Ch. 59 Male Reproductive

Which nursing diagnoses may be appropriate for a client with prostate cancer? Select all that apply.

a) Anxiety d) Readiness for enhanced knowledge c) Sexual dysfunction

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

Brachytherapy

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 client has been scheduled to undergo a transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH). The nurse knows that the client understands preoperative teaching when he makes which statement?

"I understand I may develop urethral strictures as a result of having the TURP."

The nurse knows that a client being screened for prostate cancer needs further instruction when he makes which statement?

"I understand blood in the urine is the first symptom of prostate cancer."

A 55-year-old Asian man has a PSA level of 4.8 ng/mL. Based on the client's PSA level, which assessment question does the nurse need to ask?

"When was the last time you experienced ejaculation?"

Which client is most likely to develop prostate cancer according to a nurse working at a health screening at the local mall?

A 56-year-old African American man

The nurse working on the postoperative unit receives a report on various clients. Based on the information provided, whom should the nurse see first?

A 67-year-old male patient recovering from a prostatectomy, with a potassium level of 4.0 mEq/L and a serum sodium level of 130 mEq/L. Vital signs are temperature 99.2°F, pulse 88, respirations 22, and blood pressure 156/92

Which would be included as a condition that can cause an elevated PSA level in the absence of prostate cancer? Select all that apply.

Acute urinary retention

A client is undergoing treatment for prostate cancer. He has chemotherapy sessions regularly. However, of late he is showing symptoms of food allergy and loss of appetite. He has lost considerable weight as a result. Which is an appropriate nursing task in this situation?

Ask the client to keep a diet diary.

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

Can reveal a hydrocele

Which term refers to a failure of one or both or both of the testes to descend into the scrotum?

Cryptorchidism

Which age-related change affects the male reproductive system?

Decreased plasma testosterone levels

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

Finasteride

Which component of client teaching helps the nurse assist a client following treatment for cancer of the prostate gland to manage and minimize the possibility of a recurrence of the primary cancer or metastasis?

Have regular prostate-specific antigen (PSA) levels tested and repeat lymph node biopsies

A 35-year-old male client is seeking infertility treatment. The client's diagnostic workup includes a PSA level of 5.0 ng/mL and a WBC count of 8,000 mm . His physician diagnoses him with prostatitis. Which type of prostatitis is the client most likely experiencing?

IV

Which statement is accurate regarding sildenafil?

Its side effects include headache, flushing, and dizziness.

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

Orchiectomy

Which statement should be included in the teaching plan for a client prescribed sildenafil?

Only one tablet of the prescribed dose should be taken each day.

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

Orchiectomy

Which condition is associated with the buildup of fibrous plaques in the sheath of the corpus cavernosum, causing curvature of the penis when it is erect?

Peyronie's disease

The student nurse studying the male reproductive tract demonstrates understanding movement of testicular secretions when they exit the penis by selecting which pathway?

Seminiferous tubules, epididymis, vas deferens, ejaculatory duct

A client expresses concerns about future reproduction after a surgery to correct the cancer of the testes. For this client, treatment proceeded without first collecting and storing sperm. Which alternative should the nurse suggest to the client?

Suggest donor or adoption

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

Take prescribed antibiotics

Which is the most common type of prostate surgery?

Transurethral resection of the prostate

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.

The nurse is caring for a client who had transurethral resection of the prostate (TURP) 1 day ago. Which assessment finding(s) does the nurse expect? Select all that apply.

a) Drainage tube secured to the inner thigh d) Large amounts of ambercolored urine in the drainage bag c) Reports of the urge to void from the client

Lately, a 75-year-old man is having difficulty emptying his bladder. He is unable to empty it completely and yet it feels full, causing discomfort. The physician suspects prostate cancer. Which question(s) would you expect the physician to ask the client? Select all that apply.

e) "Do you have a burning sensation during urination?" d) "Do you have a family history of prostate cancer?" b) "Do you pass blood in your urine?"

A clinical manifestation related to metastasis from prostate cancer is

hip pain

The obstructive and irritative symptom complex caused by benign prostatic hypertrophy is called

prostatism

A 57-year-old Caucasian man is being treated in the outpatient community center. The client reports that most nights he wakes up twice to urinate. In addition, he reports occasional blood in his urine. The client's laboratory tests reveal a PSA level of 3.8 ng/mL and a white blood cell (WBC) count of 6,000 mm . The nurse most likely suspects that the client is experiencing which condition?

Prostatism

Which instruction regarding future sexual activity should a nurse give a client with a vasectomy?

Use a reliable method of contraception until the physician ensures that sperm no longer are present