Chapter 54

The nurse is performing a primary screening for a patient with erectile dysfunction. Which assessments should the nurse perform during the screening? Select all that apply.

-Self-administered assessment -Treatment-related questionnaires -Sexual, health, and psychosocial history

The nurse is educating a patient regarding the treatment of erectile dysfunction (ED). What should the nurse be sure to include when discussing this with the patient? Select all that apply.

-Side effects like headache, dyspepsia, and flushing can occur -Rare side effects like visual disturbances and hearing loss can occur -Patients should immediately seek medical attention in case of priapism

The nurse is caring for a patient with benign prostatic hyperplasia (BPH). Which symptom indicates a partial obstruction may be present?

Difficulty starting to urinate

The nurse is educating a patient with benign prostatic hyperplasia (BPH) regarding the medication he is prescribed. Which statement made by the patient indicates the need for further teaching about the medication?

"Alpha-blockers reduce the size of the prostate."

The nurse is providing discharge instructions to a patient after having a vasectomy. What education should be provided in the discharge teaching?

"You will want to use an alternative form of contraception for six weeks."

The nurse is conducting a health history interview for a patient diagnosed with benign prostatic hyperplasia (BPH). Which questions are appropriate while assessing the patient's cognitive-perceptual pattern? Select all that apply.

-"Do you have bladder discomfort?" -"Do you have a sensation of incomplete voiding?"

The nurse is caring for a patient with orchitis. What treatment should the nurse anticipate educating this patient regarding? Select all that apply.

-Analgesic medication -Antibiotic treatment if organism is known -Bed rest with scrotum elevated on ice pack

The nurse is educating a patient with testicular cancer regarding follow up-care. What should the nurse inform that patient about diagnostic testing that will be performed to detect signs of reoccurrence? Select all that apply.

-Chest x-ray -Regular physical examinations -Assessment of human chorionic gonadotropin (hCG) and alpha-fetoprotein (AFP)

A patient is suspected of having testicular cancer. Which diagnostic tests should the nurse prepare the patient for that will deliver confirmation of the diagnosis and detection of metastasis? Select all that apply.

-Chest x-ray -Ultrasound of the testes -CT-scan of abdomen and pelvis -Blood tests to detect tumor markers

A male patient presents with severe scrotal pain, tenderness, swelling, nausea, and vomiting. Urinary symptoms, fever, and white blood cells (WBCs) or bacteria in the urine are absent. Which findings in the patient would indicate a testicular torsion? Select all that apply.

-Cremasteric reflex is absent on the side of the swelling -Scrotal pain does not reduce on elevation of the scrotum -Doppler ultrasound of the testes shows decreased blood flow.

A patient presents with a lump in the scrotum. Which findings would lead the nurse to suspect testicular cancer? Select all that apply.

-Feeling of heaviness -Aching in lower abdomen -Nontender and firm scrotal mass

A patient with an acute inflammation of the testes is diagnosed with orchitis. When taking medical history, about which conditions should the nurse inquire to find the possible cause of orchitis? Select all that apply.

-Mumps -Syphilis -Tuberculosis

A patient is being treated with chemotherapy for testicular cancer. What side effects should the nurse monitor closely for? Select all that apply.

-Nerve damage -Kidney damage -Pulmonary toxicity

A patient arrives in the emergency department reporting severe scrotal pain, nausea, and vomiting that began one hour ago. For which diagnostic tests should the nurse prepare the patient? Select all that apply.

-Nuclear scan -Doppler ultrasound

When teaching a patient with testicular cancer about possible treatment options and their corresponding effects on sexual function, which should the nurse discuss with the patient? Select all that apply.

-Testicular cancer treatment involves high risk of infertility -Consider cryopreservation of sperm in a sperm bank before treatment -Retroperitoneal lymph node dissection can result in ejaculatory dysfunction

A patient informs the nurse they have a loss of libido, inability to sustain an erection, fatigue, and mood swings, and laboratory tests show that testosterone levels are 190 ng/dL. Which medications will the nurse educate the patient about that are beneficial to treat the patient's condition? Select all that apply.

-Testim -Acetonide -Androderm

When teaching patients about the use of the drug sildenafil, which instructions should the nurse include in the teaching? Select all that apply.

-The drug should only be taken once a day -The drug is contraindicated in patients taking nitrates -The drug may cause an erection lasting more than four hours -The drug should be taken 30 to 60 minutes before sexual activity

When teaching a patient about testicular self-examination, which observations should the nurse identify as normal findings? Select all that apply.

-The testes are pain free -The testis feels round and smooth -One testis may be larger than the other

A nurse planning a community health program on cancer awareness includes the need for testicular self-examination. What target age group would have the highest priority for this educational program?

15 to 35 years

The nurse is caring for a patient with severe symptoms of benign prostatic hyperplasia (BPH). What might be the American Urological Association (AUA) symptom score?

25

A male patient reports fever, dysuria, and cloudy urine. What additional information may indicate that these manifestations may be something other than a urinary tract infection (UTI)?

A very tender prostate gland

The nurse is educating a patient regarding erectile dysfunction. What risk factor should the nurse be sure to discuss with the patient?

Atherosclerosis

Which part in the image causes testicular torsion?

B

A patient has been diagnosed with benign prostatic hyperplasia (BPH). About which medication will the nurse educate the patient that will help reduce the size of the prostate gland?

Dutasteride

The nurse is reviewing the medication administration record for a patient with benign prostatic hypertrophy. Which medication inhibits of the synthesis of dihydrotestosterone?

Finasteride

A patient is experiencing hot flashes, loss of libido, gynecomastia, and erectile dysfunction. What androgen deprivation therapy medication should the nurse educate the patient about?

Goserelin

The nurse is assessing a male patient with a large mass of the scrotum. Transillumination with a flashlight is used. What does the nurse suspect is occurring with this patient?

Hydrocele

The nurse is educating a patient scheduled for a procedure to destroy or cut a portion of the prostate. About what procedure will the nurse educate the patient?

Laser prostatectomy

A patient reports an inability to attain erection, and the health care provider suspects a change in axial rigidity. For which diagnostic test will the nurse prepare the patient that is beneficial for diagnosis?

Nocturnal penile tumescence

A patient is experiencing dribbling, dysuria, nocturia, and hesitancy and has elevated levels of the prostatic isoenzyme, serum acid phosphatase. For what procedure should the nurse prepare this patient?

Orchiectomy

The nurse is providing care to a patient who reports a tightened penile foreskin. When assessing this patient, the nurse is unable to pull the foreskin forward from the retracted position. Based on these data, which diagnosis does the nurse anticipate?

Paraphimosis

The nurse is providing care to a patient with erectile dysfunction that has been taking pharmacologic therapy without success. Which highly invasive intervention with potential complication should the nurse discuss with the patient?

Penile implant

The nurse is assessing a male patient and suspects paraphimosis. What physical finding causes the nurse to determine this?

Permanent retracted position of the foreskin behind the penis

A patient informs the nurse that during an erection, his penis curves downward causing pain. What condition does the nurse suspect that this patient has?

Peyronie's disease

The nurse is preparing a male patient for therapy to treat castration-resistant prostate cancer. What therapy should the nurse educate the patient about?

Radiotherapy

A male patient has human immunodeficiency virus (HIV) infection. When educating the patient regarding risk factors for the development of opportunistic diseases, what should the nurse include in the education?

Testicular cancer

The nurse observes that a male child has the urethral meatus on the ventral surface of the penis. What condition does the nurse document this child has?

The child has hypospadias

The nurse is caring for a patient who is newly diagnosed with an enlarged prostate. Which test does the nurse expect the health care provider to order to differentiate benign prostate hypertrophy (BPH) from prostate cancer?

Transrectal ultrasound

A patient diagnosed with prostate cancer has enlarged prostate symmetry that is similar to that of benign prostatic hyperplasia (BPH). Which diagnostic test would the nurse review that is used to differentiate prostate cancer from BPH?

Transrectal ultrasound (TRUS)

A patient had an abnormal digital rectal exam (DRE) followed by an elevated prostate specific antigen (PSA). For what diagnostic study will the nurse prepare the patient after receiving these results?

Transrectal ultrasound (TRUS)

The nurse is providing care to a patient with benign prostatic hyperplasia. When planning the patient's care, which treatment technique does the nurse anticipate because it is the least invasive?

Transurethral needle ablation

The nurse is preparing a patient for a cystoscopy in order to remove prostate tissue. What procedure does the nurse anticipate the healthcare provider will use to treat this patient?

Transurethral resection of prostate (TURP)

A patient reports feeling a painless lump in the scrotum with swelling and a feeling of heaviness and dull pain in the lower abdomen. Which diagnostic study does the nurse prepare the patient for to diagnose the problem?

Ultrasound

A male patient is infertile after having mumps as a child. Which disorder should the nurse inform the patient might occur related to the infertility?

Varicocele