patho chapter 42 prepu

The nurse planning a community education program on abuse of androgens to enhance athletic performance should include which adverse event as a potential harmful effect?

Azoospermia

The male reproductive system is composed of two systems. The nurse knows that which system is responsible for the transportation and storage of sperm?

Ductile system

The prostate gland functions in the elimination of urine. The nurse knows that the prostate gland if enlarged can cause which dysfunction of the urinary system?

obstruction

A nurse in a fertility clinic is taking a history from the couple. When asked what type of underwear the male wears, he responds by asking, "Why do you need to know this? It seems a little too personal." Which response by the nurse is most appropriate for the nurse to reply?

"For sperm production, it is best if underwear is loose to keep scrotal termperatures 3.5 to 5°F (2 to 3°C) below body temps."

A nurse suspects an older adult client is experiencing benign prostatic hyperplasia (BPH). Which question should the nurse ask this client?

"Has the force of your urinary stream decreased?"

A male client has been involved in a severe accident that has caused a complete transection of his spinal cord. The client's wife is concerned about their ability to become pregnant. Which response relating to childbearing and spinal cord injury is most accurate?

"Some men with complete transection of the spinal cord are able to produce an erection and ejaculation with genital stimulation."

A 41-year-old male client is planning on having a vasectomy. While explaining this surgery to the client, the health care worker will include which physiologic principle as the basis for this contraception technique?

"Sperm can no longer pass through the ductus deferens."

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."

A 40-year-old male client with multiple health problems has been diagnosed with a testosterone deficiency. The nurse knows that which assessment findings would correlate with a testosterone deficiency? Select all that apply.

-A high-pitched voice. -A low muscle mass in proportion to his total body weight. -Hot flashes and diaphoresis.

Which clients are at high risk for developing priapism? Select all that apply.

-A sixth-grade male returning to school following sickle cell crisis -A college student with complete spinal cord injury at T12 level following auto accident

An 18-month-old boy is diagnosed with cryptorchidism. Based on this diagnosis, what does the nurse expect to observe during the physical assessment?

Absence of the testis in the scrotum bilaterally

The nurse is speaking with a couple at the fertility clinic about ways to increase sperm counts. Which topic does the nurse include in the discussion?

Avoid tight undergarments

Which side effects are a result of testosterone replacement therapy in an aging male trying to improve muscle strength and vigor? Select all that apply.

Acne Gynecomastia Decreased high-density lipoprotein cholesterol

A male client seeks treatment for erectile dysfunction. What factors contribute to this condition? Select all that apply.

Age 65 years Cardiovascular disease Antihypertensive medications

The nursing students are studying about male hormones and their reproductive function. Which hormones should they identify as the male sex hormones that are secreted by the testes? Check all that apply.

Androstenedione Dihydrotestosterone Testosterone

The nurse is teaching an all-male class at a local middle school about reproduction. Which time frame should the nurse tell the students that spermatogenesis begins and ends?

At about 13 years and throughout the reproductive years

A male client has experienced a forceful hit to the testes. The nurse expects that the sensory nerves that transmit pain impulses are associated with which nervous system?

Autonomic nervous system

A client asks, "What gland is responsible for urethral lubrication during male sexual stimulation?" Which response by the health care provider would be the best reply?

Bulbourethral glands

A 71-year-old man has visited his family physician for a checkup, during which the physician has initiated a discussion about the client's sexual function. Which phenomenon is the physician mostlikely to consider a pathologic rather than an age-related change?

Cessation of follicle-stimulating hormone (FSH) production

A 17-year-old male has developed phimosis to the point that he is having difficulty voiding. The nurse should prepare this teenager for:

Circumcision

A client is admitted with primary hypogonadism. The nurse understands that the diagnosis of primary hypogonadism refers to which of the following? Select all that apply.

Decrease in testicular function Originates in the testes Subfertility or infertility

The nurse is caring for an older adult with an androgen deficiency. Which assessment findings correlate to this diagnosis? Select all that apply.

Depression Decreased bone density Decreased muscle mass Decreased libido

A male athlete admitted to the emergency room is suspected of abusing androgens. Which physical characteristic would the nurse expect to see if the testosterone has been aromatized to estradiol?

Enlarged breast

Where is the final site for sperm maturation?

Epididymis

The nurse assessing an adult male with impaired testosterone should evaluate which of the following as an expected finding?

Fatigue

A male client is admitted with a spinal injury that has damaged his sacral plexus. The nurse understands that this type of injury could affect the impulse stimulation for initiating the sexual act through which organ?

Glans penis

A couple is undergoing initial testing to determine why they are unable to conceive. One of the tests shows that the man has a testosterone level of 198.8 ng/dL (6.9 nmol/L). The man reports being tired all the time. The woman is completely healthy. Which problem is most likely?

Hypogonadism

The nurse assesses the client upon admission to the hospital. He states that he has been losing facial and body hair, has been fatigued and depressed, and has erectile dysfunction and a decreased libido. The nurse understands these symptoms to occur with which disorder?

Hypogonadism

An older male client complains of inhibited sexual functioning. The nurse knows which nursing diagnosis could be a priority for his inhibited sexual function?

Impaired self-esteem

Sperm production by the testes is optimal at 2°C to 3°C below body temperature. Two systems of the body maintain the temperature of the testes at a level that allows sperm production. What is the system that assists in maintaining the testes at a temperature that allows sperm production?

Pampiniform plexus

Screening for which disease process should be done prior to beginning testosterone replacement therapy?

Prostate cancer

In the aging male, testosterone replacement may be used to improve muscle strength and vigor. The nurse would question the use of testosterone before which type of screening in this client?

Prostate cancer screening

Select the structure responsible for secreting fructose that will provide energy for spermatic motility.

Seminal vesicles

The nursing student who is studying pathophysiology of the male genitourinary system correctly identifies which of these as functions of the penis? Select all that apply.

Sexual function Urine elimination

An older man is concerned about his sexual dysfunction. The nurse knows problems in which bodily system/function can cause erectile dysfunction? Select all that apply.

Side effects of medications Cardiovascular disease Hyperlipidemia

A client arrives in the emergency department complaining of severe testicular pain associated with nausea and vomiting. His pulse rate is 120 beats/min. Physical exam reveals an enlarged testis that is painful to palpation. The nurse suspects:

Testicular torsion

A male client is receiving testosterone for primary hypogonadism. What assessment would indicate successful treatment?

Testosterone level increases

A male client is being prepared for a physical examination of his prostate gland. How will the nurse explain the location of the prostate gland?

The prostate gland is located in the pelvis, inferior to the bladder.

The client presents with symptoms consistent with hypogonadism. For a diagnosis of hypogonadism, the nurse expects which diagnostic test to be ordered?

Total testosterone levels

The nurse is performing a health history of a client being evaluated for erectile dysfunction. Which disorder places the client at highest risk for the erectile dysfunction?

Type 2 diabetes

A surgeon is explaining the anatomical structures of the penis during grand rounds. During his explanation the surgeon states that the cremaster muscles work in concert with the pampiniform plexus that surrounds the testicular artery to:

maintain testicular temperature.

A 60-year-old male client is informed by the health care provider that he has an overgrowth of mucosal glands of the prostate. Based solely on this finding, what diagnosis will the provider likely document in the health record?

Benign prostatic hyperplasia (BPH)