N316B: C&F Chapter 27 Disorders of Male Reproductive System

A registered nurse is teaching about the medications for benign prostatic hyperplasia (BPH) to a group of student nurses. Which statement of a student nurse indicates the need for further teaching? "Alpha-blockers improve urine flow." "Alpha-blockers reduce the size of the prostate." "Tamsulosin is a typical example of an alpha-blocker." "Alpha-blockers relax the smooth muscles in the prostate."

"Alpha-blockers reduce the size of the prostate." Alpha-blockers help to relax the smooth muscles of the prostate but do not aid in reducing the size of the prostate. Therefore, this statement of the student nurse indicates the need for further teaching.

A nurse teaches intervention to a client for healthy spermatogenesis. During a follow-up visit, the nurse finds that the client has risk for diminished sperm production. Which statement of the client supports the nurse's conclusion? "I should not limit fluid intake." "I should take a hot bath regularly." "I should refrain from cigarette smoking." "I should not wear tight undergarments."

"I should take a hot bath regularly." Overheating of the testes affects spermatogenesis. Therefore, the client should not take a hot bath frequently, because it reduces sperm production.

Which clients have a higher risk of delayed puberty? Select all that apply. A client who has sickle cell anemia. A client who has chronic renal failure. A client who has inflammatory bowel disease. A client who has exposure to diethylstilbestrol. A client who is taking antidepressants for a longtime.

A client who has chronic renal failure. A client who has inflammatory bowel disease.

What are the risk factors of erectile dysfunction? Select all that apply. Atherosclerosis Cryptorchidism Peyronie's disease Hypotension Wearing tight undergarments

Atherosclerosis Cryptorchidism Peyronie's disease

A digital rectal examination (DRE) in a client reveals the enlargement of the prostate gland that is firm, painless, and generalized. Which medications will the nurse anticipate from the primary health-care provider to treat the client? Alpha-blockers 5-alpha-reductase inhibitors Phosphodiesterase inhibitors Both A and B

Both A and B Both alpha-blockers and 5-alpha-reductase inhibitors are beneficial in clients with BPH. Therefore, both A and B are correct answers.

While assessing a male client for reproductive disorders, the primary health-care provider wants to understand whether the client has prostate cancer or benign prostatic hyperplasia (BPH). Which diagnostic test will the nurse expect in this case? Ultrasound Urine flow studies Digital rectal examination (DRE) Both A and B

Both A and B Ultrasound and urine flow studies are the two diagnostic tests used to differentiate between prostate cancer and BPH.

Which gland secretes a lubricating fluid that coats the urethra during sexual arousal? Pituitary gland Prostate gland Bulbourethral gland Thyroid gland

Bulbourethral gland The bulbourethral glands are two pea-sized glands located below the prostate. These glands secrete a lubricating fluid that coats the urethra during sexual arousal.

Which artery provides engorgement of the glans during erection? Dorsal Cavernous Bulbourethral Both A and C

Dorsal The dorsal artery is a branch of the penile artery that provides for engorgement of the glans during an erection.

Which hormone stimulates Sertoli cells to synthesize spermatozoa? Inhibin Testosterone Luteinizing hormone (LH) Follicle-stimulating hormone (FSH)

Follicle-stimulating hormone (FSH) The anterior pituitary secretes FSH. FSH stimulates the Sertoli cells of the seminiferous tubules to synthesize spermatozoa.

What are signs of delayed puberty? Select all that apply. Larger testes Gynecomastia Long arms and legs Absence of pubic hair Persistent high-pitched voice

Gynecomastia Long arms and legs Persistent high-pitched voice

While assessing a male client, a nurse observes swelling in the scrotum due to the collection of serous fluid. Which condition does the nurse suspect in the client? Hydrocele Epispadias Hematocele Hypospadias

Hydrocele Hydrocele is the collection of serous fluid in the scrotum that causes swelling and a feeling of heaviness. It is caused due to a traumatic injury or infection in the testis.

While teaching health promotion measures to a group of football players, a registered nurse instructs the players to wear protective gear while on the field. Which complications is the nurse trying to avoid in the players? Select all that apply. Orchitis Priapism Prostatitis Hydrocele Testicular torsion

Hydrocele Testicular torsion

A nurse observes that a newborn has an abnormally positioned urethral orifice of the penis. Which disorder will the nurse suspect in the newborn? Orchitis Hypospadias Cryptorchidism Testicular torsion

Hypospadias Hypospadias is most common congenital disorder that occurs in newborns. In this condition, the position of the urethral surface of the penis is abnormal.

Which hormone stimulates the Leydig cells of the testes to secrete testosterone? Prolactin Thyroid hormone Luteinizing hormone Follicle-stimulating hormone

Luteinizing hormone

During an assessment, a nurse observes the signs of diminished secondary sexual characteristics in an adult male client. What should be the appropriate nursing action? Perform a digital rectal examination Perform a digital rectal examination Measure the morning serum testosterone levels. Perform a computerized tomography (CT) scan

Measure the morning serum testosterone levels. An endocrine evaluation is performed on a client if the secondary sexual characteristics are diminished. The serum testosterone levels show a circadian variation. Serum testosterone levels are the highest in the morning and the lowest in the late afternoon. Therefore, the nurse should measure the morning serum testosterone levels in the client.

Which physical finding in a client will lead a nurse to suspect paraphimosis? Inflammation of the testes Enlargement of the prostate glands Abnormal prolonged erection of the penis Permanent retracted position of the foreskin behind the penis

Permanent retracted position of the foreskin behind the penis

While performing the genital assessment of a male client, a nurse observes that the client has curvature of the penis. Which condition does the nurse suspect in the client? Orchitis Phimosis Hypospadias Peyronie's disease

Peyronie's disease Peyronie's disease is a disorder in which the penis has an abnormal curvature due to inflammation vasculitis. Therefore, the nurse suspects Peyronie's disease in the client.

After examining an elderly client's penis, a nurse finds the presence of scar tissue in the corpora cavernosum. On further assessment, the nurse confirms Peyronie's disease in the client. Which finding supports the nurse's confirmation? Small intrascrotal testes Presence of a curved penis Dilatation of the veins within the scrotum Excessive growth of the prostate gland

Presence of a curved penis Peyronie's disease is an inflammatory disorder in which the penis curves. In this disease, clients develop scar tissue in the corpora cavernosum that prevents blood flow. Due to these findings, the nurse suspects that the client has Peyronie's disease.

While assessing a male client, a nurse observes that the client has a small penis, long legs, short trunk, enlarged breast tissues, small testicles, and sexual dysfunction. What reason does the nurse suspect from these findings? Mumps infection Presence of an extra X chromosome Prolonged consumption of antihypertensive agents Increased cellular growth and size of the prostate gland

Presence of an extra X chromosome A small penis, long legs and short trunk, enlarged breast tissues, small testicles, and sexual dysfunction are the symptoms of Klinefelter syndrome. It is a genetic disorder that occurs due to the presence of an extra X chromosome.

Which signs will a nurse observe in a client who is diagnosed with precocious puberty? Select all that apply. Gynecomastia Long arms and legs Reduced adult height Small penis and testes Presence of axillary and pubic hair

Reduced adult height Presence of axillary and pubic hair

Which cells secrete inhibin hormone? Sperm cells Leydig cells Sertoli cells White blood cells

Sertoli cells Inhibin hormone sends feedback to the pituitary to turn off spermatogenesis. Sertoli cells secrete inhibin hormone.

A client tells a nurse, "My erections lasts for several hours and are painful. "Which medication found in the client's prescription is responsible? Sildenafil Finasteride Tamsulosin Pyridoxine

Sildenafil Sildenafil is a phosphodiesterase inhibitor agent that causes persistent erection of the penis as a side effect. This condition is known as priapism. The nurse finds sildenafil in the client's medical record.

Which disorder can occur due to HIV? Varicocele Hypospadias Cryptorchidism Testicular cancer

Testicular cancer

While assessing a male client, a nurse finds erythema, swelling, and tenderness of the scrotum. The client also reports pain in the scrotum. Which disorder does the nurse suspect in the client? Epispadias Cryptorchidism Testicular torsion Benign prostatic hyperplasia

Testicular torsion In testicular torsion the tunica vaginalis is twisted because it obstructs the flow to the testes. As a result, the scrotum shows erythema, swelling, tenderness, and acute pain. Therefore, the nurse suspects testicular torsion in the client.

Which condition can cause ischemia of the testicle? Priapism Hematocele Testicular torsion Cryptorchidism

Testicular torsion Testicular torsion causes twisting of the spermatic cord. It causes the obstruction of blood flow to the testicle and can result in ischemia of the testicle.