BPH
A 55-year-old client has a PSA level of 4.8 ng/mL. Based on the client's PSA level, which assessment question does the nurse need to ask? · "Do you wear boxers or briefs?" · "When was the last time you experienced ejaculation?" · "How often do you include foods high in purines in your diet?" · "Will you remember to schedule your next PSA test in 1 year?"
"When was the last time you experienced ejaculation?"
Which age-related change affects the reproductive system? · Increased patency · Increased prostate secretion · Decreased plasma testosterone levels · Testes become soft
Decreased plasma testosterone levels
Which of the following would the nurse expect to be done to assess the size of the prostate? · Transillumination · Bladder percussion · Digital rectal examination · Pelvic examination
Digital rectal examination
Which is the most common type of prostate surgery? · Suprapubic prostatectomy · Transurethral resection of the prostate · Perineal prostatectomy · Retropubic prostatectomy
Transurethral resection of the prostate
A client is to undergo a TURP for BPH. Which statement is accurate with regard to a TURP? · It is done on an outpatient basis. · Urethral strictures are more frequent for TURP than for nontransurethral procedures. · There is no danger of retrograde ejaculation. · A TURP causes erectile dysfunction.
Urethral strictures are more frequent for TURP than for nontransurethral procedures.
A client recovering from urethral dilation to correct a urethral stricture is instructed by the nurse about post-procedure care. Which statement indicates to the nurse that teaching was successful? · "I can expect to have difficulty voiding for several months." · "I can expect to develop a prostate problem because of the surgery." · "My urine stream will continue to be weak." · "It will take about a year to determine if the treatment was successful."
"It will take about a year to determine if the treatment was successful."
nurse determines that the client has understood the instructions when they state which of the following? · "The best time to do it is once a month after I take my warm morning shower." · "If the top and back of the testicle feels cordlike, I'll call my physician." · "I should roll the testis in a circular pattern around the palm of my hand." · "I'll use my right hand to check the left testicle and the left hand to check the right one."
"The best time to do it is once a month after I take my warm morning shower."
A client is prescribed dutasteride as part of treatment for benign prostatic hyperplasia (BPH). When teaching the client about this drug, the nurse integrates knowledge of the drug's action. Which statement best reflects this? · "The drug restores the balance of the normal microorganisms found in the bladder to improve urine flow." · "The drug causes the smooth muscles of the bladder to relax so urine will flow more easily." · "The drug interferes with testosterone, which causes the prostate to shrink in size." · "The drug causes nitrous oxide to be released, leading to increased blood flow and urination."
"The drug interferes with testosterone, which causes the prostate to shrink in size."
A client is distressed to learn of an elevated prostate-specific antigen (PSA) test and states, "It means I have cancer." Which information will the nurse provide in response to the client? Select all that apply. · "You might have an infection of your prostate causing the high level." · "Since it is the first time it is elevated, you probably will not have any other tests." · "An elevated PSA level does indicate some degree of cancer." · "The level might be high because of retaining urine." · "It might mean that you have an enlarged prostate gland."
"You might have an infection of your prostate causing the high level." · "The level might be high because of retaining urine." · "It might mean that you have an enlarged prostate gland."
A health care provider prescribes ketoconazole (Nizoral),(affects the hormones) a second-line hormonal agent for the treatment of prostatic cancer. The nurse explained to the patient that this drug acts by: · Decreasing the level of circulating plasma testosterone. · Decreasing the endocrine production of androgen. · Interrupting the conversion of dihydrotestosterone (DHT). · Suppressing androgenic stimuli to the prostate.
Decreasing the endocrine production of androgen.
A patient experiences hypotension, lethargy, and muscle spasms while receiving bladder irrigations after a transurethral resection of the prostate (TURP). What is the first action the nurse should take? · Discontinue the irrigations. · Administer a unit of packed red blood cells. · Increase the rate of the IV fluids. · Prepare the patient for an ECG.
Discontinue the irrigations.
Which of the following should be included when teaching a client about the management of benign prostatic hyperplasia (BPH)? Select all that apply. · Do not delay the urge to void. · Painless hematuria is a common symptom of BPH. · Low-dose Benadryl will promote restful sleep. · Schedule digital rectal exams. · Moderate use of alcohol is useful for bladder relaxation. · Prolonged exposure to heat increases bladder spasms.
Do not delay the urge to void. Schedule digital rectal exams.
The nurse is providing preoperative care to a client who is to undergo a radical prostatectomy for prostate cancer. The client's plan of care includes the nursing diagnosis of "anxiety related to surgery and its outcome." Which of the following would be most appropriate for the nurse to do? · Allow the client to assume a passive role in the preparation. · Tell the client that prostate cancer is very curable if caught early. · Ensure privacy when discussing sensitive or embarrassing sexual issues. · Inform the client that risk of recurrence is decreased with this type of surgery.
Ensure privacy when discussing sensitive or embarrassing sexual issues.
difficulty obtaining an erection during sexual activity. The client asks how an "erectile medication" works and if there are any side effects to the medication. The nurse explains the action of the medication and directions for use and warns of which side effect related to the client's history? · Hypotension with nitrate use · Arthritis with corticosteroid use · Chronic pain with narcotic use · Asthma with beta-adrenergic inhaler use
Hypotension with nitrate use
Which statement is accurate regarding sildenafil? · The medication should be taken right before intercourse. · Its side effects include headache, flushing, and dizziness. · Sexual stimulation is not needed to produce an erection. · It can be taken twice daily for increased effect.
Its side effects include headache, flushing, and dizziness.
The nurse is providing care to a client who has had a transurethral resection of the prostate. The client has a three-way catheter drainage system in place for continuous bladder irrigation. The nurse anticipates that the catheter may be removed when the urine appears as which of the following? · Reddish-pink with numerous clots · Dark amber with copious mucous · Light pink with few red streaks · Light yellow and clear
Light yellow and clear
The nurse is preparing a presentation for a men's community group about health promotion. Which of the following would the nurse include as a current recommendation for screening?
Monthly testicular self-examination (TSE)
The nurse is reviewing the history of a client with erectile dysfunction. Which of the following would the nurse least likely identify as contributing to the client's condition? · History of depression treated with fluoxetine · History of type 2 diabetes mellitus for 10 years · New onset of anemia being treated with iron supplements · Use of metoprolol for treating hypertension
New onset of anemia being treated with iron supplements
The nurse is preparing a discharge teaching plan for a client who has had a prostatectomy. Which of the following would be appropriate to include? · Performing perineal exercises frequently throughout the day · Waiting to urinate for 5 to 10 minutes after feeling the initial urge · Using a bearing down motion to promote complete bladder emptying when voiding · Engaging in strenuous exercise to strengthen abdominal muscles
Performing perineal exercises frequently throughout the day
Nursing students are reviewing information about the reproductive system and normal age-related changes. They demonstrate understanding of the topic when they identify which of the following as occurring? · Secretions of the prostate gland increase. · Spermatogenesis drops significantly · Testes become heavier in weight. · Plasma testosterone levels decrease.
Plasma testosterone levels decrease.
A client recovering from a prostatectomy reports ongoing bladder spasms. Which action(s) will the nurse take to reduce the client's discomfort? Select all that apply. Prepare a sitz bath. Provide flavoxate as prescribed. Manipulate the indwelling catheter. Apply warm compresses to the pubis. Reduce the amount of bladder irrigant.
Prepare a sitz bath. Provide flavoxate as prescribed. Apply warm compresses to the pubis.
A 57-year-old client is being treated in the outpatient community center. The client reports that most nights they wake up twice to urinate. In addition, they report occasional blood in urine. The client's laboratory tests reveal a PSA level of 3.8 ng/mL and a white blood cell (WBC) count of 6,000 mm3. The nurse most likely suspects that the client is experiencing which condition? · Prostate cancer · Prostatectomy · Prostatism · Prostatitis
Prostatism
A client is being seen by an urologist for perineal pain, low back pain, fever lasting 5 days, and painful urination. The diagnosis of prostatitis is confirmed. What teaching should the nurse include? Select all that apply. · Regularly drain the gland. - simple nursing · Complete the prescribed antibiotic treatment . · Apply heat to the prostate area. · Avoid prolonged sitting. · Avoid caffeine products.
Regularly drain the gland. - simple nursing Complete the prescribed antibiotic treatment . Avoid prolonged sitting. · Avoid caffeine products.
A client is admitted to the emergency department with possible testicular torsion. Which interventions will the nurse expect and provide for this client? Select all that apply. · Request pain relief measures for the torsion being manually reduced by a health care provider · Elevate and apply ice to the scrotum. · Instruct the client to not ingest anything by mouth in preparation for an emergency surgical intervention · Administer vancomycin and metronidazole intravenously every 6 hours. · Anticipate that the client will likely lose one testicle.
Request pain relief measures for the torsion being manually reduced by a health care provider Instruct the client to not ingest anything by mouth in preparation for an emergency surgical intervention
A client expresses concerns about future reproduction after a surgery to correct the cancer of the testes. For this client, treatment proceeded without first collecting and storing sperm. Which alternative should the nurse suggest to the client? · Suggest the use of sildenafil · Reverse the surgery · Undertake herbal alternatives · Suggest donor insemination or adoption
Suggest donor insemination or adoption
A patient is having a DRE in the physician's office and the nurse is to assist in the examination. What can the nurse instruct the client to do to decrease the discomfort from the exam? · Inform the patient that the examination is not uncomfortable and will be over in a short period of time. · When bending over the examining table, point the feet outward to decrease the discomfort. · Take a deep breath and exhale when the physician inserts a gloved finger into the rectum. · Take a deep breath and hold it when the physician inserts a gloved finger into the rectum.
Take a deep breath and exhale when the physician inserts a gloved finger into the rectum.
Which should be included as part of the home care instructions for a client with epididymitis and orchitis? · Undertake lifting exercises. · Take prescribed antibiotics. · Apply ice to the area after scrotal swelling subsides. · Resume sexual intercourse.
Take prescribed antibiotics.
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 normal saline irrigant is infusing at a rate of 50 drops/minute. · The client reports bladder spasms and the urge to void. · The urine in the drainage bag appears red to pink. · About 1,000 ml of irrigant have been instilled; 1,200 ml of drainage have been returned.
The client reports bladder spasms and the urge to void.
A client with erectile dysfunction who had a penile implant inserted has been taught how to identify malfunction of the device. Which of the following if stated by the client as indicative of malfunction would indicate to the nurse that the client has understood the teaching? · Erosion of scrotal, bowel, or bladder tissue · Underinflation or bulging of the cylinders during inflation · Erosion of penile or urethral tissue · Migration of the cylinders, pump, or reservoir from their intended location
Underinflation or bulging of the cylinders during inflation
The nurse is reviewing a client's medication and health history. Which assessment finding would cause the nurse to question the client's new prescription for the phosphodiesterase inhibitor sildenafil? · Type 2 diabetes · History of hypertension · Use of diuretics · Use of nitrates
Use of nitrates
The nurse is reviewing a client's medication and health history. Which assessment finding would cause the nurse to question the client's new prescription for the phosphodiesterase inhibitor sildenafil? · Type 2 diabetes · Use of diuretics · History of hypertension · Use of nitrates
Use of nitrates
The nurse is teaching a client with acute prostatitis about measures to promote comfort and self-care. Which of the following would the nurse include in the teaching plan? Select all that apply. · Engage in frequent sexual intercourse. · Use warm sitz baths several times a day. · Avoid sitting for prolonged periods. · Force fluids to promote urine excretion. · Avoid drinking coffee, tea, and colas.
Use warm sitz baths several times a day. · Avoid sitting for prolonged periods. · Avoid drinking coffee, tea, and colas.
Which of the following would be most important to include in a teaching plan for a client who has had a vasectomy? · Applying warm compresses to the scrotum for the first 24 hours. · Taking a prescribed opioid analgesic for pain relief. · Resuming sexual activity in 24 to 48 hours. · Using a reliable method of contraception for several weeks.
Using a reliable method of contraception for several weeks.
Complications following a TURP?
a weak urinary stream straining dysuria
The nurse recognizes what conditions cause elevated prostate-specific antigen (PSA) levels in the absence of prostate cancer. Select all that apply. acute prostatitis benign prostatic hyperplasia (BPH) transurethral resection of the prostate (TURP) erectile dysfunction acute urinary retention
acute prostatitis benign prostatic hyperplasia (BPH) transurethral resection of the prostate (TURP) acute urinary retention
The nurse recognizes what conditions cause elevated prostate-specific antigen (PSA) levels in the absence of prostate cancer. Select all that apply. acute prostatitis transurethral resection of the prostate (TURP) erectile dysfunction benign prostatic hyperplasia (BPH) acute urinary retention
acute prostatitis transurethral resection of the prostate (TURP) benign prostatic hyperplasia (BPH) acute urinary retention
A triple-lumen indwelling urinary catheter is inserted for continuous bladder irrigation following a transurethral resection of the prostate. In addition to balloon inflation, the functions of the three lumens include: · intermittent flow of irrigation solution and prevention of hemorrhage. · continuous inflow and outflow of irrigation solution. · continuous inflow and intermittent outflow of irrigation solution. · intermittent inflow and continuous outflow of irrigation solution.
continuous inflow and outflow of irrigation solution.
A client reports experiencing nocturia. The nurse obtains a thorough history including current signs and symptoms. What would the client likely include when describing the symptoms? · painful urination · changes in sexual function · incontinence · decrease in the force of urinary stream
decrease in the force of urinary stream
Which structure collects the spermatocytes and nourishes them until they are able to move about spontaneously? · spermatic cord · epididymis · seminiferous tubules · vas deferens
epididymis
A client with a penile implant is to be informed about the possible complications after discharge. Which complication occurs due to a midsized implant, pressure, or friction of the implanted cylinders? · malfunction of the device · migration of the cylinders, pump, and reservoir · erosion of penile or urethral tissue · erosion of scrotal, bowel, or bladder tissue
erosion of penile or urethral tissue
Based on the nurse's knowledge of the probable first indicator of prostate cancer, which of the following questions should be included in the history and physical examination? · "Have you noticed a decrease in the volume of your urinary stream?" · "Do you have any perineal discomfort?" · "Are you waking up during the night to urinate?" · "Do you have abdominal straining with urination?"
"Do you have any perineal discomfort?"
A client comes to the clinic reporting consistent difficulty obtaining an erection. When reviewing the client's history, which will the nurse note that contributes to erectile dysfunction? Select all that apply. A history of hypertension Treated for a urinary tract infection (UTI) twice in the past year 66 years old Leads a sedentary lifestyle History of diabetes
A history of hypertension History of diabetes
Which of the following is a major cause of relapsing urinary tract infections in men? · Chronic bacterial prostatitis · Improper hygiene · Pyelonephritis · Urinary retention
Chronic bacterial prostatitis
In a client with benign prostatic hyperplasia (BPH), which assessment finding provides the best indication of urinary retention? · Frequency · Urgency · Hesitancy · Dribbling
Frequency
After teaching a group of students about erectile dysfunction, the instructor determines that the teaching was successful when the students identify which of the following as true? · Erectile dysfunction is unrelated to anxiety or depression. · Erectile dysfunction may be due to testosterone insufficiency. · Erectile dysfunction is primarily a normal response to aging. · Erectile dysfunction rarely occurs in clients with diabetes mellitus.
Erectile dysfunction may be due to testosterone insufficiency.
A 65-year-old client complains to his health care provider that, when he urinates, he has to start and stop several times over a period of minutes in order to fully empty his bladder. The nurse is aware that this is not uncommon in men over the age of 60. This "double voiding" is directly related to which of the following? Hyperplasia of the prostate gland Hypogonadism Fibrotic changes of the corpora cavernosa Thickening of the seminiferous tubules
Hyperplasia of the prostate gland
Which of the following are dominant findings related to a transurethral resection syndrome? · Hyponatremia · Hypovolemia · Hypernatremia · Hypervolemia · Hyperammonemia
Hyponatremia Hypovolemia Hyperammonemia
Which nursing assessment finding is most significant in determining the plan of care in a client with erectile dysfunction? · Medication use · Age · Undescended testicle · Sexual history
Medication use
The nurse is providing instruction for testicular self-examination to a group of young adolescents. Which is the most correct examination technique? · Palpate the front of the testicle first, where most tumors are found. · Palpate both testicles simultaneously for comparison. · Palpate each testicle separately, following a warm shower. · Palpate for a soft, round shape with normal ridges on the testicles.
Palpate each testicle separately, following a warm shower.
A patient is scheduled for a transurethral resection (TUR). The nurse is aware that a disadvantage of this surgical approach is: · A high incidence of impotence. · Recurrent urethral obstruction. · Increased hemorrhage from the prostatic venous plexus. · Possible damage to the external sphincter.
Recurrent urethral obstruction.
A client is preparing for an annual prostate digital examination, and asks the nurse to explain the role of the prostate gland. What is the function of the prostatic fluid? · ensuring sperm survival · lubrication · enhancing sperm motility · stimulating uterine contraction
ensuring sperm survival
A client comes to the emergency department reporting severe testicular pain that started about 1 hour ago. Examination reveals a thickened spermatic cord, an elevated testis, and testicular tenderness. The nurse would interpret these findings to suggest which of the following? · Orchitis · Epididymitis · Testicular cancer · Testicular torsion
Testicular torsion
A client comes to the emergency department reporting severe testicular pain that started about 1 hour ago. Examination reveals a thickened spermatic cord, an elevated testis, and testicular tenderness. The nurse would interpret these findings to suggest which of the following? · Testicular torsion · Testicular cancer · Epididymitis · Orchitis
Testicular torsion
when developing an educational program for a group of adolescents about sexually transmitted infections (STIs), what should the nurse inform the group about the single greatest risk factor for contracting an STI? · The type of contraception used · The number of times the person has contact with a partner · Where the patient lives · The number of sexual partners
The number of sexual partners
Which therapy uses low-level radiofrequencies to produce localized heat that destroys prostate tissue? · Resection · Microwave thermotherapy · Saw palmetto · Transurethral needle ablation
Transurethral needle ablation
Which therapy uses low-level radiofrequencies to produce localized heat that destroys prostate tissue? · Transurethral needle ablation · Saw palmetto · Resection · Microwave thermotherapy
Transurethral needle ablation
The nurse is caring for a client who had transurethral resection of the prostate (TURP) 1 day ago. Which assessment finding(s) does the nurse expect? Select all that apply. rounded swelling above the pubis large amounts of amber-colored urine in the drainage bag drainage tube secured to the inner thigh increasing pulse rate and diaphoresis reports of chills and low-grade fever
large amounts of amber-colored urine in the drainage bag drainage tube secured to the inner thigh
Which structure is involved in keeping the testes at the necessary temperature to ensure sperm production? · epididymis · scrotum · testicles · shaft
scrotum
A young client who awoke with sudden, severe testicular pain with edema arrives at the ED unable to walk and nauseated. After examination, what treatment would the physician likely order? · elevation of testes · application of heat · surgery · oral anti-inflammatory medications
surgery
Which factor should be checked when evaluating the effectiveness of an alpha-adrenergic blocker given to a client with benign prostatic hyperplasia (BPH)? · voiding pattern · Size of the prostate · Creatinine clearance · Serum testosterone level
voiding pattern
A nurse is instructing a client in testicular self-examination. Which client statement indicates the need for additional teaching? · "A good place to do this is when I'm showering." · "It's normal for one testis to be larger than the other." · "My thumb goes on top and my index and middle fingers go under the testis." · "I should do this exam at least once a week."
· "I should do this exam at least once a week."
A client underwent a transurethral resection of the prostate gland 24 hours ago and is on continuous bladder irrigation. Which nursing intervention is appropriate? · Use sterile technique when irrigating the catheter. · Restrict fluids to prevent the client's bladder from becoming distended. · Tell the client to try to urinate around the catheter to remove blood clots. · Prepare to remove the catheter.
· Use sterile technique when irrigating the catheter.
A client diagnosed with epididymitis is being discharged from the emergency department. Which of the following would be most important for the nurse to include as part of the client's discharge teaching? · "Apply ice to the top of your scrotum to help reduce the swelling." · "If you have a fever, call the physician so he can order an antibiotic right away." · "Keep your scrotum elevated on a folded towel until the swelling goes down." · "Engage in sexual intercourse frequently to help drain the area."
"Keep your scrotum elevated on a folded towel until the swelling goes down."
A client is scheduled for a transurethral resection of the prostate (TURP). Which statement demonstrates that the expected outcome of "client demonstrates understanding of the surgical procedure and aftercare" has been met? "The surgeon is going to remove the entire prostate gland." "I'll have a small incision on my lower abdomen after the procedure." "The surgeon is going to insert a scope through my urethra to remove a portion of the gland." "I'll have to stay in the hospital for about 3 to 4 days after the surgery."
"The surgeon is going to insert a scope through my urethra to remove a portion of the gland."
A client is having prostate-specific antigen (PSA) testing done. Which result would the nurse identify as abnormal? · 4.6 nanograms/milliliter · 3.2 nanograms/milliliter · 2.7 nanograms/milliliter · 3.8 nanograms/milliliter
4.6 nanograms/milliliter
The nurse is teaching a client about erectile dysfunction medications. The nurse should include that sildenafil is taken how many minutes before intercourse to be effective? 60 20 15 120
60
Which of the following is an immediate danger after a prostate surgery? · Catheter obstruction · Sexual dysfunction · Deep vein thrombosis · Hemorrhagic shock
Hemorrhagic shock
The nurse is preparing a presentation for a local community group about prostate cancer and possible dietary risk factors. Which of the following would the nurse most likely include? · High-iron · High-fat diet · High-calorie · High fiber
High-fat diet
When assessing a client with benign prostatic hyperplasia, which of the following would the nurse expect the client to report as the initial complaint? · Narrowing of urinary stream · Increased effort to void · Nocturia · Dark brown urine
Increased effort to void
A young client is admitted with torsion of the spermatic cord. Which is the most appropriate action to be taken by the nurse? · Elevate the scrotum. · Avoid the use of analgesics. · Keep the client NPO. · Monitor vital signs for cardiac changes.
Keep the client NPO.
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? · Artificial sphincter use · Fluid restriction · Self-catheterization · Kegel exercises
Kegel exercises
Which of the following would lead a nurse to suspect that a client is experiencing acute prostatitis? Select all that apply. · Decreased force of urinary stream · Below normal body temperature · Nocturia · Dysuria · Perineal pain
Nocturia · Dysuria · Perineal pain
Which term refers to the surgical removal of one or both testes? · Hydrocelectomy · Vasectomy · Circumcision · Orchiectomy
Orchiectomy
A client with benign prostatic hyperplasia doesn't respond to medical treatment and is admitted to the facility for prostate gland removal. Before providing preoperative and postoperative instructions to the client, the nurse asks the surgeon which prostatectomy procedure will be done. What is the most widely used procedure for prostate gland removal? · Suprapubic prostatectomy · Retropubic prostatectomy · Transurethral resection of the prostate (TURP) · Transurethral laser incision of the prostate
Transurethral resection of the prostate (TURP)
Bright red bleeding following prostate surgery indicates which of the following? · Disseminated intravascular coagulation · Venous bleed · Thrombocytopenia · Arterial bleed
Arterial bleed
Medical management of BPH includes pharmacologic therapy. Which of the following medications would the nurse expect the health care provider to prescribe for this diagnosis? · Alpha-adrenergic blocker · Analgesic · Antispasmodic · Diuretic
Alpha-adrenergic blocker
Which of the following recommendations would a nurse advocate during infancy and childhood to help reduce potential adult complications such as orchitis? · Engage in activities and exercises that minimize heavy lifting. · Urge the limited intake of foods and fluids containing caffeine. · Encourage the consumption of foods that are rich in fat and starch. · Ensure immunizations against infectious diseases such as mumps.
· Ensure immunizations against infectious diseases such as mumps.
A client has been diagnosed with epididymitis after examination and diagnostic tests. What treatments would the nurse expect the healthcare provider to order? Select all that apply. · Scrotal elevation · Cold compresses · Frequent ejaculations · Exercise plan · Comfort measures
· Scrotal elevation · Cold compresses · Comfort measures
A client comes to the emergency department complaining of moderate to severe testicular pain and tenderness. Both testicles are swollen and a penile discharge is present. The client is diagnosed with viral orchitis. Which of the following would the nurse include in this client's plan of care? · Administering prescribed antibiotics · Applying ice to the scrotum · Keeping the scrotum in a dependent position · Preparing the client for incision and drainage
Applying ice to the scrotum
A nurse is reviewing a journal article about benign prostatic hyperplasia and possible risk factors associated with this condition. Which factor would the nurse most likely find as playing a role in increasing a client's risk for this condition? Select all that apply. · Hypertension · Social alcohol use · Diabetes · Atrial fibrillation · Smoking
Hypertension Diabetes Smoking
After teaching about self-care measures to a client who has been diagnosed with prostatitis, the nurse determines that the teaching was successful when the client states which of the following? · "I need to make sure that I drink lots of fluid." · "I'll take the antibiotic until all the symptoms are gone." · "If I have discomfort, a cool shower will give me relief." · "I should avoid fluids like coffee and tea."
"I should avoid fluids like coffee and tea."
The physician orders an alpha-adrenergic blocker for a client with benign prostatic hyperplasia. The nurse understands that this drug acts to achieve which of the following? · Prevent urinary tract infections · Block testosterone conversion · Slow the prostatic enlargement · Relieve urinary symptoms
Relieve urinary symptoms
A client is ordered continuous bladder irrigation at a rate of 60 gtt/minute. The nurse hangs a 2 L bag of sterile solution with tubing on a three-legged IV pole. She then attaches the tubing to the client's three-way urinary catheter, adjusts the flow rate, and leaves the room. Which important procedural step did the nurse fail to follow? · Counter-balancing the I.V. pole · Collecting a urine specimen before beginning irrigation · Attaching the infusion set to an infusion pump · Evaluating patency of the drainage lumen
Evaluating patency of the drainage lumen
A patient is being treated for prostatitis and the nurse is providing education about the treatment. What should the nurse include in the education of this patient? · Take several cool baths during the day to alleviate discomfort. · Force fluids to prevent urine from backing up and distending the bladder. · Be sure to take the 3-day course of antifungal medication. · Avoid foods and liquids with diuretic action or that increase prostatic secretions.
Avoid foods and liquids with diuretic action or that increase prostatic secretions.
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? · Lisinopril (Prinivil) · Diphenhydramine (Benadryl) · Levothyroxine (Synthroid) · Isosorbide (Isordil)
Isosorbide (Isordil)
A client has been scheduled to undergo a transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH). The nurse knows that the client understands preoperative teaching when he makes which statement? · "I will have my wife come with me to drive me home after the outpatient procedure." · "I'm worried my wife will leave me after the TURP because of the side effect of erectile dysfunction." · "I understand I may develop urethral strictures as a result of having the TURP." · "I understand there is no danger of retrograde ejaculation following the TURP."
"I understand I may develop urethral strictures as a result of having the TURP."
A client comes to the clinic reporting urinary symptoms. Which statement would most likely alert the nurse to suspect benign prostatic hyperplasia (BPH)? · "I'm waking up at night to urinate and I've noticed some burning, too." · "I've had a fever and noticed I've been running to the bathroom more often." · "I've had trouble getting started when I urinate, often straining to do so." · "I've had some pain in my lower abdomen lately and felt a bit sick to my stomach."
"I've had trouble getting started when I urinate, often straining to do so."
Lately, a 75-year-old client is having difficulty emptying their bladder. They are unable to empty completely and yet it feels full, causing discomfort. The physician suspects prostate cancer. Which question(s) would you expect the physician to ask the client? Select all that apply. · "Do you pass blood in your urine?" · "Do you leak urine involuntarily?" · "Do you feel thirsty often?" · "Do you have difficulty urinating?" · "Do you have a family history of prostate cancer?"
"Do you pass blood in your urine?" "Do you have difficulty urinating?" "Do you have a family history of prostate cancer?"
