Patho Exam 4 Ch 39

A nurse suspects an elderly client is experiencing benign prostatic hyperplasia (BPH). Which of the following questions should the nurse ask this client?

"Has the force of your urinary stream decreased?"

A client is admitted with secondary orchitis. Which assessment question is most relevant?

"Have you ever had mumps?"

The parents of a baby born with hypospadias ask the nurse if the baby can be circumcised. The best response would be:

"The circumcision will not be done now; the foreskin is needed for surgical repair."

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 70-year-old male tells the health care provider he is now in a relationship with a younger woman who is capable of reproduction. The client asks if he may still be fertile. The best response would be:

"Yes; some 80- and 90-year-old men have been known to father children."

A parent brings her 8-year-old boy to the emergency department. The child has been complaining of radiating pain in the inguinal area and is experiencing nausea. Upon visual inspection, the left testicle is high in the scrotum and enlarged. Select the most appropriate treatment for the child to receive.

A surgical detorsion procedure to be performed immediately.

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

Absence of the testis in the scrotum bilaterally.

A nurse practitioner has a 30-year-old male patient presenting with fever/chills, urinary frequency/urgency and pain with urination. A urine sample displays cloudy and foul-smelling urine. During digital rectal exam of the prostate, the nurse notes a thick white discharge. A likely diagnosis would be which of the following?

Acute bacterial prostatitis requiring antimicrobial therapy.

In order to minimize the risk of developing a hernia, when should the fetal inguinal canal close completely?

After the ninth fetal month.

The nurse is re-enforcing information given to the client who is asking about screening for prostrate cancer. Which of these will be nurse teach the client about the PSA test?

An elevated score on a PSA test does not necessarily indicate the presence of cancer.

An elderly male patient is complaining of dribbling after he urinates and feeling like he never empties his bladder. The nurse suspects the patient may have a problem with:

An enlarged prostate gland.

The male reproductive system undergoes changes as aging occurs. What is the term used to describe a relative or absolute hypogonadism associated with aging?

Andropause.

When caring for the client with acute bacterial prostatitis, the nurse plans for which of these interventions?

Antibiotics.

Benign prostatic hypertrophy (BPH) and prostatic adenocarcinomas presently differently. The nurse is aware of which of the following differences?

BPH is commonly located in the periurethral zone of the prostate, while prostate cancers are commonly located in the peripheral zones of the prostate.

The anatomy of the prostate gland is made up of three concentric areas surrounding the prostatic uretha, into which they open. The nurse understands that an overgrowth of the mucosal glands can cause which disorder in older men?

Benign prostatic hypertrophy.

The pediatric nurse is caring for a newborn with hypospadias. The mother requests that a circumcision be performed prior to discharge. Which information related to treatment of hypospadias should the nurse convey?

Circumcision is avoided as the foreskin will be used to repair the urinary opening.

The gerontology nurse recognizes that aging male clients may enter a stage referred to as andropause. Which of these does the nurse recognize as characteristic of this stage?

Decline in sexual function.

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 estradial?

Enlarged breast.

While teaching a health class to junior and senior male high school students, the school nurse educates them that which of the following is the first sign of testicular cancer?

Enlargement of the testicle.

A 60-year-old man comes to the clinic and has been found to have a history of type 2 diabetes mellitus and cardiovascular disease. The manifestations of these diseases will warrant the nurse to assess the patient for which of the following problems?

Erectile dysfunction.

A patient comes to the clinic and informs the nurse that he was playing soccer and was kicked in the scrotal area on the right side. The nurse observes that the scrotal skin on the right side is dark red. Which of the following should the nurse suspect this patient may have?

Hematocele.

A 54-year-old diabetic patient has come to the urology clinic complaining of erectile dysfunction. His history includes obesity, coronary artery disease which required CABG three years ago, hypertension, and gout. The nurse practitioner is reviewing his record in order to prescribe medication. The practitioner is considering prescribing sildenafil (Viagra). Which of the following home medications is contraindicated if taken concurrently with sildenofil?

Imdur (isosorbide mononitrate), a vasodilator.

An older male patient complains of inhibited sexual functioning. The nurse knows which of the following nursing diagnoses could be a priority for his inhibited sexual function?

Impaired self-esteem.

A male client has developed priapism. The nurse is aware that the client is at risk for:

Impotence.

A male client reports sudden pain and a bulging in the scrotal sac after lifting a heavy object. The swelling does not reduce when the client is supine and he begins to sweat profusely. What condition is the likely cause of these manifestations?

Inguinal hernia.

A nurse is providing teaching to the parents of a child who has undergone corrective surgery for cryptorchidism. The most important information for the nurse to provide is:

Parents should be taught that their child needs frequent follow-up visits.

The nurse in the urology unit teaches is teaching about medication to treat erectile dysfunction. The nurse teaches the client that the mechanism of action of most of these medications is which of these?

Promotes increase in blood flow to the corporus cavernosa.

A nurse is evaluating diagnostic tests for a client suspected of having prostate cancer. Which of the following results requires further evaluation?

Prostate-specific antigen (PSA) of 12 ng/mL.

The nurse is caring for a client with acute superficial balanitis. The nurse assesses for which of these signs or symptoms, consistent with the diagnosis?

Redness of the glans penis and maldorous discharge.

Priapism (a prolonged painful erection not associated with sexual excitement) can occur at any age. In boys, ages 5 to 10, what are the most common causes of priapism?

Sickle cell disease or neoplasms.

A young male patient comes to the clinic and informs the nurse practitioner that he and his new bride have been trying to conceive for the last 4 months. He then states that he is afraid that he may be sterile because he read recently that jockey underwear can cause sterility. What would be the nurse's best response to this?

Sperm production requires temperatures that are 2-3 degrees C below body temperature.

The nurse conducting a health promotion class for teenage boys on human reproduction determines that the participants are understanding the information when they state:

Spermatogenesis continues throughout a man's reproductive years.

A 14-year-old boy has been brought to the emergency department by his mother in excruciating pain that is radiating from his scrotum to his inguinal area. The boy's heart rate is 122 beats per minute and he has vomited twice before arrival at the hospital. Examination reveals that his scrotum is reddened and slightly swollen and the testes are firm to touch and tender, with extensive cremaster muscle contraction noted. What is the boy's most likely diagnosis?

Testicular torsion.

With the aging male, many changes are measurable. The measurable changes in the reproductive system of the older male are particularly attributable to which hormone?

Testosterone hormone.

Which of the following hormones is responsible for the development of male facial hair and change in voice to a deeper level?

Testosterone.

The nurse is caring for a client with significant benign prostatic hyperplasia (BPH)and hydronephrosis who is fearful of having corrective surgery. Which of these is important for the nurse to convey?

The obstruction is causing urine to flow backward and cause kidney dysfunction.

A male patient 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.

Men who experience enlarged prostate glands often complain of difficulty urinating. The nurse will be able to explain that this symptom is caused by which of the following reasons?

The prostate gland surrounds the urethra and can produce urinary obstruction.

The nurse is teaching the client about non-hormonal, pharmacologic treatment for BPH. Which of these best explains the action of these non-hormonal medications?

They relax the smooth muscle.

T/F? Circumcision is avoided in infants who have hypospadias so that the foreskin can be used for surgical repair.

True.

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

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:

mantain testicular temperature.

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

Ductile system.

A client who had been utilizing pharmacologic management for BPH is now experiencing severe signs of obstruction. The client would most likely require:

Transurethral prostatectomy.

The nurse is caring for a client with cancer of the scrotum. When performing a health history, which of these does the nurse explore as risks for this type of malignancy?

Exposure to tar and soot.

The pediactric nurse is teaching the mother of a newborn with hypospadias about this disorder. Which of these does the nurse convey?

The opening of the urethra is found on the underside of the penis.

If a male has a history of impaired blood flow in his vascular system, he may be prone to developing:

Erectile dysfunction.

In the complex interaction of the sexual act in males, the nurse is aware that there are four stages involved. Which of the following stages involves shunting of blood into the corpus cavernosum?

Erection.