PrepU chapter 53

The nurse is reviewing the medical record of a client who has been diagnosed with prostate cancer. The nurse notes that the Gleason score was used to grade the cancer. Which total score would the nurse interpret as indicating a highly aggressive cancer? 9 7 5 3

9

Which client would the nurse identify as being at highest risk for the development of testicular cancer? A 45-year-old White male with a history of hypertension A 75-year-old White male with erectile dysfunction A 25-year-old male with a history of cryptorchidism A 39-year-old Black male who is HIV-negative

A 25-year-old male with a history of cryptorchidism

Which client is most likely to develop prostate cancer according to a nurse working at a health screening at the local mall? A 35-year-old African American man A 60-year-old Asian American man A 56-year-old African American man A 17-year-old European American man

A 56-year-old African American man

A client is undergoing treatment for prostate cancer. He has chemotherapy sessions regularly. However, of late he is showing symptoms of food allergy and loss of appetite. He has lost considerable weight as a result. Which is an appropriate nursing task in this situation? Administer serotonin blockers. Include fruits in the client's diet. Ask the client to keep a diet diary. Ensure greater fluid intake.

Ask the client to keep a diet diary.

Which treatment involves implantation of interstitial radioactive seeds under anesthesia to treat prostate cancer? Hormone therapy Brachytherapy Teletherapy Chemotherapy

Brachytherapy

A client with Stage IV prostate cancer is to receive hormone therapy. The nurse would inform the client about possible adverse effects including which of the following? Increased libido Enhanced potency Deepening of voice Breast tenderness

Breast tenderness

After teaching a group of student about structural abnormalities of the male reproductive system, the instructor determines that the teaching was successful when the students identify which of the following as an example? Cryptorchidism Erectile dysfunction Prostatitis Priapism

Cryptorchidism

Which term refers to a failure of one or both or both of the testes to descend into the scrotum? Cryptorchidism Varicocele Phimosis Hydrocele

Cryptorchidism

Which of the following would a nurse include in a teaching plan for a client with benign prostatic hyperplasia who is not yet a candidate for surgery?

Maintaining optimal bladder emptying

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 use the device while taking nitrates. -Do not leave the constricting band in place for longer than 1 hour to avoid penile injury. -Watch for erosion of the prosthesis through the skin. -Watch for the development of infection.

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

Which of the following recommendations would a nurse advocate during infancy and childhood to help reduce potential adult complications such as orchitis?

Ensure immunizations against infectious diseases such as mumps.

After teaching a group of students about erectile dysfunction, the instructor determines that the teaching was successful when the students identify which of the following as true? -Erectile dysfunction may be due to testosterone insufficiency. -Erectile dysfunction is unrelated to anxiety or depression. -Erectile dysfunction is primarily a normal response to aging. -Erectile dysfunction rarely occurs in clients with diabetes mellitus.

Erectile dysfunction may be due to testosterone insufficiency.

Which of the following is the most common organism implicated in prostatitis? Methicillin-resistant Staphylococcus aureus Escherichia coli Staphylococcus aureus Streptococcus

Escherichia coli

A client is ordered continuous bladder irrigation at a rate of 60 gtt/minute. The nurse hangs a 2 L bag of sterile solution with tubing on a three-legged IV pole. She then attaches the tubing to the client's three-way urinary catheter, adjusts the flow rate, and leaves the room. Which important procedural step did the nurse fail to follow? Counter-balancing the I.V. pole Evaluating patency of the drainage lumen Attaching the infusion set to an infusion pump Collecting a urine specimen before beginning irrigation

Evaluating patency of the drainage lumen

Which component of client teaching helps the nurse assist a client following treatment for cancer of the prostate gland to manage and minimize the possibility of a recurrence of the primary cancer or metastasis? Undertake pelvic floor retraining exercises. Avoid strenuous exercises, especially lifting. Avoid sexual intercourse for at least 2 years. Have regular prostate-specific antigen (PSA) levels tested and repeat lymph node biopsies.

Have regular prostate-specific antigen (PSA) levels tested and repeat lymph node biopsies.

The nurse is preparing a presentation for a local community group about prostate cancer and possible dietary risk factors. Which of the following would the nurse most likely include? High-fat diet High-calorie High-iron High fiber

High-fat diet

Which of the following should nurses teach all men, especially those who have had cryptorchidism?

How to perform a testicular self-examination.

The nurse is reviewing a client's medication and health history. Which assessment finding would cause the nurse to question the client's new prescription for the phosphodiesterase inhibitor sildenafil? Use of nitrates Use of diuretics History of hypertension Type 2 diabetes

Use of nitrates

A 65-year-old man complains to his health care provider that, when he urinates, he has to start and stop several times over a period of minutes in order to fully empty his bladder. The nurse is aware that this is not uncommon in men over the age of 60. This "double voiding" is directly related to which of the following? Hypogonadism Hyperplasia of the prostate gland Fibrotic changes of the corpora cavernosa Thickening of the seminiferous tubules

Hyperplasia of the prostate gland

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?

Ibuprofen

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

Increased effort to void

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

Increased effort to void

The nurse is preparing a presentation for a men's community group about health promotion. Which of the following would the nurse include as a current recommendation for screening? Annual digital rectal examination (DRE) after age 35 years Annual prostate-specific antigen (PSA) testing after age 40 years Monthly testicular self-examination (TSE) Transrectal ultrasound every 5 years after age 50 years

Monthly testicular self-examination (TSE)

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

Orchiectomy

A client comes to the emergency department complaining of sudden, sharp testicular pain. Further examination reveals torsion of the spermatic cord. Which of the following would the nurse expect to do next? Prepare the client for circumcision Prepare the client for surgery Apply a dressing over the scrotum Apply a scrotal support

Prepare the client for surgery

A client diagnosed with prostate cancer is to receive brachytherapy. Which of the following would the nurse include when discussing this therapy with the client?

Use of radioactive seeds implanted into the prostate

Consuming a diet high in which of the following has been found to increase the risk for prostate cancer? Carbohydrates Green leafy vegetables Whole grains Red meats

Red Meats

The physician orders an alpha-adrenergic blocker for a client with benign prostatic hyperplasia. The nurse understands that this drug acts to achieve which of the following? Prevent urinary tract infections Relieve urinary symptoms Block testosterone conversion Slow the prostatic enlargement

Relieve urinary symptoms

Students preparing for a test are reviewing the structure and function of the male reproductive system. They demonstrate understanding of the material when they identify which of the following as the site of spermatogenesis? Prostate gland Vas deferens Testes Seminal vesicles

Testes

A nurse is teaching a male client to perform monthly testicular self-examinations. Which point is appropriate to make? Testicular cancer is more common in older men. Testicular cancer is very difficult to diagnose. Testicular cancer is a highly curable type of cancer. Testicular cancer is the number one cause of cancer deaths in males.

Testicular cancer is a highly curable type of cancer.

After having transurethral resection of the prostate (TURP), a client returns to the unit with a three-way indwelling urinary catheter and continuous closed bladder irrigation. Which finding suggests that the client's catheter is occluded? -About 1,000 ml of irrigant have been instilled; 1,200 ml of drainage have been returned. -The client reports bladder spasms and the urge to void. -The urine in the drainage bag appears red to pink. -The normal saline irrigant is infusing at a rate of 50 drops/minute.

The client reports bladder spasms and the urge to void.

Following a vasectomy, which is the most important instruction to provide to the client? Take a day or two to rest and recuperate from the procedure. Use a Tylenol as needed for discomfort. Use another form of birth control until further notice. Wear a scrotal support until swelling is resolved.

Use another form of birth control until further notice.

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. -Restrict fluids to prevent the client's bladder from becoming distended. -Prepare to remove the catheter. -Tell the client to try to urinate around the catheter to remove blood clots.

Use sterile technique when irrigating the catheter

Which of the following would be most important to include in a teaching plan for a client who has had a vastectomy?

Using a reliable method of contraception for several weeks

The nurse recognizes what conditions cause elevated prostate-specific antigen (PSA) levels in the absence of prostate cancer. Select all that apply. acute urinary retention acute prostatitis benign prostatic hyperplasia (BPH) transurethral resection of the prostate (TURP) erectile dysfunction

acute urinary retention acute prostatitis BOH transurethral rescetion of the prostate (TURP)

A triple-lumen indwelling urinary catheter is inserted for continuous bladder irrigation following a transurethral resection of the prostate. In addition to balloon inflation, the functions of the three lumens include: -continuous inflow and outflow of irrigation solution. -intermittent inflow and continuous outflow of irrigation solution. -continuous inflow and intermittent outflow of irrigation solution. -intermittent flow of irrigation solution and prevention of hemorrhage.

continuous inflow and outflow of irrigation solution.

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: testosterone therapy during childhood. cryptorchidism. sexually transmitted disease. early onset of puberty.

cryptorchidism

Which cancer ranks second as the cause of death in American men? penis prostate testicular skin

prostate

A client is having prostate-specific antigen (PSA) testing done. Which result would the nurse identify as abnormal?

4.6 nanograms/milliliter

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.