Porth Patho Chapter 39: Disorders of the Male Genitourinary System
In order to minimize the risk of developing a hernia, when should the fetal inguinal canal close completely?
After the ninth fetal month
A male client is diagnosed with an inguinal hernia. Which statement by the client indicates that the nurse's teaching about the hernia has been effective?
"The hernia is a loop of bowel protruding through a weak spot in my abdominal muscles."
Which of the following men is most at risk for experiencing erectile dysfunction (ED)?
A 54-year-old with history of smoking one pack of cigarettes per day for 30 years
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
The nurse in the urology clinic is teaching the client about the signs and symptoms of epididymitis. Which of these should be included in the discussion? Select all that apply.
Groin tenderness Fever Urinary frequency Pain with urination
The nurse in the urology office recognizes screening men at risk for prostate cancer includes which of these diagnostic studies?
Blood level of PSA and digital rectal exam
The endocrine system plays an essential role in promoting spermatogenic activity in the testes. Which gonadotropic hormone regulates the production of testosterone?
Luteinizing hormone
A patient calls the clinic and informs the nurse that he has sustained an erection for 3 hours and that it is extremely painful. The patient has a history of sickle cell disease and this has not happened to him in the past. Which of the following should the nurse instruct the patient about?
If the patient does not seek medical attention, impotence may result.
Temperature regulation of the testes is maintained by which of the following structures?
Pampiniform plexus and cremaster muscles
A 75-year-old man presents at the clinic complaining of pain during intercourse and an upward bowing of his penis during erection. The client's history mentions an inflammation of the penis that was treated 3 months ago. The physician's physical examination of the client notes beads of scar tissue along the dorsal midline of the penile shaft. What would be the suspected diagnosis of this client?
Peyronie disease
A client comes to the urgent care center because he thinks he may have a urinary tract infection. He is diagnosed with epididymitis. Select the risk factors that may have contributed to the diagnosis. Select all that apply.
Prostate obstruction Sexual activity Recent urinary surgery Bike riding
The nurse is caring for a client with acute superficial balanitis. The nurse assesses for which of these signs or symptoms, consistent with the diagnosis?
Redness of the glans penis and malodorous discharge
A young pregnant mother is told after an ultrasound that the fetus' testes have not descended. What hormone is responsible for the descent of the testes?
Testosterone
An obstetrician is explaining the differentiation of embryonic tissue into a fetus to an aspiring class of nursing students. Which hormone is primarily responsible for the development of male sex characteristics?
Testosterone
In the development of the testes, the nurse understands that which of the following can lead to an inguinal hernia later in life?
The inguinal canal has not closed almost completely.
The pediactric nurse is teaching the mother of a newborn with hypospadias about this disorder. Which of these does the nurse convey?
The opening of the urethra is found on the underside of the penis.
Which of the following statements best captures an aspect of the neural control of sexual function?
The spinal cord plays a central role, with the limbic system and cerebral cortex also contributing.
The nurse is performing a health history of a patient being evaluated for erectile dysfunction. Which of the following places the patient at highest risk for the disorder?
Type 2 diabetes