Care of Patients with Male Reproductive Problems

The nursing instructor is teaching a group of nursing students how to prepare a client with benign prostatic hyperplasia (BPH) for a digital rectal examination (DRE). What statement by a student nurse indicates a need for further teaching?

"The residual urine will be measured during the examination."

The nurse is obtaining a health history from a client suspected of benign prostatic hyperplasia (BPH). What are the symptoms of BPH? Select all that apply.

Sexual function is not usually affected with TURP. Sensation of incomplete bladder emptying Difficulty in starting and continuing urination Decreased force and intensity of urinary stream Frequent waking during the night to void

Which man is at greatest risk of developing prostate cancer?

52-year-old African American whose diet includes red meat

The RN working in the hospital emergency department is assigned to care for these four clients. Which client does the nurse attend to first?

Adolescent with an erection for "10 or 11 hours" who is reporting severe pain

With which male client does the nurse conduct prostate screening and education?

Adult who is older than 50 years

A client is undergoing a diagnostic workup for suspected testicular cancer. Which serum tumor marker is indicative of testicular cancer?

Alpha-fetoprotein

A client underwent a transurethral resection of the prostate (TURP) yesterday for benign prostatic hyperplasia (BPH). What intervention does the nurse perform for the client during the first postoperative day?

Assess for excessive bleeding.

A client who had an open orchiectomy with a radical retroperitoneal lymph node dissection yesterday reports abdominal distention and discomfort today. What is the nurse's priority action?

Assess the client's bowel sounds.

When is the best time for the nurse to begin discharge planning and a community-based plan of care for a client with prostate cancer?

Before surgery

The nurse is caring for a client with chronic prostatitis. What instructions does the nurse provide?

Chronic prostatitis is not contagious.

A young adult with testicular cancer is admitted for unilateral orchiectomy and retroperitoneal lymph node dissection. Which nursing action is best for the nurse to delegate to unlicensed assistive personnel (UAP)?

Encourage the client to cough and deep-breathe after surgery.

What is the usual presenting symptom for testicular cancer?

Hard, painless mass

What term is used for a cystic mass that forms around the testis and is usually filled with straw-colored fluid?

Hydrocele

A client is having a radical prostatectomy. Which preoperative teaching specific to this surgery does the nurse emphasize?

Kegel exercises

Which statement about the classification of testicular cancers is correct?

Nonseminomas are testicular germ cell tumors.

Which assessment finding causes the nurse to suspect that a client may have testicular cancer?

Painless testicular lump

The nurse is caring for a client with erectile dysfunction (ED) who has not had success with other treatment modalities. The nurse anticipates that the health care provider will recommend which treatment for this client?

Penile implants

The nurse is assessing a client suspected of having prostate cancer. What risk factor is associated with the development of prostate cancer?

Presence of BRCA2 gene mutations

Hormone treatment for prostate cancer works by which action?

Suppresses growth of the tumor

The nurse is preparing a client for a digital rectal examination (DRE) of the prostate. What does the nurse teach the client about the examination?

The client must void before the physical examination.

What does the nurse teach a client with urge incontinence about Kegel exercises?

They involve the use of perineal and gluteal muscles.

The nurse is caring for a client after a transurethral resection of the prostate (TURP). What action does the nurse take?

Use normal saline solution for bladder irrigant.

The nurse is working with a couple having difficulty conceiving a child. What may be a possible cause of infertility in the male?

Varicocele

The issue that is often foremost in the minds of men who have been diagnosed with prostate cancer and must be addressed by the nurse is the alteration of which factor?

Sexual function after treatment

A client is scheduled for a transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH). What preoperative information must the client understand?

Sexual function is not usually affected with TURP.

A 65-year-old client with benign prostatic hyperplasia (BPH) is prescribed finasteride (Proscar) and doxazosin (Cardura). What is the priority nursing assessment to perform following the first dose?

Blood pressure in different positions

The nurse is teaching a client with benign prostatic hyperplasia (BPH) about ways to avoid loss of bladder muscle tone. What instructions does the nurse provide? Select all that apply.

"Empty your bladder as soon as you feel the urge." "Avoid drinking large amounts of fluids in a short amount of time." "Avoid the intake of alcohol and caffeine."

The nurse is educating a group of young men about testicular self-examination (TSE). Which statement by a member of the group indicates teaching has been effective?

"I will look and feel for any lumps or changes to my testes."

The nurse is planning the discharge of a client who had a radical prostectomy. What instruction does the nurse provide to the client about caring for the catheter at home?

"Replace the old drainage bag with a new one at least once a week."

The nurse is explaining testicular self-examination to a client. What does the nurse explain about the examination?

"Roll and feel each testicle between your thumb and fingers."

The nurse is teaching a client how to perform a testicular self-examination. What does the nurse instruct the client to do?

"Roll and feel each testicle between your thumb and fingers."

A client with prostate cancer asks why he must have surgery instead of radiation, even if his cancer is the least-invasive type. What is the nurse's best response?

"Surgery is the most common intervention to cure the disease."

The nurse is caring for a client after an open radical prostatectomy. What action does the nurse take?

Encourage the client to use patient-controlled analgesia (PCA).

A client had a transurethral resection of the prostate (TURP) yesterday. The staff nurse notes that the urinary output from the catheter has decreased and the client is reporting severe bladder spasms. What is the nurse's priority action?

Irrigate the catheter with normal saline.

The nurse is caring for a client who is being treated with a 5-alpha reductase inhibitor (5-ARI) as the first-line drug therapy for benign prostatic hyperplasia (BPH). What instruction does the nurse give to the client about this therapy?

Orthostatic hypotension is a side effect of this treatment.

What are the risk factors for prostate cancer? Select all that apply.

Presence of BRCA2 gene mutations Mutation in the glutathione S-transferase (GST P1) gene Exposure to arsenic

The nurse is reviewing the results of a client's prostate specific antigen (PSA) test and notices an elevation in the findings. What may this finding represent?

Prostate cancer

Why is prostate cancer screening often emphasized to the African-American population in the United States?

Prostate cancer occurs at an earlier age.

The potential problem of grief is most relevant to a client after which procedure?

Radical prostatectomy

Which method is a common complementary and alternative therapy for benign prostatic hyperplasia (BPH)?

Serenoa repens

A client with prostate cancer is being evaluated for metastasis. Which laboratory test indicates possible bone metastasis?

Serum alkaline phosphatase

A client with testicular cancer is worried about sterility and the ability to conceive children later. Which resource does the nurse refer the client to before surgery takes place?

Sperm bank