Chapter 26 PrepU

Which client would the nurse identify as being at highest risk for the development of testicular cancer? A. A 75-year-old white man with erectile dysfunction. B. A 45-year-old white man with a history of hypertension. C. A 39-year-old African-American man who is HIV-negative. D. A 25-year-old man with a history of cryptorchidism.

D. A 25-year-old man with a history of cryptorchidism.

Francis is a middle-aged man who noted right sided lower abdominal pain after straining with yardwork. Which of the following findings would make a hernia a more likely diagnosis? A. Absence of symmetry of the inguinal areas with straining B. Absence of a varicocele C. Absence of pain with straining D. Absence of bowel sounds in the scrotum

A. Absence of symmetry of the inguinal areas with straining

The nurse is preparing an instructional session for male clients about preventing penile cancer. Which non-modifiable risk factor should the nurse include in the teaching? A. Age 60 years or older B. Poor personal hygiene C. Sexual promiscuity D. History of human papilloma virus

A. Age 60 years or older

A nurse examining a client's external genitalia notices that his scrotum and testes draw up and he shivers. This phenomenon is known as which of the following? A. Cremasteric reflex B. Vasovagal reflex C. Patellar reflex D. Rooting reflex

A. Cremasteric reflex

Upon inspection and palpation of the front of the client's thigh, the nurse discovers a bulge that appears when the client coughs. The nurse should document this finding as which type of hernia? A. Femoral B. Scrotal C. Incarcerated D. Strangulated

A. Femoral

A client presents to the health care clinic with reports of black stool. The client denies the ingestion of iron supplements or taking Pepto-Bismol. The nurse recognizes that the black stools could be an indication of what disease process? A. Gastrointestinal bleeding B. Cancer of the colon C. Lack of bile pigment D. Increased fat content

A. Gastrointestinal bleeding

A male client is complaining of pain with urination, rectal pain and urethral discharge. The nurse suspects this is what? A. Gonorrhea B. Scabies C. Chlamydia D. Syphilis

A. Gonorrhea

Symptoms of prostate disorder include which of the following? A. Incomplete emptying, nocturia, weak urinary stream B. Elevated PSA level, daytime polyuria, low back pain C. Decreased urination, painful urination, elevated PSA level D. Nocturia, daytime polyuria, strong urinary stream

A. Incomplete emptying, nocturia, weak urinary stream

A teenage male client comes to the ED with severe left testicular pain and vomiting. Elevation of his left testicle does not lessen the pain. What could these symptoms indicate for this patient? A. Left testicular torsion B. Testicular cancer C. Epididymitis D. Hydrocele

A. Left testicular torsion

The nurse is documenting current health concerns during the health history of an older adult male client. Identification of what may help most at this time? A. Previous problems B. Sexual preference C. Number of sexually transmitted infections D. Number of sexual partners

A. Previous problems

An adult male client comes to the clinic for his annual physical examination. During the nursing assessment, the nurse asks, "Do you have any current or chronic illnesses such as diabetes, hypertension, respiratory problems, or cardiovascular disease?" Why does the nurse ask this question? A. To assess risk for erectile dysfunction B. To refer the patient to a pulmonologist C. To assess risk for limited range of motion D. To determine the need for involvement from an internist

A. To assess risk for erectile dysfunction

The nurse suspects that a male client may have a hernia. The nurse should further assess the client for A. bowel sounds at the bulge. B. cysts at the spermatic cord. C. urinary tract infection. D. bruising at the site.

A. bowel sounds at the bulge.

During assessment of an adult client, which of the following lifestyle practices would indicate to the nurse that the client may be at high risk for HIV/AIDS? A client who A. has anal intercourse with other males. B. has multiple female partners. C. smokes marijuana occasionally. D. uses a condom on a regular basis.

A. has anal intercourse with other males.

The nurse is asked to prepare material on erectile dysfunction to be placed in a urologist's office waiting room. What should the nurse include as reasons for the development of this disorder? Select all that apply. Alcohol use Myocardial infarction Depression Diabetes Antihypertensive medications

Alcohol use Depression Diabetes Antihypertensive medications

When assessing a client during the physical examination of the genitalia, the nurse palpates the scrotal contents. Which finding should the nurse recognize as an indication that an infection or cysts are present? A. Palpable and tortuous veins B. Beaded or thickened cord C. Smooth, nontender cord D. Left testicle is slightly lower than the right

B. Beaded or thickened cord

When palpating the rectal mucosa, how does the nurse rotate the examining hand? A. From the nurse's left, then to the right B. Clockwise, then counterclockwise C. Anteriorly, then posteriorly D. Counterclockwise, then clockwise

B. Clockwise, then counterclockwise

What documentation in a client's history should a nurse recognize as an indication that the client has a normal prostate? A. Rubbery with two lobes, left slightly larger than the right B. Heart-shaped, smooth, with two distinct lobes C. Slightly tender to palpation but smooth and rubbery D. Nontender, firm, and slightly tender to palpation

B. Heart-shaped, smooth, with two distinct lobes

An uncircumcised, 78 year-old male has presented at the clinic complaining that he cannot retract his foreskin over his glans. On examination it is noted that the foreskin is very constricted. What is this condition called? A. Bowen's disease B. Phimosis C. Peyronie's disease D. Priapism

B. Phimosis

On inspecting a client's external genitalia, a nurse notes that he is uncircumcised. This means that which of the following covers the glans of the penis? A. Urethral meatus B. Prepuce C. Corpus spongiosum D. Corpus cavernosa

B. Prepuce

Mr. Jackson, 50 years old, has had discomfort between his scrotum and anus. He also has had some fevers and dysuria. Rectal examination is halted by tenderness anteriorly, but no frank mass is palpable. What is the most likely diagnosis? A. Colon cancer B. Prostatitis C. Colonic polyp D. Prostate cancer

B. Prostatitis

A nurse prepares a male client for a physical assessment of the external genitalia. Which instruction is appropriate for the nurse to give the client before the examination? A. Ask the client to not empty the bladder before the examination B. Reassure him that it is not unusual to have an erection during the examination C. Explain that he may need to lie supine D. Request that the client avoid talking

B. Reassure him that it is not unusual to have an erection during the examination

The rectum is lined with folds of mucosa, and each fold contains a network of arteries, veins, and visceral nerves. When these veins undergo chronic pressure, the result may be A. tumors. B. hemorrhoids. C. polyps. D. fissures.

B. hemorrhoids.

While assessing an adult male client, the nurse detects pimple-like lesions on the client's glans. The nurse explains the need for a referral to the client. The nurse determines that the client has understood the instructions when the client says he may have: A. gonorrhea. B. herpes infection. C. syphilis. D. venereal warts.

B. herpes infection.

A 17-year-old male client expresses concern about feeling lumps on his testicles. What response by the nurse would best address the client's concerns? A. "Do you think you have malformed testicles?" B. "Don't worry, that is the way normal testicles feel." C. "The normal testicle contains internal structures that cause lumps on the surface." D. "Lumpy testicles are not going to cause a problem with sexual performance."

C. "The normal testicle contains internal structures that cause lumps on the surface."

Which of the following recommendations should the nurse provide to clients in an effort to reduce their risk of developing colorectal cancer? A. A diet low in sodium but high in potassium B. Regularly-scheduled cleansing diets C. A high-fibre diet coupled with regular exercise D. High fluid intake and regular use of a mild stool softener

C. A high-fibre diet coupled with regular exercise

Which of the following is inconsistent with a digital rectal examination? A. Enables examiner to assess size, shape, and consistency of prostate gland B. Recommended for men greater than 40 years of age C. Can reveal a hydrocele D. Assists in screening for cancer of prostate gland

C. Can reveal a hydrocele

Which of the following statements is true of prostate cancer? A. Survival rates are low. B. It is one of the less common forms of cancer. C. Ethnicity is a risk factor. D. Family history does not appear to be a risk factor.

C. Ethnicity is a risk factor.

A 68-year-old man comes to the clinic reporting that he is having difficulty obtaining an erection. When reviewing the patient's history what might the nurse note that contributes to impotence? A. Lack of exercise B. Past history of infection C. History of hypertension D. Use of multivitamins

C. History of hypertension

An adolescent present at the free clinic with a collection of fluid in the tunica vaginalis of the testes. The nurse knows that the term that defines this condition is what? A. Orchitis B. Prostatism C. Hydrocele D. Cryptorchidism

C. Hydrocele

Upon inspection and palpation of the scrotum, the nurse discovers a mass. The nurse asks the client to lie down, and the bulge remains. On auscultation, the nurse finds bowel sounds. The nurse should document this finding as which type of hernia? A. Incarcerated B. Femoral C. Scrotal D. Strangulated

C. Scrotal

The nurse has assessed a male client and determines that one of the testes is absent. The nurse should explain to the client that this condition is termed A. hematocele. B. hypospadias. C. cryptorchidism. D. orchitis.

C. cryptorchidism.

What information should nurse include in the teaching plan for a client considering a vasectomy? A. May causes urinary incontinence B. increases the amount of ejaculate C. offers permanent birth control D. protects from sexually transmitted infection

C. offers permanent birth control

A nurse is assessing a client who is uncircumcised. The nurse understands that this client is at greater risk for which of the following conditions? Select all that apply. Prostate cancer Cancer of the glans penis Testicular cancer HIV/AIDS Colorectal cancer

Cancer of the glans penis HIV/AIDS

Which of the following groups has the highest incidence of prostate cancer? A. Asian American men B. Native American men C. Caucasian men D. African American men

D. African American men

The nurse is palpating the prostate of a 55-year-old client and finds it to be enlarged, smooth, firm, and slightly elastic, without a median sulcus. Which condition should the nurse most suspect? A. Prostate cancer B. Acute prostatitis C. Hydrocele D. Benign prostatic hypertrophy

D. Benign prostatic hypertrophy

Which of the following would the nurse expect to be done to assess the size of the prostate? A. Bladder percussion B. Pelvic examination C. Transillumination D. Digital rectal examination

D. Digital rectal examination

A nurse examines the anal area of a client and observes the presence of a varicose vein. How should the nurse document this finding? A. Anorectal fistula B. Perianal abscess C. Anal fissure D. External hemorrhoid

D. External hemorrhoid

Which of the following is a sign or symptom of benign prostatic hypertrophy (BPH)? A. Fever B. Weight loss C. Bone pain D. Nocturia

D. Nocturia

An adult male client comes to the clinic complaining of awakening at night to void and voiding more than once in a 2-hour time period. The client has a history of bladder irritation. What would be an appropriate nursing diagnosis for this client? A. Urinary retention B. Risk for infection C. Ineffective sexuality pattern D. Risk for urge incontinence

D. Risk for urge incontinence

Before beginning the examination of the genitalia of an adult male client, the nurse should A. tell the client that he will remain in a supine position. B. ask the client to leave his shirt in place. C. tell the client that he may leave his underwear in place. D. ask the client to empty his bladder.

D. ask the client to empty his bladder.