Patho Final - Ch 43

Which disorder of the male genitourinary system creates the most urgent need for prompt and aggressive surgical treatment?

Intravaginal testicular torsion

A client is admitted with secondary orchitis. Which assessment question is most relevant?

"Have you ever had mumps?"

After seeking care due to recent history of testicular enlargement and scrotal pain, a 22-year-old college student has been diagnosed with testicular cancer. Which statement by the client indicates the need for further teaching?

"I can't shake this feeling like I've received a death sentence"

A client informs the nurse that he has been having difficulty sustaining an erection. Which statement made by the client demonstrates to the nurse that the client understands what a contributing factor to his erectile dysfunction is?

"I should stop smoking cigarettes. I have been smoking for 20 years"

While working with a client with a fairly recent spinal cord injury, the partner asks about the couple's ability to maintain a sexual relationship. Which response by the nurse is most accurate?

"If the parasympathetic impulses can pass from the sacral segments of spinal cord through pelvic nerves, an erection should be possible"

The nurse is teaching a client with hypertension about managing erectile dysfunction (ED). What information should the nurse share with the client?

"Participating in regular exercise may help resolve the ED"

A client asks, "What caused my acute prostatitis?" Which response by the nurse explains the most common cause of acute prostatitis?

Urethral infection with Escherichia coli

The nurse is reinforcing information given to the client who is asking about screening for prostrate cancer. Which of these will be nurse teach the client about the prostate-specific antigen (PSA) test?

An elevated score on a PSA test does not necessarily indicate the presence of cancer

Which client is at highest risk for developing acute bacterial prostatitis?

An older adult male diagnosed with frequent urinary tract infections testing positive for Gram-negative rods

A client is admitted into the emergency department with a sustained erection lasting 4 hours. Which initial treatments does the nurse anticipate administering? Select all that apply.

Analgesics, Sedation, Hydrating Measures

When caring for the client with acute bacterial prostatitis, the nurse plans for which intervention?

Antibiotics

Benign prostatic hyperplasia (BPH) and prostatic adenocarcinomas present differently. The nurse is aware of which difference?

BPH is commonly located in the periurethral zone of the prostate, while prostate cancer is commonly located in the peripheral zones of the prostate

A male client reports frequent urination, difficulty starting to urinate, and dribbling after he has finished urinating. Which diagnosis correlates with this client's manifestations?

Benign prostatic hyperplasia (BPH)

A client complains of not being able to experience satisfactory sexual intercourse. The nurse knows that erectile dysfunction is now recognized as a marker for:

Cardiovascular disease

Epididymitis can be sexually transmitted, or it can be caused by a variety of other reasons, including abnormalities in the genitourinary tract. What are the most common causes of epididymitis in young men without underlying genitourinary disease?

Chlamydia trachomatis and Neisseria gonorrhoeae

Which risk factor is associated with erectile dysfunction (ED) and considered preventable?

Cigarette Smoking

Which assessment is most likely to reveal a potential exacerbation in a 70-year-old client's diagnosis of benign prostatic hyperplasia (BPH)?

Digital rectal examination

A client comes to the clinic and informs the nurse that he was playing soccer and was kicked in the scrotal area on the right side. The nurse observes that the scrotal skin on the right side is dark red. What should the nurse suspect this client may have?

Hematocele

The nurse is assessing a client with a collection of blood in the tunica vaginalis of the scrotum. How does the nurse correctly document this in the medical record?

Hematocele

Which diagnosis is most likely to require surgical correction?

Hypospadias

A client calls the clinic and informs the nurse that he has sustained an erection for 3 hours and that it is extremely painful. The client has a history of sickle cell disease and this has not happened to him in the past. Which instruction should the nurse give to the client?

If the client does not seek medical attention, impotence may result.

A client is admitted with a prolonged and painful erection that has lasted longer than 4 hours. The nurse knows that this is a true urologic emergency, and that the cause is:

Impaired blood flow in the corpora cavernosa of the penis

An adult male has been diagnosed with mumps orchitis. The nurse should educate the client regarding which complication associated with mumps orchitis?

Impaired spermatogenesis

A client has developed priapism. For which outcome is this client at risk?

Impotence

If not treated urgently, testicular torsion can result in which complication?

Loss of testicular perfusion

A 27-year-old male developed mumps and was ill for several days. The client suddenly developed a fever and painful enlargement of the testes approximately 4 days after recovering. The nurse should suspect that the client has developed:

Orchitis

The nurse on the urology unit teaches the nursing student that which test assists in detecting a recurrence of prostate cancer after prostatectomy?

PSA Level

A client is concerned about having mumps orchitis and asks the nurse about the symptoms. What is the nurse's best response?

Painful enlargement of the testes with fever 3 days after infection

The nurse is teaching clients with diabetes about the increased risk for erectile dysfunction (ED). What factors related to diabetes does the nurse link to increased risk for ED? Select all that apply.

Peripheral artery disease and Peripheral neuropathy

The nurse in the urology unit is teaching about medication to treat erectile dysfunction. The mechanism of action of most of these medications is that the medication:

Promotes increase in blood flow to the corpora cavernosa

Which treatment intervention is recommended for infants who have a severe case of hypospadias?

Surgical repair

A child born premature does not have descended testes. The pediatrician has made a note to watch in the coming visits for testicular descension. Which consequence is the most significant concern if the testes do not descend?

Testicular torsion

Which complication is associated with prostatic hyperplasia?

Urine Retention

Which client is at greatest risk for developing balanoposthitis?

A male who has an uncircumcised penis

The parents of a baby born with hypospadias ask the nurse if the baby can be circumcised. Which response by the nurse is most accurate?

"The circumcision will not be done now; the foreskin is needed for surgical repair"

An adult male reports painful urination, rectal pain, fever/chills, general malaise and myalgia. Vital signs are: temperature, 101.7°F (38.7°C); blood pressure, 105/74 mm Hg; pulse, 98 bpm; respiration, 22 breaths/min. What condition should the health care provider suspect?

Acute bacterial prostatitis

An adolescent male comes to the urgent care clinic. Upon assessment, the following is noted: history of circumcision, erythema of the glans, and prepuce with a malodorous discharge. Based on symptoms, the probable diagnosis would be:

Acute superficial balanoposthitis

Based on the group that statistically has the greatest risk, the health care provider should assess which ethnic group for prostate cancer?

Black

A client on the urology floor who has BPH asks the nurse how the pharmacologic agent finasteride will help decrease the size of his prostate. Which principle explains the mechanism of action?

Blocking effects of androgens on the prostate

The nurse in the urology office recognizes screening men at risk for prostate cancer includes which diagnostic measures?

Blood level of prostate-specific antigen (PSA) and digital rectal exam

The mother requests that a circumcision be performed on a newborn with hypospadias. Which information related to treatment of hypospadias should the nurse convey?

Circumcision is avoided as the foreskin will be used to repair the urinary opening

When caring for a group of clients, the nurse recognizes which of these individuals has increased risk for balanitis?

Client with a sexually transmitted infection

A client arrives in the emergency department complaining of severe pain in the left testicular area with nausea and vomiting for 2 hours. The left testicle is large and tender to palpation and radiating to the inguinal area. Which of the following reflexes can the nurse assess the absence of in order to indicate testicular torsion?

Cremaster reflex

Erectile dysfunction is the inability to achieve and maintain an erection sufficient to permit satisfactory sexual intercourse. The nurse knows that there may be many causes of erectile dysfunction, and a psychogenic cause would include which of the following?

Depression

A client reports heaviness in the scrotum and pain in the lower back. The client is diagnosed with a hydrocele. In which anatomical structure does the excess fluid collect?

Tunica vaginalis

The nurse is performing a newborn assessment on a 2-day-old male infant. Assessment reveals the presence of the urethral opening on the ventral side of the penis. The nurse would document this finding as being:

Hypospadias

The community health nurse is conducting a men's health class. Which of these does the nurse relate as the major role of the prostate?

It increases sperm motility

A 12-year-old boy with pain in the tip of his penis and a red, swollen, tender foreskin is uncircumcised because of religious reasons. Which medical diagnosis is likely responsible for this child's manifestations?

Phimosis

The provider is assessing a client with a history of erectile dysfunction (ED) who is requesting a prescription for treatment. When assessing for additional information related to causes of ED, which information should the provider solicit from the client?

Presence of arterial occlusive disease

The nurse is teaching a high school student about male sexual function. Which organ contains the muscle that promotes semen expulsion during ejaculation?

Prostate Gland

A nurse is performing a genital examination on a male client who develops an erection. Which action is the nurse's most appropriate intervention?

Reassure the client that this is a normal response and continue with the examination

The nurse is caring for a client with acute superficial balanoposthitis. The nurse assesses for which of these signs or symptoms consistent with the diagnosis?

Redness of the glans penis and malodorous discharge

The nurse is caring for a client with significant benign prostatic hyperplasia (BPH) and hydronephrosis who is fearful of having corrective surgery. Which information is important for the nurse to convey?

The obstruction is causing urine to flow backward and cause kidney dysfunction.

The nurse is teaching the client about pharmacologic treatment for benign prostatic hyperplasia (BPH). Which explanation of the action of these alpha-adrenergic blocking medications is best?

They relax the smooth muscle to relieve prostatic obstruction

Which factor places a male client at risk for balanitis?

Uncircumcised penis

The nurse working on an inpatient adolescent pediatric unit must prioritize which parents to teach first. Which diagnosis directs the nurse to provide teaching for the parents first due to the need for prompt treatment to prevent long-term complications?

Undescended testis

The nurse is assessing a client in the urology clinic with suspected benign prostatic hyperplasia (BPH). Which client symptoms are consistent with BPH?

Urinary frequency, Dribbling after urination, Awakening at night to void