Chapter 90

The nurse explains to a client with prostate cancer that the surgeon has ordered a nerve-sparing radical prostatectomy. How would the nurse describe this procedure? A) "The prostate will be removed through an incision below the umbilicus and above the symphysis pubis." B) "The prostate gland, seminal vesicles, and part of the urethra will be removed in an open procedure through the abdomen." C) "An incision will be made in the perineum and a special tool inserted to the area of the prostate cancer to freeze the tissue." D) "The prostate will be removed through an incision in the perineum, with catheter drainage through the perineal incision only."

A

A 20-year-old male client is diagnosed with orchitis secondary to mumps. The nurse is aware that this infection of the testes may cause which of the following conditions? A) Sterility B) Low sperm count C) Testicular cancer D) Prostatitis

A

A nurse is caring for a client who is scheduled for a transurethral resection of the prostate (TURP). What education should the nurse follow when caring for the client? A) Inform the client that the surgeon will insert a device into the penis. B) Provide proper care to the incision area after the procedure. C) Avoid fecal contamination of the incision area during bowel movements. D) Inform the client that recovery after TURP is slightly longer than other approaches.

A

On observation, the nurse documents that a male child's urethral meatus is located on the underside of his penis. What is the term for this structural abnormality? A) Hypospadias B) Epispadias C) Cryptorchidism D) Phimosis

A

The nurse is examining a client who is manifesting symptoms of acute bacterial prostatitis. Which of the following conditions is the usual causative factor of this disorder? A) Prostate gland enlargement B) Cancer of the prostate C) Ascending urinary tract infection D) Orchitis

C

The nurse is teaching a class of senior citizens about the risk factors for prostate cancer. Which of the following would the nurse mention? Select all that apply. A) Age older than 65 years B) Asian American heritage C) Excessive alcohol use D) Diet high in animal fats E) Environmental exposure F) Low levels of PSA

C,D,E

A 72-year old man presents at a local clinic and states: "I have to urinate all the time, and I never feel like my bladder is emptied. It really bothers me at night." What condition might the nurse suspect related to this chief complaint? A) Chronic bacterial prostatitis (CBP) B) Benign prostatic hyperplasia (BPH) C) Orchitis D) Epididymitis

B

A client is undergoing transurethral resection of the prostate (TURP). What is the purpose of this procedure? A) To diagnose nocturnal erections B) To remove a small tissue sample of the prostate C) To remove a cancerous prostate D) To diagnose erectile dysfunction (ED)

B

A 50-year-old client is being discharged after a prostatectomy. What instruction should be provided to the client for self-care? A) Ask the client to avoid using stool softeners. B) Ask the client to avoid any exercise for 2 weeks. C) Instruct the client on the proper technique for Kegel exercises. D) Instruct the client to restrict his fluid intake for a week.

C

A 40-year-old client comes to the healthcare facility with complaints of erectile dysfunction. The nurse, based on the physician's direction, is educating the client about the pros and cons of treatment options available for erectile dysfunction. What information should the nurse provide to the client? A) Vasodilators are more effective than intraurethral suppositories. B) The client should seek the help of a physician for injecting suppositories. C) Penile vasodilators are more effective when given with nitroglycerin. D) Penile vascular surgery is rarely successful.

D

The nurse is caring for a client with prostatitis. Which of the following is a recommended nursing intervention for this disorder? A) Cold compresses B) Reduced fluid intake C) Antidiarrheal medications D) Sitz baths

D

A 50-year-old client is scheduled for a test for prostate-specific antigen (PSA). What should the nurse tell the client with respect to the procedure? A) The test is often repeated each year even if this result is negative. B) The test is very reliable for predicting prostate cancer. C) Inform client that he may feel mild discomfort during the injection. D) Monitor bowel movements after the procedure for changes in stool pattern.

A

A 60-year-old male client is recovering from prostate surgery. What intervention is ordered in the postoperative stage of this surgery? A) Bladder irrigation B) Cleansing enema C) Urinary catheterization D) Bladder ultrasonography

A

A client is diagnosed with benign prostatic hyperplasia (BPH). What is the usual initial medical treatment for this condition? A) Watchful waiting until symptoms appear B) Simple prostatectomy C) Transurethral incision D) Transurethral needle ablation

A

A nurse is assisting a healthcare provider performing a digital rectal examination of a 65-year-old African American client. This test, along with the PSA blood test, is used as an early detection of what disease? A) Prostate cancer B) Colorectal cancer C) Erectile dysfunction D) Orchitis

A

A nurse is caring for a client after a perineal prostatectomy. What nursing care measure should be employed when caring for the client? A) Inform the client that difficulty can occur when sitting up. B) Report to the physician if urine is dribbling after wound catheter removal. C) Ask the client to consult the physician if the wound does not heal in 2 weeks. D) Avoid performing sitz bath procedures after the surgery.

A

The nurse is counseling clients who are experiencing erectile dysfunction. Which of the following clients would be most likely to experience this disorder? Select all that apply. A) A client who is taking antidepressants B) A client with diabetes mellitus C) A client who is overweight D) A client who has had a knee replacement E) A client who has a spinal cord injury F) A client who has had a stroke

A,B,E,F

A nurse is educating a client who has had orchiopexy about routine testicular self-examination (TSE). What instruction should the nurse provide to the client? A) Roll the testis gently in a vertical plane. B) Avoid touching the scrotum with cold hands. C) Perform the examination before taking a bath. D) Palpate the testicle between the thumb and middle finger.

B

The nurse caring for a client with a varicocele explains the side effects of this condition. With what disorder is this condition associated? A) Thyroid disorder B) Infertility C) Undescended testicle D) Epididymitis

B

The nurse is explaining the surgery transurethral resection of the prostate (TURP) to a 60-year-old client scheduled for the operation. Which of the following accurately describes this procedure? A) It is the least commonly used of all procedures for prostatectomy. B) It has a shorter recovery time than other forms of prostatectomy. C) It is not recommended for those who are old or a poor surgical risk. D) It produces a smaller incision than other types of prostatectomy.

B

A nurse is assigned to perform continuous bladder irrigation for a client who has undergone a prostatectomy. What should the nurse follow when performing the procedure? Select all that apply. A) Avoid taping the traction to client's hip or abdomen. B) Monitor the setup to make sure that all the tubes are open. C) Report to the physician if the drainage is blood tinged. D) Assure the client that a feeling of bladder fullness is not a cause for concern. E) Make sure all catheters remain taped in place. F) If necessary, and if an order is in place, irrigate the bladder manually.

B,E,F

A 50-year-old male client asks the nurse what signs he should look for with prostate cancer. How would the nurse respond? A) "An early sign of prostate cancer is blood in the urine." B) "An early sign of prostate cancer is swelling of the testicles." C) "Early cancer of the prostate does not usually produce symptoms." D) "The first sign of prostate cancer is frequent urinary tract infections."

C

A 60-year-old client undergoing preoperative chemotherapy and radiation therapy for prostate cancer has developed proctitis and cystitis. What nursing intervention should the nurse perform for this client? A) Provide a diet that has high fiber content. B) Avoid the administration of antidiarrheal agents. C) Carefully monitor the client's urine output. D) Instruct the client about signs of urinary incontinence.

C

A nurse is providing preoperative teaching for a client who is scheduled for prostate surgery. Which of the following information would the nurse include? A) "There will be a strong possibility of experiencing priapism following surgery." B) "You will most likely develop cystitis following the procedure." C) "There is a strong possibility of postoperative erectile dysfunction." D) "You may need a urinary diversion created following surgery."

C

A teenager presents at the ER with severe scrotal and abdominal pain, vomiting, and nausea. He tells the nurse that he participated in a polar bear plunge in his community (jumping into cold water off-season). What conditions would the nurse suspect? A) Hydrocele B) Phimosis C) Torsion of the spermatic cord D) Varicocele

C

The nurse is caring for a client who presents with priapism following treatment for erectile dysfunction. Which of the following treatments may cause this disorder? A) Vacuum erection device B) Penile implants C) Vasodilating medications D) Penile vascular surgery

C

A nurse is assessing a 24-year-old client for testicular cancer. When educating the client, what should the nurse mention as a risk factor for developing testicular cancer? A) Engaging in frequent sexual activity B) Getting married at an early age C) Being older than 50 years old D) Having an undescended testicle

D

A nurse is preparing a plan of care for a client affected with Peyronie's disease. What measure should be included in the nursing care plan for the client? A) Restrict dietary intake of fish and other seafood. B) Avoid administration of nonsteroidal anti-inflammatory drugs. C) Instruct the client about the special squeeze technique. D) Inform the client about the surgery to remove the scar tissue.

D

The nurse is explaining to a client that during testing for arterial problems of his penis, an erection may occur that may not go away at first and he will need to be monitored until it has resolved or been medically reversed. What type of testing is this client undergoing? A) Prostatic biopsy B) Nocturnal penile tumescence tests C) Prostate-specific antigen D) Duplex Doppler ultrasonography

D

The nurse is speaking to a local men's group about the risk factors for testicular cancer. Which of the following would the nurse mention? A) African American race B) Lower social class C) Married early in life D) Not sexually active

D