NR 206 Assessing Male Genitalia and Rectum

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? "Do you think you have malformed testicles?" "Lumpy testicles are not going to cause a problem with sexual performance." "The normal testicle contains internal structures that cause lumps on the surface." "Don't worry, that is the way normal testicles feel."

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

A client has undergone a digital rectal examination. This assessment will allow the clinician to diagnose which of the following? BPH ED Testicular cancer Urinary incontinence

BPH

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 an infection or cysts are present? Left testicle is slightly lower than the right Beaded or thickened cord Smooth, nontender cord Palpable and tortuous veins

Beaded or thickened cord

The nurse is palpating the prostate of a 55-year-old client and finds it to be enlarged, smooth, firm, and slightly elastic, without a median sulcus. Which condition should the nurse most suspect? Prostate cancer Benign prostatic hypertrophy Acute prostatitis Hydrocele

Benign prostatic hypertrophy

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? Patellar reflex Cremasteric reflex Vasovagal reflex Rooting reflex

Cremasteric reflex

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? Cryptorchidism Hydrocele Epididymitis Orchitis

Cryptorchidism

Which of the following statements is true of prostate cancer? Family history does not appear to be a risk factor. Ethnicity is a risk factor. It is one of the less common forms of cancer. Survival rates are low.

Ethnicity is a risk factor.

Upon inspection and palpation of the front of the client's thigh, the nurse discovers a bulge that appears when the client coughs. The nurse should document this finding as which type of hernia? Scrotal Incarcerated Femoral Strangulated

Femoral

A 68-year-old man comes to the clinic reporting that he is having difficulty obtaining an erection. When reviewing the client's history what might the nurse note that contributes to impotence? Use of multivitamins History of hypertension Lack of exercise Past history of infection

History of hypertension

Upon observation, the nurse documents that a male child's urethral meatus is located on the underside of his penis. What is the term for this structural abnormality? Hypospadias Cryptorchidism Phimosis Epispadias

Hypospadias

Which position should a nurse assist a client to assume to ensure comfort during the examination of the anus, rectum, and prostate of a male client? Lithotomy Knee-chest Left lateral Standing

Left lateral

A 55-year-old retired property manager comes to the clinic concerned that she may have a rectal tumor. When asked why, she states that after straining at a bowel movement, she felt a mass around her rectum. She denies any blood in her stool, black stools, or pain with defecation. She admits to having had chronic constipation for 30 years. She often uses laxatives to have a bowel movement. She denies any recent weight gain, weight loss, fever, or night sweats. Past medical history consists of hypothyroidism, and she has had two spontaneous vaginal births. Her mother died recently of colon cancer; her father has high blood pressure but is otherwise healthy. She denies any smoking and only occasionally drinks alcohol. On examination she seems nervous. Her blood pressure is 140/90 and her pulse is 100. Her cardiac, lung, and abdominal examinations are normal. When the client bears down, a rosette of red mucosa prolapsing

Prolapse pf the rectum

Mr. Jackson, 50 years old, has had discomfort between his scrotum and anus. He also has had some fevers and dysuria. Rectal examination is halted by tenderness anteriorly, but no frank mass is palpable. What is the most likely diagnosis? Colonic polyp Colon cancer Prostatitis Prostate cancer

Prostatitis

The nurse is beginning the physical exam of a male client's genitals. The nurse is sitting on a stool in front of the client. In which position would be best to place the client? Standing Kneeling Lying supine Sitting

Standing

A client reports the new onset of mucous in the stool. How should the nurse document this in the client's history? Steatorrhea Fecal incontinence Diarrhea Change in bowel habits

Steatorrhea

A nurse is assessing the genitalia of a male client. The nurse finds that the client has a piercing in his penis. Why is it important to investigate details of the piercing? To call the authorities, because these piercings are illegal in most states Because the nurse may also want to get a piercing there To assess for health risks relating to how it was performed To help the client better care for the piercing

To assess for health risks relating to how it was performed

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

Torsion of the spermatic cord

Before beginning the examination of the genitalia of an adult male client, the nurse should tell the client that he will remain in a supine position. tell the client that he may leave his underwear in place. ask the client to empty his bladder. ask the client to leave his shirt in place.

ask the client to empty his bladder.

The nurse suspects that a male client may have a hernia. The nurse should further assess the client for urinary tract infection. bruising at the site. cysts at the spermatic cord. bowel sounds at the bulge.

bowel sounds at the bulge.

An older adult male client reports difficulty urinating (hesitancy, urgency, and frequency). The nurse determines these symptoms are most likely related to which of the following physiological changes that commonly occur as men age? urinary restrictive disorders enlarged prostate gland development of kidney stones bladder cancer

enlarged prostate gland

A male client has a distinctive bulge in the right inguinal area when standing. What should the nurse suspect is occurring with this client? epidermoid cysts testicular torsion hernia hypospadias

hernia

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 gonorrhea. venereal warts. herpes infection. syphilis.

herpes infection.

The nurse identifies a cheesy white material that has accumulated under a male client's foreskin of the penis. What does this finding suggest to the nurse? smegma sexually transmitted infection balanitis hypospadias

smegma