PrepU Adult 2 Assignment 19

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?

Alpha-adrenergic blocker

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

Brachytherapy

Which of the following patient populations have the highest risk for developing testicular cancer?

Caucasian American

A patient experiences hypotension, lethargy, and muscle spasms while receiving bladder irrigations after a transurethral resection of the prostate (TURP). What is the first action the nurse should take?

Discontinue the irrigations.

Carlos Gutierrez, an 80-year-old retired farmer, is being seen by a physician in the urology practice where your practice nursing. Mr. Gutierrez is being seen by the urologist due to his erectile dysfunction. During your client education session, you instruct Mr. Gutierrez about many topics, including the proper use of prescribed medications. How many men, 75 years of age and older, have chronic erectile dysfunction?

More than half

Which term refers to the surgical removal of one or both testes?

Orchiectomy

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?

Prostate biopsy

Ernst Weber, a 73-year-old retired carpenter, has been diagnosed with epididymitis after examination and diagnostics ordered by a physician with the urology group where you practice nursing. What would you expect to find in the lab results from his urinalysis?

Pus and bacteria

Which of the following is considered first-line treatment for prostate cancer?

Radical prostatectomy

Which of the following is the only definitive test that can determine if cancer of the testis is present?

Tissue biopsy

Which instructions regarding future sexual activity should a nurse give a client with a vasectomy?

Use a reliable method of contraception until the physician ensures that sperm no longer are present.

A client underwent a transurethral resection of the prostate gland 24 hours ago and is on continuous bladder irrigation. Which nursing intervention is appropriate?

Use sterile technique when irrigating the catheter.

Erectile dysfunction would not be characterized as the inability to:

achieve an erection after sexual activity.

The nurse is demonstrating the technique for performing a testicular self examination (TSE) to a group of men for a company health fair. One of the men asks the nurse at what age a man should begin performing TSE. What is the best answer by the nurse?

"It should begin in adolescence."

Surgical removal of a client's testicle and biopsy revealed a stage I tumor confined to the testis. Initially, the client was treated with an aggressive chemotherapy protocol, but, recently, tumor markers have improved and the chemotherapy has been modified. The nurse provides client education about family planning. Which client statement indicates that the client understood the education provided?

"Spermatogenesis eventually resumes months or years after chemotherapy."

A client expresses concerns about future reproduction after a surgery and treatment for cancer of the testes has proceeded without first collecting and storing sperm. Which alternatives should a nurse suggest to the client? Select all that apply.

-donor insemination -adoption -foster parenting

Which client is most likely to develop prostate cancer according to a nurse working at a health screening at the local mall?

A 56-year-old African American man

How many men, 75 years of age and older, have chronic erectile dysfunction?

more than half

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 renders a diagnosis of prostatitis and orders treatment. During your client education session, what recommendations do you make as the client's nurse?

All options are correct

A 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 client education, which recommendation does the nurse make?

All options are correct.

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?

All options are correct.

A 57-year-old client is seen at the free clinic. He has an edematous glans penis, pain, and an extremely constricted foreskin. What treatment would you expect the physician to prescribe?

Circumcision

When developing an educational program for a group of adolescents about sexually transmitted infections (STIs), what should the nurse inform the group about the single greatest risk factor for contracting an STI?

The number of sexual partners

A patient is diagnosed with prostatitis. Which of the following is the most commonly isolated organism that will be present in this patient's laboratory results?

Escherichia coli

Which of the following is the most common organism implicated in prostatitis?

Escherichia coli

A client is scheduled for a transurethral rescection of the prostate (TURP). Which statement demonstrates that the expected outcome of "client demonstrates understanding of the surgical procedure and aftercare" has been met?

"The surgeon is going to insert a scope through my urethra to remove a portion of the gland."

A client with erectile dysfunction is prescribed sildenafil (Viagra). Which of the following would the nurse include in the teaching plan for this client?

"You may experience headache and some flushing with this drug."

A client expresses concerns about future reproduction after a surgery to correct the cancer of the testes and for whom treatment has proceeded without collecting and storing sperm. Which of the following alternatives should a nurse suggest to the client? Choose all correct responses.

-Donor insemination -Adoption -Become a foster parent

A 73-year-old client has been diagnosed with epididymitis after examination and diagnostic tests ordered by a physician with the urology group where you practice nursing. What treatment would you expect the physician to order? Choose all correct options.

-Scrotal elevation -Comfort measures

What would be included in client teaching for a client recovering from a prostatectomy? Select all that apply.

-Tell the client to use soap and water to clean around the urethral meatus and several inches of the catheter at least twice a day. -Teach pelvic floor retraining exercises.

A client has been diagnosed with epididymitis after examination and diagnostic tests. What treatments would the physician initially order? Select all that apply.

-scrotal elevation -comfort measures

Which would be included as a condition that can cause an elevated PSA level in the absence of prostate cancer? Select all that apply.

Acute urinary retention

A patient is planning to use a negative-pressure (vacuum) device to maintain and sustain an erection. What should the nurse caution the patient about with the use of this device?

Do not leave the constricting band in place for longer than 1 hour to avoid penile injury.

A client with a penile implant is to be informed about the possible complications after discharge. Which of the following are complications that occur due to an incorrectly-sized implant, pressure, or friction of the implanted cylinders?

Erosion of penile or urethral tissue

A 48-year-old man recently diagnosed with benign prostatic hyperplasia (BPH) reports consuming <i>Serenoa repens</i> (saw palmetto berry). The nurse needs to intervene if the physician orders which treatment?

Finasteride

The nurse is reviewing the history of a client with erectile dysfunction. Which of the following would the nurse least likely identify as contributing to the client's condition?

New onset of anemia being treated with iron supplements

The nurse is preparing a discharge teaching plan for a client who has had a prostatectomy. Which of the following would be appropriate to include?

Performing perineal exercises frequently throughout the day

Which of the following herbal remedies is used to treat symptoms of benign prostatic hypertrophy (BPH)?

Saw palmetto

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.

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?

Testicular torsion

Which instruction regarding future sexual activity should a nurse give a client with a vasectomy?

Use a reliable method of contraception until the physician ensures that sperm no longer are present

A client has an edematous glans penis, pain, and an extremely constricted foreskin. What treatment would the physician likely prescribe?

circumcision

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.