MED SURG 2 CH. 54// EXAM 4

What accurately describes prostate cancer detection and/or treatment (select all that apply)? a. The symptoms of pelvic or perineal pain, fatigue, and malaise may be present. b. Palpation of the prostate reveals hard and asymmetric enlargement with areas of induration or nodules. c. Orchiectomy is a treatment option for all patients with prostatic cancer except those with stage IV tumors. d. The preferred hormonal therapy for treatment of prostate cancer includes estrogen and androgen receptor blockers. e. Early detection of cancer of the prostate is increased with annual rectal examinations and serum prostatic acid phosphatase (PAP) measurements. f. An annual prostate examination is recommended starting at age 45 for African American men because of the increased mortality rate from prostatic cancer in this population.

A, B, F

Which factors would place a patient at higher risk for prostate cancer? SATA a. older than 65 years b. asian or native american c. long-term use of indwelling urethral catheter d. father diagnosed and treated for early stage prostate cancer e. previous history of undescended testicle and testicular cancer.

A, D

Which therapies for BPH are done on an outpatient basis (select all that apply)? a. Intraprostatic urethral stents b. Transurethral needle ablation (TUNA) c. Transurethral incision of prostate (TUIP) d. Transurethral microwave therapy (TUMT) e. Visual laser ablation of the prostate (VLAP)

B, C, D

Which characteristics describe transurethral resection of the prostate (TURP) (select all that apply)? a. Best used for a very large prostate gland b. Inappropriate for men with rectal problems c. Involves an external incision prostatectomy d. Uses transurethral incisions into the prostate e. Most common surgical procedure to treat BPH f. Resectoscopic excision and cauterization of prostate tissue

E, F

The following male patients recently arrived in the emergency department. Which one should the nurse assess first? a. 19-year-old who is complaining of severe scrotal pain b. 60-year-old with a nontender ulceration of the glans penis c. 22-year-old who has purulent urethral drainage and back pain d. 64-year-old who has dysuria after brachytherapy for prostate cancer

a. 19-year-old who is complaining of severe scrotal pain

Several patients call the urology clinic requesting appointments with the health care provider as soon as possible. Which patient will the nurse schedule to be seen first? a. 22-year-old who has noticed a firm, nontender lump on his scrotum b. 35-year-old who is concerned that his scrotum feels like a bag of worms c. 40-year-old who has pelvic pain while being treated for chronic prostatitis d. 70-year-old who is reporting frequent urinary dribbling after a prostatectomy

a. 22-year-old who has noticed a firm, nontender lump on his scrotum

What is the effect of finasteride (Proscar) in the treatment of BPH? a. A reduction in the size of the prostate gland b. Relaxation of the smooth muscle of the urethra c. Increased bladder tone that promotes bladder emptying d. Relaxation of the bladder detrusor muscle promoting urine flow

a. A reduction in the size of the prostate gland

A patient with urinary obstruction from benign prostatic hyperplasia (BPH) tells the nurse, My symptoms are much worse this week. Which response by the nurse is most appropriate? a. Have you been taking any over-the-counter (OTC) medications recently? b. I will talk to the doctor about ordering a prostate specific antigen (PSA) test. c. Have you talked to the doctor about surgery such as transurethral resection of the prostate (TURP)? d. The prostate gland changes in size from day to day, and this may be making your symptoms worse.

a. Have you been taking any over-the-counter (OTC) medications recently?

A 70-year-old patient who has had a transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH) is being discharged from the hospital today, The nurse determines that additional instruction is needed when the patient says which of the following? a. I should call the doctor if I have incontinence at home. b. I will avoid driving until I get approval from my doctor. c. I will increase fiber and fluids in my diet to prevent constipation. d. I should continue to schedule yearly appointments for prostate exams.

a. I should call the doctor if I have incontinence at home.

A patient is seeking medical intervention for erectile dysfunction. Why should he be thoroughly evaluated? a. It is important to determine if ED is reversible before treatment is started. b. Psychologic counseling can reverse the problem in 80% to 90% of the cases. c. New invasive and experimental techniques currently used have unknown risks. d. Most treatments for erectile dysfunction are contraindicated in patients with systemic diseases.

a. It is important to determine if ED is reversible before treatment is started.

Which information will the nurse plan to include when teaching a community health group about testicular self-examination? a. Testicular self-examination should be done in a warm room. b. The only structure normally felt in the scrotal sac is the testis. c. Testicular self-examination should be done at least every week. d. Call the health care provider if one testis is larger than the other

a. Testicular self-examination should be done in a warm room.

A 47-year-old patient who is experiencing andropause has decided to try the testosterone gel Testim. What should the nurse teach the patient and his wife about this gel? a. Wash the hands with soap and water after applying it. b. His wife should apply it to help him feel better about using it. c. Do not wear clothing over the area until it has been absorbed. d. The gel may be taken buccally if it is not effective on the abdomen.

a. Wash the hands with soap and water after applying it.

A patient scheduled for a prostatectomy for prostate cancer expresses fear that he will have ED. In responding to this patient, the nurse should keep in mind that: a. erectile dysfunction can occur even with a nerve-sparing procedure b. retrograde ejaculation affects sexual function more frequently than erectile dysfunction c. the most common complication of this surgery is postoperative bowel incontinence d. preoperative sexual function is the most important factor in determining postoperative ED.

a. erectile dysfunction can occur even with a nerve-sparing procedure

The nurse will inform a patient with cancer of the prostate that side effects of leuprolide (Lupron) may include a. flushing. b. dizziness. c. infection. d. incontinence.

a. flushing. Hot flashes may occur with decreased testosterone production. Dizziness may occur with the alpha-blockers used for benign prostatic hyperplasia (BPH). Urinary incontinence may occur after prostate surgery, but it is not an expected side effect of medication. Risk for infection is increased in patients receiving chemotherapy.

The symptoms of BPH are primarily caused by a. obstruction of the urethra b.untreated chronic prostatitis c.decreased bladder compliance d.excessive secretion of testosterone

a. obstruction of the urethra

The nurse will plan to provide teaching for a 67-year-old patient who has been diagnosed with orchitis about a. pain management. b. emergency surgical repair. c. application of heat to the scrotum. d. aspiration of fluid from the scrotal sac.

a. pain management.

When performing discharge teaching for a patient after a vasectomy, the nurse instructs the patient that he a. should continue to use other methods of birth control for 6 weeks. b. should not have sexual intercourse until his 6-week follow-up visit. c. may have temporary erectile dysfunction (ED) because of swelling. d. will notice a decrease in the appearance and volume of his ejaculate.

a. should continue to use other methods of birth control for 6 weeks.

The nurse explains to the patient with chronic bacterial prostatitis who is undergoing antibiotic therapy that (SATA) a. all patients require hospitalization b. pain will lessen once treatment has ended c. course of treatment is generally 2-4 weeks d. long-term therapy may be indicated in immunocompromised patients e. if the condition is unresolved and untreated he is at risk for prostate cancer.

b, d

The nurse should explain to the patient who has ED that (SATA) a. the most common cause is BPH b. ED may be due to medications or conditions such as diabetes c. only men who are over 65 years or older benefit from PDE5 inhibitors d. there are medications and devices that can be used to help with erections e. this condition is primarily due to anxiety and best treated with psychotherapy

b, d

The nurse provides discharge teaching to a patient following a TURP and determines that the patient understands theinstructions when he makes which statement? a. "I should use daily enemas to avoid straining until healing is complete." b. "I should avoid heavy lifting, climbing, and driving until my follow-up visit." c. "At least I don't have to worry about developing cancer of the prostate now." d. "Every day I should drink 10 to 12 glasses of liquids such as coffee, tea, or soft drinks."

b. "I should avoid heavy lifting, climbing, and driving until my follow-up visit."

The nurse in the clinic notes elevated prostate specific antigen (PSA) levels in the laboratory results of these patients. Which patients PSA result is most important to report to the health care provider? a. A 38-year-old who is being treated for acute prostatitis b. A 48-year-old whose father died of metastatic prostate cancer c. A 52-year-old who goes on long bicycle rides every weekend d. A 75-year-old who uses saw palmetto to treat benign prostatic hyperplasia (BPH)

b. A 48-year-old whose father died of metastatic prostate cancer

The nurse in a health clinic receives requests for appointments from several patients. Which patient should be seen by the health care provider first? a. A 48-year-old man who has perineal pain and a temperature of 100.4 F b. A 58-year-old man who has a painful erection that has lasted over 6 hours c. A 38-year-old man who states he had difficulty maintaining an erection last night d. A 68-year-old man who has pink urine after a transurethral resection of the prostate (TURP) 3 days ago

b. A 58-year-old man who has a painful erection that has lasted over 6 hours

A 58-year-old man with erectile dysfunction (ED) tells the nurse he is interested in using sildenafil (Viagra). Which action should the nurse take first? a. Assure the patient that ED is common with aging. b. Ask the patient about any prescription drugs he is taking. c. Tell the patient that Viagra does not always work for ED. d. Discuss the common adverse effects of erectogenic drugs.

b. Ask the patient about any prescription drugs he is taking.

A 27-year-old man who has testicular cancer is being admitted for a unilateral orchiectomy. The patient does not talk to his wife and speaks to the nurse only to answer the admission questions. Which action is best for the nurse to take? a. Teach the patient and the wife that impotence is unlikely after unilateral orchiectomy. b. Ask the patient if he has any questions or concerns about the diagnosis and treatment. c. Document the patients lack of communication on the chart and continue preoperative care. d. Inform the patients wife that concerns about sexual function are common with this diagnosis.

b. Ask the patient if he has any questions or concerns about the diagnosis and treatment.

Priority Decision: A patient with continuous bladder irrigation following a prostatectomy tells the nurse that he has bladder spasms and leaking of urine around the catheter. What should the nurse do first? a. Slow the rate of the irrigation. b. Assess the patency of the catheter. c. Encourage the patient to try to urinate around the catheter. d. Administer a belladonna and opium (B&O) suppository as prescribed.

b. Assess the patency of the catheter.

A 58-year-old patient who has been recently diagnosed with benign prostatic hyperplasia (BPH) tells the nurse that he does not want to have a transurethral resection of the prostate (TURP) because it might affect his ability to maintain an erection during intercourse. Which action should the nurse take? a. Provide teaching about medications for erectile dysfunction (ED). b. Discuss that TURP does not commonly affect erectile function. c. Offer reassurance that sperm production is not affected by TURP. d. Discuss alternative methods of sexual expression besides intercourse.

b. Discuss that TURP does not commonly affect erectile function.

A 22-year-old man tells the nurse at the health clinic that he has recently had some problems with erectile dysfunction. Which question should the nurse ask first to assess for possible etiologic factors? a. Do you experience an unusual amount of stress? b. Do you use any recreational drugs or drink alcohol? c. Do you have chronic cardiovascular or peripheral vascular disease? d. Do you have a history of an erection that lasted for 6 hours or more?

b. Do you use any recreational drugs or drink alcohol?

A 71-year-old patient who has benign prostatic hyperplasia (BPH) with urinary retention is admitted to the hospital with elevated blood urea nitrogen (BUN) and creatinine. Which prescribed therapy should the nurse implement first? a. Infuse normal saline at 50 mL/hr. b. Insert a urinary retention catheter. c. Draw blood for a complete blood count. d. Schedule a pelvic computed tomography (CT) scan.

b. Insert a urinary retention catheter.

. When caring for a patient with continuous bladder irrigation after having transurethral resection of the prostate, which action could the nurse delegate to unlicensed assistive personnel (UAP)? a. Teach the patient how to perform Kegel exercises. b. Report any complaints of pain or spasms to the nurse. c. Monitor for increases in bleeding or presence of clots. d. Increase the flow rate of the irrigation if clots are noted.

b. Report any complaints of pain or spasms to the nurse.

Before undergoing a TURP, what should the patient be taught? a. Some degree of urinary incontinence is likely to occur. b. This surgery results in some degree of retrograde ejaculation. c. Erectile dysfunction is a common complication of this prostate surgery. d. An indwelling catheter will be used to maintain urinary output until healing is complete.

b. This surgery results in some degree of retrograde ejaculation.

Which treatment for BPH uses a low-wave radiofrequency to precisely destroy prostate tissue? a. Laser prostatectomy b. Transurethral needle ablation (TUNA) c. Transurethral microwave thermotherapy (TUMT) d. Transurethral electrovaporization of prostate (TUVP)

b. Transurethral needle ablation (TUNA)

The health care provider prescribes finasteride (Proscar) for a 67-year-old patient who has benign prostatic hyperplasia (BPH). When teaching the patient about the drug, the nurse informs him that a. he should change position from lying to standing slowly to avoid dizziness. b. his interest in sexual activity may decrease while he is taking the medication. c. improvement in the obstructive symptoms should occur within about 2 weeks. d. he will need to monitor his blood pressure frequently to assess for hypertension.

b. his interest in sexual activity may decrease while he is taking the medication.

The nurse will plan to teach the patient scheduled for photovaporization of the prostate (PVP) a. that urine will appear bloody for several days. b. how to care for an indwelling urinary catheter. c. that symptom improvement takes 2 to 3 weeks. d. about complications associated with urethral stenting

b. how to care for an indwelling urinary catheter.

A 52-year-old man tells the nurse that he decided to seek treatment for erectile dysfunction (ED) because his wife is losing patience with the situation. The most appropriate nursing diagnosis for the patient is a. situational low self-esteem related to effects of ED. b. ineffective role performance related to effects of ED. c. anxiety related to inability to have sexual intercourse. d. ineffective sexuality patterns related to infrequent intercourse.

b. ineffective role performance related to effects of ED.

A 57-year-old patient is incontinent of urine following a radical retropubic prostatectomy. The nurse will plan to teach the patient a. to restrict oral fluid intake. b. pelvic floor muscle exercises. c. to perform intermittent self-catheterization. d. the use of belladonna and opium suppositories.

b. pelvic floor muscle exercises.

The nurse performing a focused examination to determine possible causes of infertility will assess for a. hydrocele. b. varicocele. c. epididymitis. d. paraphimosis.

b. varicocele.

Serum tumor markers that may be elevated on diagnosis of testicular cancer and used to monitor the response to therapy include a. tumor necrosis factor (TNF) and C-reactive protein (CRP). b. α-fetoprotein (AFP) and human chorionic gonadotropin (hCG). c. prostate-specific antigen (PSA) and prostate acid phosphatase (PAP). d. carcinoembryonic antigen (CEA) and antinuclear antibody (ANA).

b. α-fetoprotein (AFP) and human chorionic gonadotropin (hCG).

The nurse teaches the patient having a vasectomy that what occurs after the procedure? a. The amount of ejaculate will be noticeably decreased. b. He may have difficulty maintaining an erection for several months. c. An alternative form of contraception must be used for 6 to 8 weeks. d. The testes will gradually decrease production of sperm and testosterone.

c. An alternative form of contraception must be used for 6 to 8 weeks.

After reviewing the electronic medical record shown in the accompanying figure for a patient who had transurethral resection of the prostate the previous day, which information requires the most rapid action by the nurse? a. Elevated temperature b. Respiratory rate and lung sounds c. Bladder spasms and decreased urine output d. No prescription for antihypertensive drugs

c. Bladder spasms and decreased urine output

The health care provider prescribes the following interventions for a patient with acute prostatitis caused by E. coli. Which intervention should the nurse question? a. Instruct patient to avoid sexual intercourse until treatment is complete. b. Administer ibuprofen (Advil) 400 mg every 8 hours as needed for pain. c. Catheterize the patient as needed if symptoms of urinary retention develop. d. Give trimethoprim/sulfamethoxazole (Bactrim) DS 1 tablet daily for 28 days.

c. Catheterize the patient as needed if symptoms of urinary retention develop.

When obtaining the pertinent health history for a man who is being evaluated for infertility, which question is most important for the nurse to ask? a. Are you circumcised? b. Have you had surgery for phimosis? c. Do you use medications to improve muscle mass? d. Is there a history of prostate cancer in your family?

c. Do you use medications to improve muscle mass?

On admission to the ambulatory surgical center, a patient with BPH informs the nurse that he is going to have a laser treatment of his enlarged prostate. The nurse plans patient teaching with the knowledge that the patient will need to know what? a. The effects of general anesthesia b. The possibility of short-term incontinence c. Home management of an indwelling catheter d. Monitoring for postoperative urinary retention

c. Home management of an indwelling catheter

Following a TURP, a patient has continuous bladder irrigation. Four hours after surgery, the catheter is draining thick, bright red clots and tissue. What should the nurse do? a. Release the traction on the catheter. b. Manually irrigate the catheter until the drainage is clear. c. Increase the rate of the irrigation and take the patient's vital signs. d. Clamp the drainage tube and notify the patient's health care provider.

c. Increase the rate of the irrigation and take the patient's vital signs.

Which information will the nurse teach a patient who has chronic prostatitis? a. Ibuprofen (Motrin) should provide good pain control. b. Prescribed antibiotics should be taken for 7 to 10 days. c. Intercourse or masturbation will help relieve symptoms. d. Cold packs used every 4 hours will decrease inflammation

c. Intercourse or masturbation will help relieve symptoms. Ejaculation helps drain the prostate and relieve pain. Warm baths are recommended to reduce pain.

Priority Decision: When caring for a patient following a radical prostatectomy with a perineal approach, what is the priority nursing intervention the nurse should use to prevent complications? a. Use chemotherapeutic agents to prevent metastasis. b. Administer sildenafil (Viagra) as needed for erectile dysfunction. c. Provide wound care after each bowel movement to prevent infection. d. Insert a smaller indwelling urinary catheter to prevent urinary retention.

c. Provide wound care after each bowel movement to prevent infection.

A 55-year-old man with a history of prostate cancer in his family asks the nurse what he can do to decrease the risk of prostate cancer. What should the nurse teach him about prostate cancer risks? a. Nothing can decrease the risk because prostate cancer is primarily a disease of aging. b. Treatment of any enlargement of the prostate gland will help to prevent prostate cancer. c. Substituting fresh fruits and vegetables for high-fat foods in the diet may lower the risk of prostate cancer. d. Using a natural herb, saw palmetto, has been found to be an effective protection against prostate cancer.

c. Substituting fresh fruits and vegetables for high-fat foods in the diet may lower the risk of prostate cancer.

. Which action by the unlicensed assistive personnel (UAP) who are assisting with the care of patients with male reproductive problems indicates that the nurse should provide more teaching? a. The UAP apply a cold pack to the scrotum for a patient with mumps orchitis. b. The UAP help a patient who has had a prostatectomy to put on antiembolism hose. c. The UAP leave the foreskin pulled back after cleaning the glans of a patient who has a retention catheter. d. The UAP encourage a high oral fluid intake for patient who had transurethral resection of the prostate yesterday.

c. The UAP leave the foreskin pulled back after cleaning the glans of a patient who has a retention catheter.

The extent of urinary obstruction caused by BPH can be determined by which diagnostic study? a. A cystometrogram b. Transrectal ultrasound c. Uroflowmetry d. Postvoiding catheterization

c. Uroflowmetry

What describes hypospadias? a. Scrotal lymphedema b. Undescended testicle c. Ventral urinary meatus d. Inflammation of the prepuce

c. Ventral urinary meatus

To decrease the patients discomfort over care related to his reproductive organs, the nurse should a. relate his sexual concerns to his sexual partner b. arrange to have male nurses care for the patient c. maintain a nonjudgmental attitude toward his sexual practices d. use technical terminology when discussing reproductive function

c. maintain a nonjudgmental attitude toward his sexual practices

A patient returning from surgery for a perineal radical prostatectomy will have a nursing diagnosis of risk for infection related to a. urinary incontinence. b. prolonged urinary stasis. c. possible fecal wound contamination. d. placement of a suprapubic bladder catheter.

c. possible fecal wound contamination.

A 53-year-old man is scheduled for an annual physical exam. The nurse will plan to teach the patient about the purpose of a. urinalysis collection. b. uroflowmetry studies. c. prostate specific antigen (PSA) testing. d. transrectal ultrasound scanning (TRUS).

c. prostate specific antigen (PSA) testing.

The nurse taking a focused health history for a patient with possible testicular cancer will ask the patient about a history of a. testicular torsion. b. testicular trauma. c. undescended testicles. d. sexually transmitted infection (STI).

c. undescended testicles. Cryptorchidism is a risk factor for testicular cancer if it is not corrected before puberty. STI, testicular torsion, and testicular trauma are risk factors for other testicular conditions but not for testicular cancer.

When taking a nursing history from a patient with BPH, the nurse would expect the patient to report a. nocturia, dysuria, and bladder spasms. b. urinary frequency, hematuria, and perineal pain c. urinary hesitancy, postvoid dribbling, and weak urinary stream. d. urinary urgency with a forceful urinary stream and cloudy urine.

c. urinary hesitancy, postvoid dribbling, and weak urinary stream.

When teaching a patient testicular self-examination, the nurse instructs the patient to report which finding? a. An irregular-feeling epididymis b. One testis larger than the other c. The spermatic cord within the testicle d. A firm, nontender nodule on the testis

d. A firm, nontender nodule on the testis

A patient asks the nurse what the difference is between benign prostatic hyperplasia (BPH) and prostate cancer. The best response by the nurse includes what information about BPH? a. BPH is a benign tumor that does not spread beyond the prostate gland. b. BPH is a precursor to prostate cancer but does not yet show any malignant changes. c. BPH is an enlargement of the gland caused by an increase in the size of existing cells. d. BPH is a benign enlargement of the gland caused by an increase in the number of normal cells.

d. BPH is a benign enlargement of the gland caused by an increase in the number of normal cells.

Which information about continuous bladder irrigation will the nurse teach to a patient who is being admitted for a transurethral resection of the prostate (TURP)? a. Bladder irrigation decreases the risk of postoperative bleeding. b. Hydration and urine output are maintained by bladder irrigation. c. Antibiotics are infused continuously through the bladder irrigation. d. Bladder irrigation prevents obstruction of the catheter after surgery.

d. Bladder irrigation prevents obstruction of the catheter after surgery.

What is the most common screening intervention for detecting BPH in men over age 50? a. PSA level b. Urinalysis c. Cystoscopy d. Digital rectal examination

d. Digital rectal examination

After a transurethral resection of the prostate (TURP), a 64-year-old patient with continuous bladder irrigation complains of painful bladder spasms. The nurse observes clots in the urine. Which action should the nurse take first? a. Increase the flow rate of the bladder irrigation. b. Administer the prescribed IV morphine sulfate. c. Give the patient the prescribed belladonna and opium suppository. d. Manually instill and then withdraw 50 mL of saline into the catheter.

d. Manually instill and then withdraw 50 mL of saline into the catheter.

What differentiates chronic bacterial prostatitis from acute prostatitis? a. Postejaculatory pain b. Frequency, urgency, and dysuria c. Symptoms of a urinary tract infection (UTI) d. Most common reason for recurrent UTIs in adult men

d. Most common reason for recurrent UTIs in adult men

What is an explanation that the nurse should give to the patient who asks what his diagnosis of paraphimosis means? a. Painful, prolonged erection b. Inflammation of the epididymis c. Painful downward curvature of an erect penis d. Retracted tight foreskin preventing return over the glans

d. Retracted tight foreskin preventing return over the glans

The couple has not been able to become pregnant. The wife has not been diagnosed with any infertility problems.Which treatment will the nurse expect to teach the couple about if the problem is the most common testicular problem causing male infertility? a. Antibiotics b. Semen analysis c. Avoidance of scrotal heat d. Surgery to correct the problem

d. Surgery to correct the problem

The cremasteric reflex is absent in which problem of the scrotum and testes? a. Hydrocele b. Varicocele c. Spermatocele d. Testicular torsion

d. Testicular torsion

A 66-year-old male patient is experiencing erectile dysfunction (ED). He and his wife have used tadalafil (Cialis) but because he experienced priapism, they have decided to change their treatment option to an intraurethral device. How should the nurse explain how this device works? a. The device relaxes smooth muscle in the penis. b. Blood is drawn into corporeal bodies and held with a ring. c. The device is implanted into corporeal bodies to firm the penis. d. The device directly applies drugs that increase blood flow in the penis.

d. The device directly applies drugs that increase blood flow in the penis.

Which assessment information is most important for the nurse to report to the health care provider when a patient asks for a prescription for testosterone replacement therapy (TRT)? a. The patient has noticed a decrease in energy level for a few years. b. The patients symptoms have increased steadily over the last few years. c. The patient has been using sildenafil (Viagra) several times every week. d. The patient has had a gradual decrease in the force of his urinary stream.

d. The patient has had a gradual decrease in the force of his urinary stream.

Postoperatively, a patient who has had a laser prostatectomy has continuous bladder irrigation with a three-way urinary catheter with a 30ml balloon. When he complains of bladder spasms with the catheter in place the nurse should a. deflate the catheter balloon to 10ml to decrease bulk in bladder b. deflate the catheter balloon and then reinflate to ensure that it is patent c. encourage the patient to try to have a bowel movement to relieve colon pressure d. explain that this feeling is normal and that he should not try to urinate around the catheter

d. explain that this feeling is normal and that he should not try to urinate around the catheter

To determine the severity of the symptoms for a 68-year-old patient with benign prostatic hyperplasia (BPH) the nurse will ask the patient about a. blood in the urine. b. lower back or hip pain. c. erectile dysfunction (ED). d. force of the urinary stream.

d. force of the urinary stream.

In assessing a patient for testicular cancer, the nurse understands that the manifestations of this disease often include a. acute back spasms and testicular pain b. rapid onset of scrotal swelling and fever c. fertility problem and bilateral scrotal tenderness d. painless mass and heaviness sensation in the scrotal area.

d. painless mass and heaviness sensation in the scrotal area.

A 76-year-old patient who has been diagnosed with stage 2 prostate cancer chooses the option of active surveillance. The nurse will plan to a. vaccinate the patient with sipuleucel-T ( Provenge). b. provide the patient with information about cryotherapy. c. teach the patient about placement of intraurethral stents. d. schedule the patient for annual prostate-specific antigen testing.

d. schedule the patient for annual prostate-specific antigen testing.

The nurse will anticipate that a 61-year-old patient who has an enlarged prostate detected by digital rectal examination (DRE) and an elevated prostate specific antigen (PSA) level will need teaching about a. cystourethroscopy. b. uroflowmetry studies. c. magnetic resonance imaging (MRI). d. transrectal ultrasonography (TRUS).

d. transrectal ultrasonography (TRUS).