Chapter 26 Assessing Male genitalia and rectum

Benign prostatic hyperplasia (BPH)

A 72-year-old male presents at a local clinic and states: "I have to urinate all the time, and I never feel like my bladder is emptied. It really bothers me at night." What condition might the nurse suspect related to this chief complaint? Chronic bacterial prostatitis (CBP) Orchitis Benign prostatic hyperplasia (BPH) Epididymitis

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

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

boner

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

Nontender and rubbery

A nurse recognizes that which finding is normal upon palpation of the prostate? Enlarged, smooth, firm, slightly elastic Swollen and tender Nontender and rubbery Hard, fixed, irregular nodules

Dull ache in the lower abdomen

All of the following symptoms are potential indicators of testicular disorders except: Painless testicular swelling Scrotal discomfort Heaviness in the groin Dull ache in the lower abdomen

"The normal testicle contains internal structures that cause lumps on the surface."

A 17-year-old male client expresses concern about feeling lumps on his testicles. What response by the nurse would best address the client's concerns?

Torsion of the spermatic cord

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

For the client with torsion, immediate surgery is necessary to prevent atropy of the spermatic cord and preserve fertility. Analgesics would be given preoperatively. Postoperatively, a scrotal support is applied and dressings are inspected for drainage. Circumcision is done to relieve phimosis or paraphimosis.

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? Prepare the client for surgery. Apply scrotal support. Apply a dressing over the scrotum. Prepare the client for circumcision.

hernia

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 hernia epidermoid cysts

Gonorrhea

A male client is complaining of pain with urination, rectal pain and urethral discharge. The nurse suspects this is what? Gonorrhea Syphilis Chlamydia Scabies

Hypospadias urethral opening found on the underside of the penis

A male infant is born with the urethral meatus opening on the underside of the penis. When providing information to the parents, what is the correct terminology to use for this condition? Epispadias Hypospadias Paraphimosis Phimosis

External hemorrhoid

A nurse examines the anal area of a client and observes the presence of a varicose vein. How should the nurse document this finding? External hemorrhoid Anal fissure Perianal abscess Anorectal fistula

Cryptorchidism a condition in which one or both of the testes fail to descend from the abdomen into the scrotum.

A nurse examines the external genitalia of a client and observes that the scrotum is underdeveloped and the testis cannot be palpated. How should the nurse document this condition? Hydrocele Cryptorchidism Orchitis Epididymitis

Cremasteric reflex "create my own garage"

A nurse examining a client's external genitalia notices that his scrotum and testes draw up and he shivers. This phenomenon is known as which of the following? Cremasteric reflex Patellar reflex Rooting reflex Vasovagal reflex

torsion= twisting

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 patient? Left testicular torsion Epididymitis Testicular cancer Hydrocele

Cryptorchidism= torsion of the spermatic cord,

After teaching a group of student about structural abnormalities of the male reproductive system, the instructor determines that the teaching was successful when the students identify which of the following as an example? Cryptorchidism Erectile dysfunction Prostatitis Priapism

Phimosis (like a fixed foreskin=phhimosis)

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? Peyronie's disease Bowen's disease Phimosis Priapism

Skin lesions

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? Skin lesions Prepuce covering the glans penis Slightly pendulous scrotum Absence of urethral discharge

anal intercourse with other males

During assessment of an adult client, which of the following lifestyle practices would indicate to the nurse that the client may be at high risk for HIV/AIDS? A client who uses a condom on a regular basis. has anal intercourse with other males. smokes marijuana occasionally. has multiple female partners.

prostate enlargement.

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 sexually transmitted disease. inguinal hernia. impotence. prostate enlargement.

Absence of symmetry of the inguinal areas with straining

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

prepuce=foreskin

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? Prepuce Corpus spongiosum Corpus cavernosa Urethral meatus

cancer

On palpation of a client's prostate, a nurse detects hard, fixed, and irregular nodules on the prostate. Which condition should the nurse most suspect in this client? Benign prostatic hypertrophy Hydrocele Acute prostatitis Prostate cancer

Side effects of medications

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 Mental illness Side effects of medications Manic episodes

herps

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

previous problems

The nurse is documenting current health concerns during the health history of an older adult male client. Identification of what may help most at this time? Number of sexual partners Previous problems Sexual preference Number of sexually transmitted infections

High-fat diet

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-fat diet High-calorie High-iron High fiber

Age 60 years or older

The nurse is preparing an instructional session for male clients about preventing penile cancer. Which non-modifiable risk factor should the nurse include in the teaching? Sexual promiscuity Poor personal hygiene Age 60 years or older History of human papilloma virus

hemorrhoids

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 tumors. hemorrhoids. fissures. polyps.

epispadias

What is it called when your pee-hole is on the topside of your dick?

Palpable and tortuous veins

When assessing a client during the physical examination of the genitalia, the nurse palpates the scrotal contents. Which finding should the nurse recognize as an indication that a varicocele is present? Smooth, nontender cord Beaded or thickened cord Left testicle is slightly lower than the right Palpable and tortuous veins

65-year-old Caucasian male whose father had prostate cancer at age 55

Which client should a nurse recognize has the highest risk to develop prostate cancer? 35-year-old African American male with a diet high in fat 65-year-old Caucasian male whose father had prostate cancer at age 55 70-year-old Asian male who is not circumcised and eat a low fat diet 60-year-old male who works in a tire and rubber manufacturing plant

African American men

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

Nocturia

Which of the following is a sign or symptom of benign prostatic hypertrophy (BPH)? Nocturia Weight loss Fever Bone pain

Digital rectal examination

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

herpes infection.

While assessing an adult male client, the nurse detects pimple-like lesions on the client's glans. The nurse explains the need for a referral to the client. The nurse determines that the client has understood the instructions when the client says he may have herpes infection. gonorrhea. syphilis. venereal warts.

blacks

You are giving an educational event to a local men's group about prostate cancer. What group should you be sure to tell the attendees of this event should receive information regarding the predisposition of prostate cancer? African Americans Native Americans Asian Americans Euro-Americans

A varicocele (VAR-ih-koe-seel) is an enlargement of the veins within the loose bag of skin that holds your testicles (scrotum). A varicocele is similar to a varicose vein you might see in your leg. Varicoceles are a common cause of low sperm production and decreased sperm quality, which can cause infertility.

varicocele?

the opening for the pizzer.

what is the urinary meatus?