Prep U questions chapter 53

A client who is diagnosed with stage II prostate cancer asks the nurse if a transurethral resection of the prostate (TURP) can be done for this disorder. Which is the best response by the nurse?

"A TURP is a removal of only a portion of the prostate gland."

A nurse is instructing a client in testicular self-examination. Which client statement indicates the need for additional teaching?

"I should do this exam at least once a week."

A client is scheduled for a transurethral resection of the prostate (TURP). Which statement demonstrates that the expected outcome of "client demonstrates understanding of the surgical procedure and aftercare" has been met?

"The surgeon is going to insert a scope through my urethra to remove a portion of the gland."

A nurse is assessing an uncircumcised male. Which client symptoms would the nurse expect to find when assessing a client with phimosis? Select all that apply.

- Difficulty cleanig under the foreskin - Pianful erections

A nurse is reviewing a journal article about benign prostatic hyperplasia and possible risk factors associated with this condition. Which factor would the nurse most likely find as playing a role in increasing a man's risk for this condition? Select all that apply.

- Smoking - Hypertension - Diabetes

A 29-year-old patient visits his provider because of a lump on his left testicle that is not painful. During a history and physical exam, he mentions another symptom. Which of the following is a significant diagnostic symptom that is suggestive of metastasis?

A backache

Medical management of BPH includes pharmacologic therapy. Which of the following medications would the nurse expect the health care provider to prescribe for this diagnosis?

Alpha-adrenergic blocker

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?

Finasteride (Proscar)

In a client with benign prostatic hyperplasia (BPH), which assessment finding provides the best indication of urinary retention?

Frequency

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?

Monthly testicular self-examination (TSE)

A 59-year-old male client has opted for hormonal androgen deprivation therapy (ADT) to treat prostate cancer. Which surgical procedures is the client most likely to undergo?

Orchiectomy

Which term refers to the surgical removal of one or both testes?

Orchiectomy

A patient with an indwelling catheter after a radical prostatectomy is having bladder spasms. What medication prescribed by the physician can the nurse administer to help alleviate the discomfort?

Oxybutynin (Ditropan)

Following morning hygiene of an older adult client, the nurse is unable to replace the retracted foreskin of the penis. Which is the most likely outcome?

Painful swelling

Which should be included as part of the home care instructions for a client with epididymitis and orchitis?

Take prescribed antibiotics

What does the nurse tell the patient is the best way to decrease the risk of developing penile cancer?

Use good genital hygiene

The nurse is reviewing a client's medication and health history. Which assessment finding would cause the nurse to question the client's new prescription for the phosphodiesterase inhibitor sildenafil?

Use of nitrates

A client diagnosed with prostate cancer is to receive brachytherapy. Which of the following would the nurse include when discussing this therapy with the client?

Use of radioactive seeds implanted into the prostate

Which factor should be checked when evaluating the effectiveness of an alpha-adrenergic blocker given to a client with benign prostatic hyperplasia (BPH)?

Voiding pattern

Following a vasectomy, which is the most important instruction to provide to the client?

Use another form of birth control until further notice

A client is prescribed dutasteride (Avodart) as part of treatment for benign prostatic hyperplasia (BPH). When teaching the client about this drug, the nurse integrates knowledge of the drug's action. Which statement best reflects this?

"The drug interferes with testosterone, which causes the prostate to shrink in size."

A client is undergoing a diagnostic workup for suspected testicular cancer. When obtaining the client's history, the nurse checks for known risk factors for this type of cancer. Testicular cancer has been linked to:

Cryptorchidism (failure of one or both testes to descend into the scrotum)

A client reports experiencing nocturia. The nurse obtains a thorough history including current signs and symptoms. What would the client likely include when describing the symptoms?

Decrease in the force of urinary stream

A health care provider prescribes ketoconazole (Nizoral), a second-line hormonal agent for the treatment of prostatic cancer. The nurse explained to the patient that this drug acts by:

Decreasing the endocrine production of androgen

Which of the following recommendations would a nurse advocate during infancy and childhood to help reduce potential adult complications such as orchitis?

Ensure immunizations against infectious diseases such as mumps

A client is preparing for an annual prostate digital examination, and asks the nurse to explain the role of the prostate gland. What is the function of the prostatic fluid?

Enursing sperm survival

After teaching a group of students about erectile dysfunction, the instructor determines that the teaching was successful when the students identify which of the following as true?

Erectile dysfunction may be due to testosterone insufficiency

A patient is diagnosed with prostatitis. Which of the following is the most commonly isolated organism that will be present in this patient's laboratory results?

Escherichia coli

A 48-year-old man recently diagnosed with benign prostatic hyperplasia (BPH) reports consuming <i>Serenoa repens</i> (saw palmetto berry). The nurse needs to intervene if the physician orders which treatment?

Finasteride

A nurse is teaching a male client to perform monthly testicular self-examinations. Which point is appropriate to make?

Testicular cancer is a highly curable type of cancer

A client with benign prostatic hyperplasia doesn't respond to medical treatment and is admitted to the facility for prostate gland removal. Before providing preoperative and postoperative instructions to the client, the nurse asks the surgeon which prostatectomy procedure will be done. What is the most widely used procedure for prostate gland removal?

Transurethral resection of the prostate (TURP)

A client is to undergo a TURP for BPH. Which statement is accurate with regard to a TURP?

Urethral strictures are more frequent for TURP than for nontransurethral procedures

Which treatment involves implantation of interstitial radioactive seeds under anesthesia to treat prostate cancer?

Brachytherapy

A client with Stage IV prostate cancer is to receive hormone therapy. The nurse would inform the client about possible adverse effects including which of the following?

Breast tenderness

Which is inconsistent with a digital rectal examination (DRE)?

Can reveal a hydrocele

A nurse is working in an oncology treatment center. Which clinical manifestation when reported by a client would the nurse know may be related to metastasis from prostate cancer?

Constant hip aching and discomfort

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:

Continuous inflow and outflow of irrigation solution

After teaching a group of student about structural abnormalities of the male reproductive system, the instructor determines that the teaching was successful when the students identify which of the following as an example?

Cryptorchidism

Which of the following may result if prostate cancer invades the urethra or bladder?

Hematuria

Which of the following is an immediate danger after a prostate surgery?

Hemorrhagic shock

The diagnosis of prostate cancer is confirmed by which of the following?

Histologic exam of tissue

Which of the following should nurses teach all men, especially those who have had cryptorchidism?

How to perform a testicular self-examination

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?

Ibuprofen

When assessing a client with benign prostatic hyperplasia, which of the following would the nurse expect the client to report as the initial complaint?

Increased effort to void

Which statement is accurate regarding sildenafil?

Its side effects include headache, flushing, and dizziness

The nurse is providing instruction for testicular self-examination to a group of young adolescents. Which is the most correct examination technique?

Palpate each testicle separately, following a warm shower

A nurse is teaching a client about a circumcision. Which external reproductive structure is removed by circumcision?

Prepuce

The physician orders an alpha-adrenergic blocker for a client with benign prostatic hyperplasia. The nurse understands that this drug acts to achieve which of the following?

Relieve urinary symptoms

Which of the following herbal remedies is used to treat symptoms of benign prostatic hypertrophy (BPH)?

Saw palmetto

Which is the most common type of prostate surgery?

Transurethral resection of the prostate

Bright red bleeding following prostate surgery indicates which of the following?

Arterial bleed

A nurse is teaching a male client who is older than 50 years about prostate cancer. What teaching should be included by the nurse?

Have a digital rectal examination