Male Reproductive Disorders

Which treatment involves implantation of interstitial radioactive seeds under anesthesia to treat prostate cancer? 1- Hormone therapy 2- Brachytherapy 3- Teletherapy 4- Chemotherapy

2

Which component of client teaching helps the nurse assist a client following treatment for cancer of the prostate gland to manage and minimize the possibility of a recurrence of the primary cancer or metastasis? 1- Have regular prostate-specific antigen (PSA) levels tested and repeat lymph node biopsies. 2- Avoid sexual intercourse for at least 2 years. 3- Undertake pelvic floor retraining exercises. 4- Avoid strenuous exercises, especially lifting.

1

Which of the following herbal remedies is used to treat symptoms of benign prostatic hypertrophy (BPH)? 1- Saw palmetto 2- Garlic 3- Gingko 4- Green tea

1

Which of the following may result if prostate cancer invades the urethra or bladder? 1- Hematuria 2- Backache 3- Hip pain 4- Rectal discomfort

1

A nurse is conducting an exam of a male client's reproductive system. Which finding would the nurse interpret as a normal age-related change? Select all that apply. 1- reports of taking longer to achieve an erection 2- urinary frequency 3- dysuria 4- testicular enlargement 5- reports of decreased libido

1,2,5

A 68-year-old man comes to the clinic complaining that he is having difficulty obtaining an erection. When reviewing the patient's history, what might the nurse note that contributes to erectile dysfunction? 1- Recent antibiotic use 2- History of heavy alcohol use 3- Increasing age 4- Lack of exercise

2

The nurse is obtaining a medication history from a client who is reporting erectile dysfunction. Which medication would the nurse identify as being least likely to contribute to the client's condition? 1- Spironolactone 2- Cimetidine 3- Ibuprofen 4- Methyldopa

3

The nurse is obtaining a health history from a 58-year-old client stating that he is having 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. 1- Asthma with beta-adrenergic inhaler use 2- Hypotension with nitrate use 3- Chronic pain with narcotic use

2

Which assessment finding would create the greatest risk to a client ordered a phosphodiesterase inhibitor such as sildenafil? 1- Use of nitrates 2- History of hypertension 3- Type 2 diabetes 4- Use of diuretics

1

The obstructive and irritative symptom complex caused by benign prostatic hypertrophy is called 1- prostatitis. 2- prostatism. 3- prostaglandin. 4- prostatectomy.

2

When assessing a client with benign prostatic hyperplasia, which of the following would the nurse expect the client to report as the initial complaint? 1- Dark brown urine 2- Increased effort to void 3- Narrowing of urinary stream 4- Nocturia

2

Which nursing assessment finding is most significant in determining the plan of care in a client with erectile dysfunction? 1- Age 2- Medication use 3- Sexual history 4- Undescended testicle

2

A 44-year-old man admits to his nurse that he has been having difficulty attaining and maintaining an erection for the past few years. The patient states that he is deeply embarrassed about this problem and has not previously discussed it with anyone. How can the nurse most accurately respond to this patient's statement? 1- "You're not alone in this. About half of all men over 40 experience this problem at some point." 2- "The important thing is to relax and not think about the problem, because

1

A 61-year-old man's elevated prostate screening antigen (PSA) levels and abnormal digital rectal examination (DRE) results prompted his care provider to refer him for treatment. The patient has subsequently been diagnosed with prostate cancer and is scheduled for surgery. The nurse should recognize that this patient's plan of nursing care should include interventions to address what potential long-term complication of prostate surgery? 1- Erectile dysfunction 2- Stress incontinence 3- Urge inco

1

A 65-year-old man 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? 1- Hyperplasia of the prostate gland 2- Thickening of the seminiferous tubules 3- Fibrotic changes of the corpora cavernosa 4- Hypogonadism

1

A client with a history of hypertension and heart disease is being seen by the urologist because of erectile dysfunction. What would be the most likely cause of the client's erectile dysfunction? 1- All options are correct. 2- hypertension medication 3- atherosclerosis 4- depression

1

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? 1- Discontinue the irrigations. 2- Increase the rate of the IV fluids. 3- Administer a unit of packed red blood cells. 4- Prepare the patient for an ECG.

1

A patient on a surgery unit is received continuous bladder irrigation (CBI) to prevent clots in the hours following prostate surgery. Consequently, the nurse is carefully monitoring the patient's intake and output and documenting this hourly. Over the past hour, 3,000 mL of irrigant has infused and 3,150 mL of output has been drained from the patient's collection bag. How should the nurse document this patient's hourly urine output? 1- 150 mL 2- 3150 mL 3- 2850 mL 4- 75 mL

1

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: 1- continuous inflow and outflow of irrigation solution. 2- intermittent inflow and continuous outflow of irrigation solution. 3- continuous inflow and intermittent outflow of irrigation solution. 4- intermittent flow of irrigation solution and prevention of hemorrhage.

1

Consuming a diet high in which of the following has been found to increase the risk for prostate cancer? 1- Red meats 2- Green leafy vegetables 3- Carbohydrates 4- Whole grains

1

Erectile dysfunction would not be characterized as the inability to: 1- achieve an erection after sexual activity. 2- achieve an erection. 3- achieve or maintain an erection that is sufficiently rigid for sexual activity. 4- sustain erection for a satisfactory period of time.

1

The client with benign prostatic hyperplasia (BPH) is considering use of medication in the management of symptoms. Which of the following drugs reduces the size of the prostate without lowering circulating levels of testosterone? 1- Finasteride (Proscar) 2- Tamsulosin (Flomax) 3- Terazosin (Hytrin) 4- Oxybutynin chloride (Ditropan)

1

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? 1- Monthly testicular self-examination (TSE) 2- Annual digital rectal examination (DRE) after age 35 years 3- Annual prostate-specific antigen (PSA) testing after age 40 years 4- Transrectal ultrasound every 5 years after age 50 years

1

A patient is recovering in the PACU following a transurethral resection of the prostate (TURP). The patient is receiving continuous bladder irrigation (CBI), and the nurse has observed several clots in the collection bag and tubing. In the last few minutes, output has ceased despite the continued infusion of normal saline through the patient's triple-lumen urinary catheter. How should the nurse respond to this assessment finding?

Manually irrigate the patient's catheter with normal saline.