnosed with prostate cancer is to receive brachytherapy. Which of the following would the nurse include when discussing this therapy with the client?

Use of radioactive seeds implanted into the prostate

A 51-year-old client is being seen by an urologist for perineal pain, low back pain, fever lasting 5 days, and painful urination. The physician confirms a diagnosis of prostatitis and orders treatment. During your client education session, which of the following recommendations do you make? a) Complete the prescribed antibiotic treatment. b) All options are correct. c) Avoid caffeine. d) Regularly drain the gland.

all