Mod 8

When the nurse is conducting sexual history from a male adolescent, which statement would be most appropriate to use at the beginning of the interview? "Do you use condoms?" "You don't masturbate, do you?" "Have you had sex in the last 6 months?" "Often adolescents your age have questions about sexual activity."

"Often adolescents your age have questions about sexual activity."

During the assessment of an 18-month-old infant, the mother expresses concern to the nurse about the infant's inability to toilet train. What would be the nurse's best response? "Some children are just more difficult to train, so I wouldn't worry about it yet." "Have you considered reading any of the books on toilet training? They can be very helpful." "This could mean that there is a problem in your baby's development. We'll watch her closely for the next few months." "The nerves that will allow your baby to have control over the passing of stools are not developed until at least 18 to 24 months of age."

"The nerves that will allow your baby to have control over the passing of stools are not developed until at least 18 to 24 months of age."

A 70-year-old man is visiting the clinic for difficulty in passing urine. In the health history, he indicates that he has to urinate frequently, especially at night. He has burning when he urinates and has noticed pain in his back. Considering this history, what might the nurse expect to find during the physical assessment? Asymmetric, hard, and fixed prostate gland Occult blood and perianal pain to palpation Symmetrically enlarged, soft prostate gland Soft nodule protruding from the rectal mucosa

Asymmetric, hard, and fixed prostate gland

During a health history of a patient who complains of chronic constipation, the patient asks the nurse about high-fiber foods. The nurse relates that an example of a high-fiber food would be: Broccoli. Hamburger. Iceberg lettuce. Yogurt.

Broccoli

After completing an assessment of a 60-year-old man with a family history of colon cancer, the nurse discusses with him early detection measures for colon cancer. The nurse should mention the need for a(n): Annual proctoscopy. Colonoscopy every 10 years. Fecal test for blood every 6 months. DREs every 2 years.

Colonoscopy every 10 years.

The nurse is performing a genital examination on a male patient and notices urethral drainage. When collecting urethral discharge for microscopic examination and culture, the nurse should: Ask the patient to urinate into a sterile cup. Ask the patient to obtain a specimen of semen. Insert a cotton-tipped applicator into the urethra. Compress the glans between the examiner's thumb and forefinger, and collect any discharge.

Compress the glans between the examiner's thumb and forefinger, and collect any discharge.

During an examination of an aging man, the nurse recognizes that normal changes to expect would be: Enlarged scrotal sac. Increased pubic hair. Decreased penis size. Increased rugae over the scrotum.

Decreased penis size.

A 55-year-old man is in the clinic for a yearly checkup. He is worried because his father died of prostate cancer. The nurse knows which tests should be performed at this time? Select all that apply. Digital rectal examination Trans recital ultrasound Urinalysis Blood test for prostate-specific antigen (PSA)Prostate biopsy

Digital rectal examination Blood test for prostate-specific antigen

The nurse is performing a genitourinary assessment on a 50-year-old obese male laborer. On examination, the nurse notices a painless round swelling close to the pubis in the area of the internal inguinal ring that is easily reduced when the individual is supine. These findings are most consistent with a(n) hernia. Scrotal Femoral Direct inguinal Indirect inguinal

Direct inguinal

During the taking of a health history, the patient states, "It really hurts back there, and sometimes it itches, too. I have even seen blood on the tissue when I have a bowel movement. Is there something there?" The nurse should expect to see which of these upon examination of the anus? Rectal prolapse Internal hemorrhoid External hemorrhoid that has resolved External hemorrhoid that is thrombosed

External hemorrhoid that is thrombosed

During a health history, a patient tells the nurse that he has trouble in starting his urine stream. This problem is known as: Urgency. Dribbling. Frequency. Hesitancy.

Hesitancy

The nurse is preparing to palpate the rectum and should use which of these techniques? The nurse should: Flex the finger, and slowly insert it toward the umbilicus. First instruct the patient that this procedure will be painful. Insert an extended index finger at a right angle to the anus. Place the finger directly into the anus to overcome the tight sphincter.

Flex the finger, and slowly insert it toward the umbilicus.

When the nurse is performing a genital examination on a male patient, which action is correct? Auscultating for the presence of a bruit over the scrotum Palpating for the vertical chain of lymph nodes along the groin, inferior to the inguinal ligament Palpating the inguinal canal only if a bulge is present in the inguinal region during inspection Having the patient shift his weight onto the left (unexamined) leg when palpating for a hernia on the right side

Having the patient shift his weight onto the left (unexamined) leg when palpating for a hernia on the right side

A 30-year-old woman is visiting the clinic because of "pain in my bottom when I have a bowel movement." The nurse should assess for which problem? Pinworms Hemorrhoids Colon cancer Fecal incontinence

Hemorrhoids

The nurse notices that a patient has had a pale, yellow, greasy stool, or steatorrhea, and recalls that this is caused by: Occult bleeding. Absent bile pigment. Increased fat content. Ingestion of bismuth preparations.

Increased fat content.

A 13-year-old girl is visiting the clinic for a sports physical examination. The nurse should remember to include which of these tests in the examination? Testing for occult blood Valsalva maneuver Internal palpation of the anus Inspection of the perianal area

Inspection of the perianal area

A 16-year-old boy is brought to the clinic for a problem that he refused to let his mother see. The nurse examines him, and finds that he has scrotal swelling on the left side. He had the mumps the previous week, and the nurse suspects that he has orchitis. Which of the following assessment findings support this diagnosis? Select all that apply. Mass that does not transilluminate Mass that transilluminates Scrotum that is nontender upon palpation Scrotal skin that is reddened Swollen testis Scrotum that is tender upon palpation

Mass that does not transilluminate Scrotal skin that is reddened Swollen testis Scrotum that is tender upon palpation

The nurse is aware of which statement to be true regarding the incidence of testicular cancer? Testicular cancer is the most common cancer in men aged 30 to 50 years. The early symptoms of testicular cancer are pain and induration. Men with a history of cryptorchidism are at the greatest risk for the development of testicular cancer. The cure rate for testicular cancer is low.

Men with a history of cryptorchidism are at the greatest risk for the development of testicular cancer.

A patient who is visiting the clinic complains of having "stomach pains for 2 weeks" and describes his stools as being "soft and black" for approximately the last 10 days. He denies taking any medications. The nurse is aware that these symptoms are mostly indicative of: Excessive fat caused by malabsorption. Increased iron intake, resulting from a change in diet. Occult blood, resulting from gastrointestinal bleeding. Absent bile pigment from liver problems.

Occult blood, resulting from gastrointestinal bleeding.

The mother of a 5-year-old girl tells the nurse that she has noticed her daughter "scratching at her bottom a lot the last few days." During the assessment, the nurse finds redness and raised skin in the anal area. This finding most likely indicates: Pinworms. Chickenpox. Constipation. Bacterial infection.

Pinworms

An accessory glandular structure for the male genital organs is the: Testis. Scrotum. Prostate. Vas deferens.

Prostate

While performing a rectal examination, the nurse notices a firm, irregularly shaped mass. What should the nurse do next? Continue with the examination, and document the finding in the chart. Instruct the patient to return for a repeat assessment in 1 month. Tell the patient that a mass was felt, but it is nothing to worry about. Report the finding, and refer the patient to a specialist for further examination.

Report the finding, and refer the patient to a specialist for further examination.

A 40-year-old black man is in the office for his annual physical examination. Which statement/ regarding the PSA blood test is true, according to the American Cancer Society? The PSA: Should be performed with this visit. Should be performed at age 45 years. Should be performed at age 50 years. Is only necessary if a family history of prostate cancer exists.

Should be performed at age 45 years.

The nurse is inspecting the scrotum and testes of a 43-year-old man. Which finding would require additional follow-up and evaluation? Skin on the scrotum is taut. Left testicle hangs lower than the right testicle. Scrotal skin has yellowish 1-cm nodules that are firm and nontender .Testes move closer to the body in response to cold temperatures.

Skin on the scrotum is taut.

The nurse is performing a digital examination of a patient's prostate gland and notices that a normal prostate gland includes which of the following characteristics? Select all that apply. Smooth surface, elastic, and rubbery consistency 1 cm protrusion into the rectum Fixed mobility Boggy with a soft consistency Heart-shaped with a palpable central groove Flat shape with no palpable groove

Smooth surface, elastic, and rubbery consistency 1 cm protrusion into the rectum Heart-shaped with a palpable central groove

When performing a scrotal assessment, the nurse notices that the scrotal contents show a red glow with transillumination. On the basis of this finding the nurse would: Assess the patient for the presence of a hernia. Suspect the presence of serous fluid in the scrotum. Consider this finding normal, and proceed with the examination. Refer the patient for evaluation of a mass in the scrotum.

Suspect the presence of serous fluid in the scrotum.

During an examination, the nurse notices that a male patient has a red, round, superficial ulcer with a yellowish serous discharge on his penis. On palpation, the nurse finds a nontender base that feels like a small button between the thumb and fingers. At this point the nurse suspects that this patient has: Genital warts. Herpes infection. Syphilitic chancre. Carcinoma lesion.

Syphilitic chancre

Which characteristic of the prostate gland would the nurse recognize as an abnormal finding while palpating the prostate gland through the rectum? Palpable central groove Tenderness to palpation Heart shaped Elastic and rubbery consistency

Tenderness to palpation

Which statement concerning the testes is true? The lymphatic vessels of the testes drain into the abdominal lymph nodes. The vas deferens is located along the inferior portion of each testis. The right testis is lower than the left because the right spermatic cord is longer. The cremaster muscle contracts in response to cold and draws the testicles closer to the body.

The cremaster muscle contracts in response to cold and draws the testicles closer to the body.

While performing an assessment of the perianal area of a patient, the nurse notices that the pigmentation of anus is darker than the surrounding skin, the anal opening is closed, and a skin sac that is shiny and blue is noted. The patient mentioned that he has had pain with bowel movements and has occasionally noted some spots of blood. What would this assessment and history most likely indicate? Anal fistula Pilonidal cyst Rectal prolapse Thrombosed hemorrhoid

Thrombosed hemorrhoid