Chapter 26 Assessing Male genitalia and rectum

Francis is a middle-aged man who noted right sided lower abdominal pain after straining with yardwork. Which of the following findings would make a hernia a more likely diagnosis? Absence of pain with straining Absence of bowel sounds in the scrotum Absence of a varicocele Absence of symmetry of the inguinal areas with straining

Absence of symmetry of the inguinal areas with straining

A nurse is caring for a client with prostatitis. The nurse knows that what nursing care measure will be employed when caring for this client? Discourage the client from using stool softners Avoid sitz bath procedures Administer the prescribed dose of antibiotics Restrict the fluid intake of the client

Administer the prescribed dose of antibiotics Procedure: Use warm sitz baths and analgesics to increase comfort.Treatment of prostatitis includes medication with antibiotics, analgesics, and stool softeners. The client is also taught to rest, increase fluid intake, and use sitz baths for comfort. Antimicrobial therapy is always continued until the prescription is completely finished

Where is the corona of the penis found? At the base of the glans At the root of the penis At the tip of the glans At the root of the corpus spongiosum

At the base of the glans

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

Beaded or thickened cord

A 72-year-old male presents at a local clinic and states: "I have to urinate all the time, and I never feel like my bladder is emptied. It really bothers me at night." What condition might the nurse suspect related to this chief complaint? Orchitis Benign prostatic hyperplasia (BPH) Chronic bacterial prostatitis (CBP) Epididymitis

Benign prostatic hyperplasia (BPH)

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 Rooting reflex Cremasteric reflex Vasovagal reflex

Cremasteric reflex

An adolescent present at the free clinic with a collection of fluid in the tunica vaginalis of the testes. The nurse knows that the term that defines this condition is what? Hydrocele Orchitis Prostatism Cryptorchidism

Hydrocele Collection of serous fluid in the scrotum, outside the testes within the tunica vaginalis. Appears as swelling in the scrotum and is usually painless. Usually the examiner can get fingers above this mass during palpation. Will transilluminate (if there is blood in the scrotum, it will not transilluminate and is called a "hematocele")

Which of the following unexpected findings of the testes is most likely to result in painful palpation of the testes? Orchitis Cryptorchidism Klinefelter's syndrome Testicular tumour

Orchitis Inflammation of the testes, associated frequently with mumps. Client complains of pain, heaviness, and fever. Scrotum appears enlarged and reddened. Swollen, tender testis is palpated. The examiner may have difficulty differentiating between testis and epididymis

When performing the physical assessment of a client, the nurse notes the presence of a small cyst that contains hair, which is located midline in the sacrococcygeal area and has a palpable sinus tract. How should the nurse document this finding? External hemorrhoid Anal fissure Perianal abscess Pilonidal cyst

Pilonidal cyst

On palpation of a client's prostate, a nurse detects hard, fixed, and irregular nodules on the prostate. Which condition should the nurse most suspect in this client? Prostate cancer Benign prostatic hypertrophy Acute prostatitis Hydrocele

Prostate cancer The median sulcus may not be palpable.

A 24-year-old graduate student comes to the clinic complaining of burning during urination and increased urinary frequency. He has had a low-grade fever and does not feel well. He is very worried about sexually transmitted infections because he had a drunken encounter 2 weeks ago and did not use a condom. He has had no recent weight loss, weight gain, or night sweats. His past medical history includes knee surgery in high school and genital warts in college. He does not smoke but drinks six beers every Friday and Saturday night. He denies any IV drugs but has tried marijuana in the past. His father has high cholesterol, but his mother is healthy. On examination the client appears tired. Temperature is 37.5°C, and blood pressure is 110/70. Abdominal examination is normal. Visualization of the anus shows no masses, inflammation, or fissures. Digital rectal examination reveals a warm, boggy, tender prostate. No discrete masses are felt, and there is no blood on the glove. The scrotum and penis appear normal. Urinalysis shows moderate amounts of white blood cells and bacteria. What disorder of the anus, prostate, or rectum best describes this situation? Benign prostatic hyperplasia (BPH) Prostatitis Prostate cancer Epididymitis

Prostatitis Acute prostatitis - The prostate is swollen, tender, firm, and warm to the touch. Prostatitis is caused by a bacterial infection.

The client tells the nurse that he has little or no interest in sex. He says he is concerned and he knows his wife is unhappy with his lack of libido. What can the nurse tell the client often causes lack of libido? Manic episodes Mental illness Testosterone hypersecretion Side effects of medications

Side effects of medications

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

Torsion of the spermatic cord Very painful condition caused by twisting of spermatic cord. Scrotum appears enlarged and reddened. Palpation reveals thickened cord and swollen, tender testis that may be higher in scrotum than normal. This condition requires immediate referral for surgery because circulation is obstructed.

The nurse has assessed a male client and determines that one of the testes is absent. The nurse should explain to the client that this condition is termed hypospadias. hematocele. cryptorchidism. orchitis.

cryptorchidism.

Prostate cancer is the leading cancer diagnosed in men in the United States. To increase knowledge of risk factors, the nurse would teach men that (Select all that apply.) each decade after age 50 increases the risk it occurs earlier and is more advanced in African American men 15% have an affected first-degree relative testicular self-examinations can reduce the risk by 50% symptoms are often undetectable

each decade after age 50 increases the risk it occurs earlier and is more advanced in African American men 15% have an affected first-degree relative

While reviewing the medical record before examining a male clinic patient, the nurse notes that the urinary meatus is located on the top of the glans of the penis. The nurse understands the correct term for this congenital defect is epispadias hypospadias hydrocele varicocele

epispadias Epispadias is displacement of the urinary meatus to the dorsal surface of the penis - Hypospadias is displacement of the urinary meatus to the ventral surface of the penis

The rectum is lined with folds of mucosa, and each fold contains a network of arteries, veins, and visceral nerves. When these veins undergo chronic pressure, the result may be polyps. tumors. fissures. hemorrhoids.

hemorrhoids.

A nurse observes that the mucosa of the rectum and the rectal wall of a female client protrudes out through the anal opening. It appears as a red, doughnut-like mass with radiating folds. How should the nurse document this condition of the rectum? prolapse Rectal polyps shelf cancer

prolapse

During assessment of an elderly male client, the client tells the nurse that he has had difficulty urinating for the past few weeks. The nurse should refer the client to the physician for possible prostate enlargement. sexually transmitted disease. impotence. inguinal hernia.

prostate enlargement.