PrepU Chapter 43

A client has a new prescription for a phosphodiesterase-5 (PDE5) inhibitor. What teaching does the nurse include? Select all that apply.

"If priapism develops, seek immediate medical attention to prevent complications." "You should explore psychological therapy in addition to this medication." "The medication results in vasodilation to increase blood flow to the penis."

The nurse is teaching a client with hypertension about managing erectile dysfunction (ED). What information should the nurse share with the client?

"Participating in regular exercise may help resolve the ED."

An older adult male resident has a grossly distended scrotum. On examination, the resident has been diagnosed with a hydrocele. What will the nurse most likely tell the resident and his family about his diagnosis?

"While distressing to look at, this condition usually doesn't have any significant consequences and won't need treatment."

The nurse is teaching a male client about testicular cancer. Which risk factor does the nurse discuss as a major one for testicular cancer?

Cryptorchidism

The nurse is providing teaching about benign prostatic hyperplasia to a client who would like medication to avoid surgery. Which drug category is primarily prescribed to reduce prostate size by blocking the effects of androgens?

5 alpha-reductase inhibitors

Which client is at greatest risk for the impairment of spermatogenesis?

A 15-year-old male who is diagnosed with mumps orchitis

The nurse is providing an education program to a group of men over the age of 18 years. An important topic the nurse is discussing relates to balanitis and its prevention. Which man does the nurse recognize is at high risk for this disorder? Select all that apply.

A man with poor hygiene A man that is immunosuppressed A man with diabetes

A parent of an 8-year-old boy arrives at the clinic with reports of nausea and pain radiating to the inguinal area. Physical inspection reveals the left testicle is high in the scrotum and the testis is large and tender. Which treatment for the child is considered the priority?

A surgical detorsion procedure

The nurse is planning care for a client with acute epididymitis. Which interventions should the nurse be sure to perform? Select all that apply.

Administer nonsteroidal anti-inflammatory medications. Apply a supportive device to elevate the scrotum. Assess temperature four times daily.

Parents bring their 3-year-old son to urgent care due to swelling at the head of the penis and purulent discharge under the foreskin. The nurse notes phimosis. What actions does the nurse take? Select all that apply.

Advise the parents to monitor the child's urinary output. Request analgesia and prepare to collect cultures

A 30-year-old male client is being treated for testicular cancer. The nurse monitors what hormone levels as indicators of response to treatment? Select all that apply.

Alpha-fetoprotein Beta-human chorionic gonadotropin

A client is undergoing testing for testicular cancer. Which tumor markers should the nurse include in the teaching plan for this client? Select all that apply.

Alpha-fetoprotein Beta-human chorionic gonadotropin

A client is admitted into the emergency department with a sustained erection lasting 4 hours. Which initial treatments does the nurse anticipate administering? Select all that apply.

Analgesics Sedation Hydrating measures

An older adult client has a history of ischemic heart disease, MI, unstable angina controlled by transdermal nitroglycerin patch, chronic smoking requiring use of nebulized bronchodilators, and hypertension treated with a potassium-sparing diuretic and a beta-adrenergic blocking medication. The man states that he has been unable to maintain his erection. Which aspects of the man's health problems/treatments would the nurse identify as contributing to his erectile difficulty (ED)? Select all that apply.

Antihypertensive medications Hypertension Smoking history Age

The nurse is counseling a client with mild benign prostatic hyperplasia (BPH) on lifestyle changes that can reduce the urinary symptoms associated with this condition. What lifestyle interventions should the nurse include in this teaching? Select all that apply.

Avoid over-the-counter antihistamines. Avoid caffeinated beverages. Do not take fluids after 8 pm.

A 55-year-old man presents with whitish plaques on the surface of the glans penis and prepuce. His foreskin is fibrous and unretractable. Which diagnosis is most likely?

Balanitis xerotica obliterans

A 22-year-old male client presents with an enlarged firm testis and scrotal edema and is suspected to have orchitis. The nurse includes what actions in the plan of care? Select all that apply.

Collection of urethral cultures Application of cold packs Elevation of the scrotum Restriction of client's activity

A client calls the nurse at an urgent care center about ongoing symptoms of acute epididymitis. The client began antibiotic therapy 3 days ago but pain, swelling, and fever are still present. What is the best direction for the nurse to offer the client?

Come into the urgent care center for reevaluation as soon as possible.

A 71-year-old man diagnosed with a stage T2 prostate tumor 2 years ago has elected watchful waiting. Recently, his PSA has jumped considerably, as have his levels of serum acid phosphatase. Which course of action would be least appropriate at this stage?

Treatment with GnRH agonists alone

The nurse in the urology clinic is teaching the client about the signs and symptoms of epididymitis. Which of these should be included in the discussion? Select all that apply.

Groin tenderness Fever Pain with urination

An adult male reports discomfort in the groin. If the client has metastatic testicular cancer, for what other clinical manifestations should the nurse assess? Select all that apply.

Hemoptysis Back pain Neck mass

The community health nurse is providing men's health education on prostate cancer. Which risk factors for prostate cancer should the nurse include in the discussion? Select all that apply.

High fat diet from processed meat Consuming high fat dairy items

A client presents with priapism. The nurse interviews the client about which potential risk factors? Select all that apply.

History of erectile dysfunction Recent intake of alcohol Hematologic disorders

A 51-year-old man is receiving his annual physical exam and his care provider is explaining the rationale for performing a digital rectal exam (DRE). Which statement best captures the rationale for the procedure?

If the prostate is hardened on examination, a biopsy is indicated for further investigation.

The nurse is caring for a client who has just given birth to a premature neonate with cryptorchidism. What information does the nurse provide to the client?

It is likely the testes will descend by the age of 2 months.

A client presents to their health care provider with excruciating back pain progressively getting worse, decreased sensation in his lower extremities, urinary incontinence, and problems completely emptying his bladder. He is diagnosed with advanced prostate cancer with spinal cord compression and admitted to the hospital. The nurse should anticipate administering which medications to this client? Select all that apply.

Ketoconazole, a fungicide to lower serum testosterone levels Bisphosphonates, such as pamidronate, to inhibit bone loss

The nurse is instructing a group of male clients on ways to reduce the risk of penile cancer. What instructions should the nurse include? Select all that apply.

Maintaining good hygiene Receiving the human papillomavirus (HPV) vaccine Avoiding nude sunbathing

The nurse is caring for a client with recurrent balanoposthitis. The nurse should teach the client about what possible complications of this condition? Select all that apply.

Narrowing of the urethra Penile cancer Sexual dysfunction

The nurse is reviewing the laboratory results of a client who has non-inflammatory prostatitis. The nurse would expect the results to include:

Normal leukocyte count

When assessing the client with chronic inflammatory bacterial prostatitis, the nurse recognizes which findings are typically present? Select all that apply.

Painful urination Frequency of urination Low back pain Bacteriuria

The nurse inserts a Foley catheter in an uncircumcised male client for the treatment of urinary retention and does not place the foreskin back over the glans penis. Several hours later, the client complains of severe pain at the catheter site and, when assessed, the nurse is unable to retract the foreskin. Which problem does the nurse know has occurred?

Paraphimosis

The nurse is teaching clients with diabetes about the increased risk for erectile dysfunction (ED). What factors related to diabetes does the nurse link to increased risk for ED? Select all that apply.

Peripheral artery disease Peripheral neuropathy

A client complains of acute retention of urine, frequency of urination, and a constant desire to empty the bladder, especially at night. The nurse expects that which diagnostic test will be completed to determine degree of urinary obstruction?

Postvoiding catheterization

The nurse is caring for a client with sickle cell crisis. For which of these urologic complications does the nurse observe?

Priapism

The nurse is assessing a client with suspected acute bacterial prostatitis. Which aspects of the client's clinical history should the nurse inquire about related to the client's risk factors for this condition? Select all that apply.

Recent biopsy of the prostate Current immunosuppressive therapy Having a diagnosis of benign prostatic hyperplasia

A client with advanced prostate cancer has been prescribed bisphosphonates and asks the nurse the purpose of the medication. What indications for bisphosphonates should the nurse include? Select all that apply.

Reducing pain Lowering serum calcium levels Preventing fractures

The nurse must insert an indwelling urinary catheter in an uncircumcised male client. What action should the nurse take to prevent paraphimosis?

Replace the foreskin over the glans after catheter is in place.

The nurse is caring for a client with hypertension and diabetes who has been diagnosed with balanoposthitis secondary to Candida albicans. What actions should the nurse make sure are in the client's plan of care? Select all that apply.

Retract foreskin and clean all surfaces of the penis twice daily. Optimize glycemic control. Apply topical antifungal as ordered. Monitor urine output.

The community health nurse is providing teaching about male health. Which of these should the nurse include in a discussion on common clinical manifestation of early testicular cancer? Select all that apply.

Small, painless testicular mass Slight enlargement of the testicles Heaviness of the scrotum

Squamous cell cancer of the penis is characterized by which clinical manifestation?

Smegma accumulation in uncircumcised male with poor hygiene

A 69-year-old client presents with urinary urgency and nocturia. After testing he has been diagnosed with benign prostatic hyperplasia (BPH). When describing the etiology and prognosis of BPH, what should the nurse explain to the client?

Surgery can often be avoided if pharmacologic interventions are successful

The nurse is instructing a group of young adult male clients about the importance of monthly testicular self-examination. What information does the nurse include? Select all that apply.

Testicular cancer can metastasize early in development. Testicular cancer is highly responsive to treatment. Other signs of testicular cancer are vague in presentation.

The nurse in the newborn nursery is caring for a neonate with epispadias. Why does the nurse makes a point of assessing the baby's abdomen?

The bladder may be found outside the abdominal wall in children with epispadias

The nurse is caring for an infant with an undescended testis. Which of these does the nurse teach the parents is the appropriate treatment?

The surgical placement of the testis in the scrotum is needed

When performing a rectal examination of an older adult male client, the nurse practitioner recognizes that the prostate of a client who has prostate cancer is often described in which way?

Hard and irregular

The nurse is caring for a client with acute bacterial prostatitis. The nurse should include what interventions in the plan of care? Select all that apply.

Measure urine output and episodes of incontinence. Monitor respiratory rate and level of consciousness. Monitor daily weights and hydration status.

A 42-year-old man reports testicular tenderness. He is concerned also because he found a mass that moves around within the scrotal sack. Upon examination, the physician determines that the mass is near the end of the epididymis, lights up uniformly when illuminated, and is above the testes. Which condition does this client most likely have?

Spermatocele