Renal 18

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A nurse is teaching a male client to perform monthly testicular self-examinations. Which point is appropriate to make?

Testicular cancer is a highly curable type of cancer.

The nurse is educating a patient about performing testicular self-examination (TSE). The nurse informs the patient that the best time to perform the exam is when?

After a warm bath or shower

Which of the following is the most common organism implicated in prostatitis?

Escherichia coli

The nurse is demonstrating the technique for performing a testicular self examination (TSE) to a group of men for a company health fair. One of the men asks the nurse at what age a man should begin performing TSE. What is the best answer by the nurse?

Plasma testosterone levels decrease.

A patient is suspected to have prostate cancer related to observed clinical symptoms. What definitive test can the nurse assist with to confirm a diagnosis of prostate cancer?

Prostate biopsy

A patient comes to the emergency department and tells the nurse, "I took a pill to help me perform and then passed out." The nurse is assessing the patient and finds a nitroglycerin patch on his back. What is the first intervention the nurse must perform?

Take the patient's blood pressure.

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?

The client reports bladder spasms and the urge to void

Which of the following instructions regarding future sexual activity should a nurse give a patient with a vasectomy?

Use a reliable method of contraception until the physician ensures that sperm are no longer present.

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

Using a reliable method of contraception for several weeks.

what are the most common side effects of phosphodiesterase type 5 (PDE-5) inhibitor (drugs that tx erectile dysfunction)

headache flushing dyspepsia diarrhea nasal congestion lightheadedness

phosphodiesterase type 5 (PDE-5) inhibitor (drugs that tx erectile dysfunction) are contraindicated in men who take

organic nitrates (e.g., isosorbide [Isordil], nitroglycerin ** causes severe hypotension

what are some normal age-related changes related to the male reproductive system

plasma testosterone levels decrease prostatic secretions increase testes decrease in weight spermatogenesis continues.

A patient is scheduled for a transurethral resection (TUR). The nurse is aware that a disadvantage of this surgical approach is:

recurrent urethral obstruction.

The nurse is demonstrating the technique for performing a testicular self examination (TSE) to a group of men for a company health fair. One of the men asks the nurse at what age a man should begin performing TSE. What is the best answer by the nurse?

should begin during adolescence

Testicular cancer is found more commonly in

younger men

A patient comes to the clinic with complaints of inability to sustain an erection and is prescribed a PDE-5 inhibitor, sildenafil (Viagra). What medication should the nurse caution the patient about taking with this medication?

Isosorbide (Isordil)

After a radical prostatectomy for prostate cancer, a client has an indwelling catheter removed. The client then begins to have periods of incontinence. During the postoperative period, which intervention should be implemented first?

Kegel exercises


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