Week 7 - Jensen Ch. 23 Male Genitalia and Rectal Assessment Ch. 24 Male Genitalia and Rectal Assessment - Class and Lecture

The hollow fallopian tube, often referred to as the 'womb,' is the organ that holds the endometrial lining and is prepared to accept an implanted ovum. T F

F

The purpose of performing self-examination is to find something currently wrong. T F

F

A nurse is reviewing the history of a client who is experiencing difficulty sustaining an erection. Which of the following might the nurse suspect as a possible contributing factor? Asthma Lower back pain Hypertension Sinus infections

Hypertension

Which of the following is true of the HPV vaccine? It can be used as adjuvant therapy in cervical cancer treatment. It should ideally be administered within 3 years of first intercourse. It requires three doses at specific intervals. It confers immunity against every HPV type.

It requires three doses at specific intervals.

A client presents to the health care clinic with reports of clay-colored stool. The nurse recognizes that this finding is most likely a result of which of the following? Gastrointestinal bleeding Increased fat content Cancer of the colon Lack of bile pigment

Lack of bile pigment

The nurse is teaching a middle-aged female who smokes about various birth control methods. Which is the most appropriate birth control method for this client? Implanon Latex condom Ortho-Evra NuvaRing

Latex condom

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 client? Hydrocele Left testicular torsion Epididymitis Testicular cancer

Left testicular torsion

________________ cysts are small benign nodules, which resemble yellow pustules.

Nabothian

The nurse plans to assess an adult client's kidneys for tenderness. The nurse should assess the area at which of the following? Right upper quadrant Left upper quadrant External oblique angle Costovertebral angle

Costovertebral angle

A nurse observes a few small, yellow nodules on the cervix of a client during the speculum exam. They are not painful or odorous, and a thin, clear discharge is present. The nurse recognizes that these are most indicative of what type of condition? Chlamydia infection Cervical eversion Nabothian cysts Columnar epithelium

Nabothian cysts

seminiferous tubules

Narrow, coiled tubules that produce sperm in the testes.

__________ (burning with urination) or frequent urinary tract infections (UTIs) may be related to bladder trauma from intercourse.

dysuria

seminal vesicle

each of a pair of glands that open into the vas deferens near its junction with the urethra and secrete many of the components of semen.

Prepuce

foreskin; loose casing that covers the glans penis; removed by circumcision

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 polyps. fissures. tumors. hemorrhoids.

hemorrhoids.

A male client has a distinctive bulge in the right inguinal area when standing. What should the nurse suspect is occurring with this client? testicular torsion hypospadias epidermoid cysts hernia

hernia

Spongy urethra

runs through penis; opens at external urethral orifice

A client comes to the Emergency Department complaining of sudden sharp testicular pain. Further examination reveals torsion of the spermatic cord. Which of the following would the nurse expect to do next? Apply a dressing over the scrotum. Prepare the client for circumcision. Prepare the client for surgery. Apply scrotal support.

Prepare the client for surgery.

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? Corpus spongiosum Urethral meatus Prepuce Corpus cavernosa

Prepuce

A long and painful erection is called __________.

Priapism

A 17-year-old client has expressed concern over having a vaginal discharge just before her menses begins. What response should the nurse provide the client to best address her concerns? "If there are no other signs or symptoms, it is likely a result of normal ovulation." "Pay close attention to when the discharge begins and what it looks like so we can discuss at your next visit." "Don't be concerned; your body is adjusting to the presence of ovarian hormones." "If you are sexually active, you may have developed a vaginal infection."

"If there are no other signs or symptoms, it is likely a result of normal ovulation."

The nurse is teaching a group of nursing students about the HPV vaccine. Which individual would be a candidate for the HPV vaccine? 14-year-old Cindy who is a freshman in high school 5-year-old Molly who begins kindergarten in the fall 37-year-old Margaret who is requesting a tubal ligation 28-year-old Jane who is getting married next month

14-year-old Cindy who is a freshman in high school

Which of the following male clients is most in need of immediate medical treatment? A 15 yr old boy who has been brought in by his mother for assessment of his severely painful testes that are retracted upward A 22 yr old student who has presented with a cluster of painful lesions on the shaft of his penis A 70 yr old retiree whose intestines are palpable in his scrotum A 30 yr old who presents with palpable nodules in his left testis

A 15 yr old boy who has been brought in by his mother for assessment of his severely painful testes that are retracted upward

prostate gland

A gland in males that contributes to the seminal fluid.

Epididymis

A long, coiled duct on the outside of the testis in which sperm mature.

bulbourethral glands

A pair of exocrine glands near the male urethra. They secrete fluid into the urethra. Also called Cowper glands

Which of the following would lead the nurse to suspect a hyrocele versus other causes of scrotal swelling? Bowel sounds in the scrotum Inability to palpate superior to the mass A positive transillumination test Normal thickness of the skin of the scrotum

A positive transillumination test

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? Absence of pain with straining Absence of bowel sounds in the scrotum Absence of symmetry of the inguinal areas with straining Absence of a varicocele

Absence of symmetry of the inguinal areas with straining

Which of the following groups has the highest incidence of prostate cancer? African American men Caucasian men Native American men Asian American men

African American men

The exact cause of benign prostatic hypertrophy (BPH) is unknown, but the condition is believed to be associated with what factors? Lifestyle Environmental factors Age-related hormonal changes Diet

Age-related hormonal changes

A client's bladder is found to be distended. At which location would the nurse begin palpating? At the umbilicus At the symphysis pubis In the right lower quadrant In the left lower quadrant

At the symphysis pubis

While inspecting the vagina, the nurse observes a thin, grayish-white vaginal discharge with a fishy odor. What would the nurse suspect? Trichomoniasis Bacterial vaginosis Moniliasis Atropic vaginitis

Bacterial vaginosis

A client is explaining to the nurse how vaginal dryness has decreased her enjoyment of sexual intercourse. The nurse is aware that which of the following are the glands that produce mucus that lubricates the vagina during intercourse? Eccrine glands Bartholin's glands Cowper's glands Sebaceous glands

Bartholin's glands

During an assessment of a client's abdomen the nurse is observed performing the action shown. What is the nurse assessing? Uterus Bladder Appendix Small bowel

Bladder

Which of the following terms refers to painful menstruation? Dysmenorrhea Amenorrhea Dyspareunia Ovulation

Dysmenorrhea

Prostate cancer in a ___________-degree relative increases the patient's risk.

First

During assessment of the male genitalia, prostate, and rectum, there is no need for a chaperone to be present. T F

F

Erectile dysfunction (ED) is always the result of physiologic factors T F

F

Female internal genitalia include the mons pubis, labia majora, labia minora, prepuce, and clitoris. T F

F

A female client is complaining of vaginal spotting and sharp colicky pain. She informs the nurse that her period is 2 weeks late. The client should be investigated for which of the following? Yeast infection Trichomonas vaginalis Ectopic pregnancy Cervical cancer

Ectopic pregnancy

The middle and lateral lobes of the prostate, which are usually located above the _____________ ducts, are typically involved in benign prostatic hyperplasia (BPH).

Ejaculatory

When caring for a patient who requires a genitourinary assessment, what should you do first?

Explain the assessment to put the patient at ease.

Scrotum

External sac that contains the testes

When collecting subjective data, the nurse knows that assessment of the female client can be very invasive. Starting with questions relating to health history allows the nurse to do what? Assess for sexual satisfaction Get an idea of the client's lifestyle Gain the client's confidence Prepare for the next question

Gain the client's confidence

Which sexually transmitted infection has a viral etiology?

Genital herpes

Which of these health problems of the male genitalia can be treated if identified early? Select all that apply Genital herpes Prostate cancer Human papillomavirus (HPV) Syphilis

Genital herpes Prostate cancer Human papillomavirus (HPV) Syphilis

What is the greatest risk factor for cervical cancer? HPV Genetics Age HIV

HPV

When assessing the rectum, the nurse observes what appear to be engorged areas near the rectal opening. The nurse would most likely document this finding as which of the following? Fibroids Anal crypts Rectovesical pouch Hemorrhoids

Hemorrhoids

The nurse is assessing male genitalia and finds clusters of pimple-like clear vesicles. The nurse recognizes this as what? Chlamydia Herpes Gonorrhea Syphilis

Herpes

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

History of hypertension

During a client's genitourinary exam, the nurse notes that the client's scrotum is enlarged and easily transilluminates. What should the nurse suspect? Varicocele Hernia Hydrocele Tumor

Hydrocele

While assessing the scrotum of an adult client, the nurse notes thin and rugated scrotal skin with little hair dispersion. The nurse interprets this finding as which of the following? Normal findings Gonorrhea Effects of chemotherapy Reiter's syndrome

Normal findings

While assessing the scrotum of an adult client, the nurse notes thin and rugged scrotal skin with little hair dispersion. How would the nurse document this finding? Reiter's syndrome Normal findings Effects of chemotherapy Gonorrhea

Normal findings

At the completion of a reproductive health history, a female client tells the nurse about having pain with penetration during intercourse. What should the nurse assess at this time? (Select all that apply.) Onset of the problem Heart rate Blood pressure Severity of the problem What makes it better or worse

Onset of the problem Severity of the problem What makes it better or worse

The nurse is present during a pelvic examination of a 21-year-old female client. Which action should the nurse prepare for first? Chlamydia culture specimen collection Gonorrhea culture specimen collection Pap smear specimen collection Apply spray fixative on specimen slides

Pap smear specimen collection

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? Phimosis Priapism Peyronie's disease Bowen's disease

Phimosis

A client comes to the Emergency Department complaining of sudden sharp testicular pain. Further examination reveals torsion of the spermatic cord. Which of the following would the nurse expect to do next? Apply a dressing over the scrotum. Apply scrotal support. Prepare the client for surgery. Prepare the client for circumcision.

Prepare the client for surgery.

The nurse is reviewing the functions of the ovaries, uterus, clitoris and vagina with a group of nursing students. Based on this information, what would be the best response by a nursing student about the function of the ovaries? Produces female gametes (ova) and secretes female sex hormones. Receives sperm, provides an exit for menstrual flow and serves as the birth canal. Receives the fertilized ovum and provides housing and nourishment for a fetus. Small erectile structure that responds to sexual stimulation.

Produces female gametes (ova) and secretes female sex hormones.

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

Reassure him that it is not unusual to have an erection

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? Request that the client avoid talking Reassure him that it is not unusual to have an erection during the examination Explain that he may need to lie supine Ask the client to not empty the bladder before the examination

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

When the nurse is examining a male client's genitalia, the client experiences an erection. What would be most appropriate for the nurse to do? Stop the exam and leave the room for 10 minutes. As the client whether continuing the exam will embarrass him. Don't say anything but continue the exam. Reassure the client that this is not unusual.

Reassure the client that this is not unusual.

A 52-year-old woman's current medication regimen includes estrogen-progestin therapy (EPT). The nurse should be aware that this therapy confers what secondary benefit? Increased libido Weight loss Reduced risk of colorectal cancer Protection against stroke

Reduced risk of colorectal cancer

An adult client has sought care because he has a two-day history of stool that is "black like road tar." How should the nurse best respond to this aspect of the client's history? Refer the client to a dietitian for treatment of a possible vitamin deficiency. Tell the client to use an over-the-counter laxative for the next 2 to 3 days. Encourage the client to increase his intake of fluids and soluble fiber. Refer the client for treatment of a possible gastrointestinal bleed.

Refer the client for treatment of a possible gastrointestinal bleed.

You should assess all adolescents and adults for signs and symptoms of sexually transmitted infections (STIs). T F

T

The process of spermatogenesis occurs in the Seminiferous tubules Spermatic cord Vas deferens Epididymis

Seminiferous tubules

The client tells the nurse that he has little or no interest in sex. He says he is concerned and he knows his wife is unhappy with his lack of libido. What can the nurse tell the client often causes lack of libido? Testosterone hypersecretion Manic episodes Side effects of medications Mental illness

Side effects of medications

During a physical examination, the nurse inspects the eternal genitalia of a male client. Which of the following would the nurse identify as an abnormality? Absence of urethral discharge Skin lesions Prepuce covering the glans penis Slightly pendulous scrotum

Skin lesions

The nurse is reviewing the functions of the ovaries, uterus, clitoris and vagina with a group of high school students. Based on this information, what would be the best response by the high school student about the function of the clitoris? Receives the fertilized ovum and provides housing and nourishment for a fetus. Small erectile structure that responds to sexual stimulation. Produces female gametes or ova and secretes female sex hormones. Receives sperm, provides an exit for menstrual flow and serves as the birth canal.

Small erectile structure that responds to sexual stimulation.

Which finding should a nurse expect to observe when inspecting the external genitalia of an elderly male client? Smaller testicles Enlarged glans penis and scrotum Smaller penis with lower hanging testicles Hardness along the ventral surface of the penis

Smaller penis with lower hanging testicles

Sloughed epithelial cells and mucus collect between glans and foreskin, forming a white, cheeselike substance called ________.

Smegma

A nurse assesses a 47-year-old client who reports irregular menstrual cycles. The nurse should assess the client for which additional symptoms related to irregular menstrual cycles? Select all that apply. Spotting Headache Night sweats Bloating Hot flashes

Spotting Night sweats Hot flashes

A nurse is beginning the physical exam of a male client's genitals. The nurse is sitting on a stool in front of the client. Which position would be best to place the client in? Standing Sitting Kneeling Lying supine

Standing

African American girls may begin puberty before 8 years of age. T F

T

Common symptoms of male genital problems include pain, difficulties with urination, erectile dysfunction, penile lesions or discharge, and scrotal enlargement. T F

T

If a patient is experiencing severe pain or excessive bleeding, the assessment needs to involve only questions pertinent to the immediate condition and necessary for current care. T F

T

It is important to stay calm when caring for the male patient with an acute problem pertaining to the testicles (e.g., testicular torsion). T F

T

It is important to talk with the male patient about the care of any type of genital piercing. T F

T

Sexual history includes gathering data on the '5 Ps.' T F

T

Scar tissue is visible on the perineum of an adult female client. What would the nurse consequently question the client about? History of sexual abuse Surgical correction of a rectocele History of sexually transmitted infections Tearing during vaginal delivery

Tearing during vaginal delivery

The nurse is performing blunt percussion of a client's kidneys. For what abnormal find is a nurse primarily assessing? Dullness Tympany Tenderness Hyperresonance

Tenderness

After discovering an abnormal man in the scrotum, a nurse performs transillumination of the client's testicles and observes no red glow within the scrotal sac. The nurse recognizes that this client may be experiencing what type of condition? Hydrocele Spermatocele Testicular torsion Testicular tumor

Testicular tumor

Which is an expected finding when you are assessing a patient's prostate gland? The prostate is not easily palpable in a healthy patient The prostate has a firm, bone-like texture on palpation The patient's prostate is approximately 2.5 to 4 cm in diameter The patient complains of pain when the prostate is palpated

The patient's prostate is approximately 2.5 to 4 cm in diameter

The human papillomavirus (HPV) vaccine consists of _________ separate doses and is recommended for females 9 through 26 years of age.

Three

A 23 year old male comes to the clinic complaining of sudden and severe pain in his scrotum. The nurse would suspect what? Varicocele Torsion of the spermatic cord Spermatocele Orchitis

Torsion of the spermatic cord

Linda is a 29-year-old who had excruciating pain which started under her lower ribs on the right side. The pain eventually moved to her lateral abdomen and then into her right lower quadrant. Which is most likely, given this presentation? Appendicitis Dysmenorrhea Ureteral stone Ovarian cyst

Ureteral stone

Of the following eight risk factors and diseases, which ones can be diagnosed from genitourinary assessment? Type 2 diabetes Urinary stress incontinence Obesity-related glomerulopathy Depression/low self-esteem Hypogonadism (male) Breast and uterine cancer Pregnancy complications Colon cancer

Urinary stress incontinence Obesity-related glomerulopathy Hypogonadism (male) Breast and uterine cancer Pregnancy complications

____________________ is currently the most common and frequently reported bacterial sexually transmitted infection (STI) in the developed world.

chlamydia

An undescended testicle is called _______________.

cryptorchidism

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 orchitis. hypospadias. cryptorchidism. hematocele.

cryptorchidism.

The prostate gland consists of two lobes separated by the anorectal junction. rectovesical pouch. median sulcus. valves of Houston.

median sulcus.

___________ is defined as 12 consecutive months without menses.

menopause

rete testis

network of tubules between the seminiferous tubules and the epididymis

external urethral orifice

opening of urethra

During assessment of an elderly male client, the client tells the nurse that he has had difficulty urinating for the past few weeks. The nurse should refer the client to the physician for possible prostate enlargement. sexually transmitted disease. impotence. inguinal hernia.

prostate enlargement.

testicular artery and vein

supplies blood to/from testes

glans penis

the conical mass of erectile tissue that forms the head of the penis

Urethra

tube leading from the urinary bladder to the outside of the body

vas deferens

tube that carries sperm from the epididymis to the urethra