Chapter 43: Disorders of the Male Reproductive System - ML4

The nurse is teaching a client about screening for prostate cancer. Which information will the nurse teach the client about the prostate-specific antigen (PSA) test?

An elevated score on a PSA test does not necessarily indicate the presence of cancer.

A male client reports frequent urination, difficulty starting to urinate, and dribbling after he has finished urinating. Which diagnosis correlates with this client's manifestations?

Benign prostatic hyperplasia (BPH)

A client on the urology floor who has BPH asks the nurse how the pharmacologic agent finasteride will help decrease the size of his prostate. Which principle explains the mechanism of action?

Blocking effects of androgens on the prostate

A client arrives in the emergency department complaining of severe pain in the left testicular area with nausea and vomiting for 2 hours. The left testicle is large and tender to palpation and radiating to the inguinal area. Which of the following reflexes can the nurse assess the absence of in order to indicate testicular torsion?

Cremasteric reflex

Erectile dysfunction is the inability to achieve and maintain an erection sufficient to permit satisfactory sexual intercourse. The nurse knows that there may be many causes of erectile dysfunction, and a psychogenic cause would include which of the following?

Depression

The nurse is assessing a client with a collection of blood in the tunica vaginalis of the scrotum. How does the nurse correctly document this in the medical record?

Hematocele

The mother of a 5-year-old boy brings him into the clinic because there is a firm feeling and swelling around one of his testes. What would the suspected diagnosis be?

Hydrocele

The nurse in the urology clinic is reviewing the chart of a client with erectile dysfunction. Which factor in the client's history does the nurse recognize is a hormone-based condition that may contribute to erectile dysfunction?

Hypogonadism

The nurse is performing a newborn assessment on a 2-day-old male infant. Assessment reveals the presence of the urethral opening on the ventral side of the penis. The nurse would document this finding as being:

Hypospadias

Which diagnosis is most likely to require surgical correction?

Hypospadias

Which disorder of the male genitourinary system creates the most urgent need for prompt and aggressive surgical treatment?

Intravaginal testicular torsion

If not treated urgently, testicular torsion can result in which complication?

Loss of testicular perfusion

A 52-year-old male diagnosed with erectile dysfunction (ED) asks the nurse what will be implemented as a first option for treatment. The best response would be:

Psychosexual counseling and PDE-5 inhibitor medications

A nurse is performing a genital examination on a male client who develops an erection. Which action is the nurse's most appropriate intervention?

Reassure the client that this is a normal response and continue with the examination

The pediatric nurse is teaching the parent of a newborn with hypospadias about the disorder. Which information does the nurse provide?

The opening of the urethra is found on the underside of the penis.

Which complication is associated with prostatic hyperplasia?

Urine retention

A client is admitted with a prolonged and painful erection that has lasted longer than 4 hours. The nurse knows that this is a true urologic emergency, and that the cause is:

impaired blood flow in the corpora cavernosa of the penis.

A client is admitted with secondary orchitis. Which assessment question is most relevant?

"Have you ever had mumps?"

After seeking care due to recent history of testicular enlargement and scrotal pain, a 22-year-old college student has been diagnosed with testicular cancer. Which statement by the client indicates the need for further teaching?

"I can't shake this feeling like I've received a death sentence."

A client informs the nurse that he has been having difficulty sustaining an erection. Which statement made by the client demonstrates to the nurse that the client understands what a contributing factor to his erectile dysfunction is?

"I should stop smoking cigarettes. I have been smoking for 20 years."

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

An adult male reports painful urination, rectal pain, fever/chills, general malaise and myalgia. Vital signs are: temperature, 101.7°F (38.7°C); blood pressure, 105/74 mm Hg; pulse, 98 bpm; respiration, 22 breaths/min. What condition should the health care provider suspect?

Acute bacterial prostatitis

An adolescent male comes to the urgent care clinic. Upon assessment, the following is noted: history of circumcision, erythema of the glans, and prepuce with a malodorous discharge. Based on symptoms, the probable diagnosis would be:

Acute superficial balanoposthitis

Which client is at highest risk for developing acute bacterial prostatitis?

An older adult male diagnosed with frequent urinary tract infections testing positive for Gram-negative rods

When caring for the client with acute bacterial prostatitis, the nurse plans for which intervention?

Antibiotics

Based on the group that statistically has the greatest risk, the health care provider should assess which ethnic group for prostate cancer?

Black

The nurse in the urology office recognizes screening men at risk for prostate cancer includes which diagnostic measures?

Blood level of prostate-specific antigen (PSA) and digital rectal exam

The mother requests that a circumcision be performed on a newborn with hypospadias. Which information related to treatment of hypospadias should the nurse convey?

Circumcision is avoided as the foreskin will be used to repair the urinary opening.

When caring for a group of clients, the nurse recognizes which of these individuals has increased risk for balanitis?

Client with a sexually transmitted infection

A client comes to the clinic and informs the nurse that he was playing soccer and was kicked in the scrotal area on the right side. The nurse observes that the scrotal skin on the right side is dark red. What should the nurse suspect this client may have?

Hematocele

A client calls the clinic and informs the nurse that he has sustained an erection for 3 hours and that it is extremely painful. The client has a history of sickle cell disease and this has not happened to him in the past. Which instruction should the nurse give to the client?

If the client does not seek medical attention, impotence may result.

A client has developed priapism. For which outcome is this client at risk?

Impotence

A 27-year-old male developed mumps and was ill for several days. The client suddenly developed a fever and painful enlargement of the testes approximately 4 days after recovering. The nurse should suspect that the client has developed:

Orchitis

A client is concerned about having mumps orchitis and asks the nurse about the symptoms. What is the nurse's best response?

Painful enlargement of the testes with fever 3 days after infection

The provider is assessing a client with a history of erectile dysfunction (ED) who is requesting a prescription for treatment. When assessing for additional information related to causes of ED, which information should the provider solicit from the client?

Presence of arterial occlusive disease

The nurse is caring for a client with acute superficial balanoposthitis. The nurse assesses for which of these signs or symptoms consistent with the diagnosis?

Redness of the glans penis and malodorous discharge

For males between 5 and 10 years of age, which cause of priapism is most common?

Sickle cell anemia

The nurse is caring for a client with significant benign prostatic hyperplasia (BPH) and hydronephrosis who is fearful of having corrective surgery. Which information is important for the nurse to convey?

The obstruction is causing urine to flow backward and cause kidney dysfunction.

Which factor places a male client at risk for balanitis?

Uncircumcised penis

The nurse working on an inpatient adolescent pediatric unit must prioritize which parents to teach first. Which diagnosis directs the nurse to provide teaching for the parents first due to the need for prompt treatment to prevent long-term complications?

Undescended testis

Which client is at greatest risk for developing balanoposthitis?

man who has an uncircumcised penis

The nurse in the urology unit is teaching about medication to treat erectile dysfunction. The mechanism of action of most of these medications is that the medication:

promotes increase in blood flow to the corpora cavernosa.

The nurse on the urology unit teaches the nursing student that which test assists in detecting a recurrence of prostate cancer after prostatectomy?

prostate-specific antigen (PSA) level

Which treatment intervention is recommended for infants who have a severe case of hypospadias?

surgical repair

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

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

Epididymitis can be sexually transmitted, or it can be caused by a variety of other reasons, including abnormalities in the genitourinary tract. What are the most common causes of epididymitis in young men without underlying genitourinary disease?

Chlamydia trachomatis and Neisseria gonorrhoeae

What is the most common cause of recurrent urinary tract infections in males?

Chronic bacterial prostatitis

Which risk factor is associated with erectile dysfunction (ED) and considered preventable?

Cigarette smoking