Med Surg: Chapter 34: Nursing Management: Patients With Male Reproductive Disorders: PREPU

Which of the following may result if prostate cancer invades the urethra or bladder? A. Hip pain B. Backache C. Hematuria D Rectal discomfort

C

A client with a history of hypertension and heart disease is being seen by the urologist because of erectile dysfunction. What would be the most likely cause of the client's erectile dysfunction? A. All options are correct. B. depression C. atherosclerosis D. hypertension medication

A

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? A Testes B Vas deferens C Prostate gland D Seminal vesicles

A The testes are responsible for producing sperm (spermatogenesis). The vas deferens are the tubes that carry the sperm from the testicles and epididymis to the seminal vesicles, which acts as the reservoir for testicular secretions. The prostate gland produces a secretion that is chemically and physiologically suitable to the needs of the sperm in their passage from the testes.

The nurse is obtaining a medication history from a client who is reporting erectile dysfunction. Which medication would the nurse identify as being least likely to contribute to the client's condition? A Methyldopa B Cimetidine C Spironolactone D Ibuprofen

D

Which of the following is an immediate danger after a prostate surgery? A Sexual dysfunction B Catheter obstruction C Deep vein thrombosis D Hemorrhagic shock

D

Which of the following patient populations have the highest risk for developing testicular cancer? A Mexican American B Asian American C African American D Caucasian American

D

When assessing a client with benign prostatic hyperplasia, which of the following would the nurse expect the client to report as the initial complaint? A Nocturia B Narrowing of urinary stream C Dark brown urine D Increased effort to void

D The symptoms of BPH appear gradually. At first, the client notices that it takes more effort to void. Eventually, the urinary stream narrows and has decreased force. The bladder empties incompletely. As residual urine accumulates, the client has an urge to void more often and nocturia occurs.

Medical management of BPH includes pharmacologic therapy. Which of the following medications would the nurse expect the health care provider to prescribe for this diagnosis? A Alpha-adrenergic blocker B Antispasmodic C Diuretic D Analgesic

A Alpha-adrenergic blockers relax the smooth muscle of the bladder neck and prostate, improving urine flow and relieving BPH symptoms.

Following morning hygiene of an elderly client, the nurse is unable to replace the retracted foreskin of the penis. Which is the most likely outcome? A Nausea and vomiting B Unclean glans C Erection of the penis D Painful swelling

D Paraphimosis results in strangulation of the glans penis from inability to replace the retracted foreskin. The strangulation results in painful swelling of the glans. Erection of the penis in the presence of phimosis can cause pain but is not a result of retracted foreskin

A client who comes to the clinic complaining of perineal pain, dysuria and fever is diagnosed with prostatitis. The nurse understands that which of the following organisms would be the most likely cause? A Staphylococcus B Escherichia coli C Paramyxovirus D Streptococcus

B

After a radical prostatectomy for prostate cancer, a client has an indwelling catheter removed. The client then begins to have periods of incontinence. During the postoperative period, which intervention should be implemented first? A. Artificial sphincter use B. Kegel exercises C. Self-catheterization D. Fluid restriction

B

A nurse is working in an oncology treatment center. Which clinical manifestation when reported by a client would the nurse know may be related to metastasis from prostate cancer? A Frequent nighttime urination B Large amounts of dilute urine when voiding C Weight gain of 3 pounds in 1 month D Constant hip aching and discomfort

D Symptoms related to metastases include backache, hip pain, perineal and rectal discomfort, anemia, oliguria, weight loss, weakness, nausea, and spontaneous pathologic fractures. These symptoms may be the first indications of prostate cancer

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? A Orchitis B Epididymitis C Testicular torsion D Testicular cancer

C Testicular torsion is manifested by sudent pain in the testicle, usually developing over 1 to 2 hours, accompanied by swelling of the scrotum, testicular tenderness, elevated testis, thickened spermatic cord, and a swollen, painful scrotum. Epididymitis is manifested by low-grade fever, chills, and heaviness in the affected testicle developing over 1 to 2 days. Orchitis is manifested by fever, pain, tenederness in one or both testicles, testicular swelling, penile discharge, blood in the semen, and leukocytosis.

A client with erectile dysfunction is prescribed sildenafil (Viagra). Which of the following would the nurse include in the teaching plan for this client? A. "The effects of this medication usually last for up to 48 hours." B. "Your blood glucose level might increase when you take this drug." C. "You need to take this medication throughout the day to be effective." D. "You may experience headache and some flushing with this drug."

D

Erectile dysfunction would not be characterized as the inability to: A achieve or maintain an erection that is sufficiently rigid for sexual activity. B achieve an erection. C sustain erection for a satisfactory period of time. D achieve an erection after sexual activity.

D

Following morning hygiene of an elderly client, the nurse is unable to replace the retracted foreskin of the penis. Which is the most likely outcome? A. Nausea and vomiting B.. Unclean glans C. Erection of the penis D. Painful swelling

D

The nurse is educating a patient about performing testicular self-examination (TSE). The nurse informs the patient that the best time to perform the exam is when? A. At bedtime B. In the morning when arising C. After exercise D. After a warm bath or shower

D

A patient is suspected to have prostate cancer related to observed clinical symptoms. What definitive test can the nurse assist with to confirm a diagnosis of prostate cancer? A. DRE B. PSA C. Prostate biopsy D. Cystoscopy

C

Which of the following recommendations would a nurse advocate during infancy and childhood to help reduce potential adult complications such as orchitis? A Urge the limited intake of foods and fluids containing caffeine. B Ensure immunizations against infectious diseases such as mumps. C Engage in activities and exercises that minimize heavy lifting. D Encourage the consumption of foods that are rich in fat and starch.

B Nurses should advocate for infant and childhood immunizations against infectious diseases such as mumps to reduce potential adult complications such as orchitis. Minimizing activities involving heavy lifting or urging limited intake of caffeine have no effect on the potential for adult complications such as orchitis.

Which of the following should nurses teach all men, especially those who have had cryptorchidism? A. Need for blood tests to measure serum acid phosphatase levels. B. How to perform a testicular self-examination. C Importance of regular monitoring of prostate-specific antigen (PSA) levels. D. Need to undergo a baseline and follow up lymph node biopsies.

B.

Which condition is associated with buildup of fibrous plaques in the sheath of the corpus cavernosum, causing curvature of the penis when it is erect? A Priapism B Bowen's disease C Peyronie's disease D Phimosis

C Peyronie's disease may require surgical removal of the plaques when the disease makes sexual intercourse painful, difficult, or impossible. Bowen's disease refers to a form of squamous cell carcinoma in situ of the penile shaft

Several male clients are scheduled to come to the clinic for an annual physical examination. The nurse would expect to prepare which client for a digital rectal examination (DRE)? A A 34-year-old man with a history of hypertension B A 40-year-old man with a history of asthma C A 48-year-old man with a history of type 2 diabetes D A 52-year-old man in good health

D DRE is used to screen for prostate cancer and is recommended annually for every man older than 50 years or those 45 years old at high risk (African-American men and men with a strong family history of prostate cancer).