Chapter 66: Coordinating Care for Male Patients With Reproductive and Breast Disorders

A patient is concerned about becoming impotent because of the inability to sustain an erection and a history of a sexually transmitted infection as a young adult. What is the nurse's best response to this patient's concerns?

"An occasional incident like this is normal and common, and there is no reason to be concerned."

A nursing instructor is teaching a group of student nurses about the cultural implications of prostate cancer. Which statement will the nursing instructor include in the teaching session?

"Approximately one in eight men ages 70 and older will be diagnosed with prostate cancer."

A patient asks for a prescription for tadalafil (Cialis). What would be important for the nurse know prior to planning interventions for this patient?

"Do you use nitroglycerine?"

During a health history, the nurse learns that a patient has a recent onset of impotence. Which question will help identify a potential cause of this manifestation?

"For what diseases and disorders have you been treated?"

The nurse is caring for a patient diagnosed with benign prostatic hyperplasia (BPH) who is experiencing an increase in symptoms. Which statement by the patient would best explain the source of the increased symptoms?

"I am using an over-the-counter cold medication for a cold." Use of cold medications can increase symptoms because of their anticholinergic properties.

The nurse is instructing a patient about the medication sildenafil (Viagra). Which patient statement indicates teaching has been effective?

"I can take only one pill in a 24-hour period."

A patient reports getting up to urinate several times a night and difficulty starting a stream of urine. After medical testing is completed, a diagnosis of benign prostatic hyperplasia (BPH) is made. After conducting teaching regarding BPH, which statement by the patient indicates the need for further education?

"I know I will get cancer of the prostate because of this."

The nurse is preparing to discharge a patient recovering from prostate surgery for cancer. What should the nurse emphasize when providing discharge instructions for this patient?

"It is quite common to notice blood in your urine following this type of surgery."

A nurse is caring for a patient who is prescribed a selective phosphodiesterase type 5 inhibitor for the treatment of erectile dysfunction. The nurse should include which statement when educating the patient regarding this medication?

"The action of this medication will last up to 36 hours."

The nurse is caring for a patient who returns to the unit following transurethral resection of the prostate due to prostate cancer with a three-way Foley catheter in place. The patient states that he has the urge to urinate and wants the catheter removed. Which response by the nurse is the most appropriate?

"This is an expected sensation, but the Foley catheter must remain in place."

A patient is scheduled to undergo a prostate biopsy. The patient asks the nurse what is expected immediately following the procedure. Which response by the nurse is the most appropriate?

"You will likely experience discomfort for 24-48 hours after the procedure."

The nurse is caring for a male patient of Japanese descent who is experiencing urinary retention. The patient asks the nurse if it is possible that he is experiencing benign prostatic hyperplasia (BPH). Which response by the nurse is the most appropriate?

"Your provider will run some tests; however, you are considered low-risk for BPH."

The nurse is caring for a patient who has a continuous bladder irrigation running following a prostatectomy. During the shift, a total of 1500 mL of irrigant is infused. The Foley bag is emptied twice for the shift with totals of 850 mL and 950 mL. What is the patient's actual urine output for the shift?

300 mL

The nurse is providing care to a patient who is diagnosed with benign prostatic hyperplasia (BPH). Which items in the patient's health history may have contributed to this diagnosis? Select all that apply.

70 years of age Diet high in meat and fats African-American ethnicity

The nurse is conducting a health history with a patient diagnosed with erectile dysfunction. Which finding could provide a possible cause for the patient's problem?

Alcohol intake of four to six beers each day

A nurse is treating a patient with diabetes mellitus who reports erectile dysfunction (ED). Which hormonal cause contributes to ED?

Decreased thyroid-stimulating hormone Hormonal causes of ED include decreased testosterone, decreased prolactin, and alterations in thyroid function. A decrease in thyroid-stimulating hormone (TSH) would be a cause of this disorder.

The nurse is assessing a patient for symptoms of prostate cancer. Which symptoms would indicate the patient is experiencing an enlarged prostate?

Dysuria

A nurse is screening a patient for prostate cancer. Which assessment findings would cause the nurse to suspect that the patient has prostate cancer? Select all that apply.

Fatigue Back pain Hematuria

The nurse is providing follow-up care for a patient was recently diagnosed with benign prostatic hyperplasia (BPH). Which nursing diagnosis is the priority for the nurse to include in the patient's plan of care?

Impaired Urinary Elimination

While receiving discharge teaching, an adult patient recovering from a prostatectomy is distressed to learn that episodes of incontinence may occur. Which should the nurse teach the patient to help minimize incontinence?

Kegel exercises

A patient is recovering from minimally invasive surgery due to a diagnosis of benign prostatic hyperplasia (BPH). After assessing the patient, the nurse expects which outcome for this patient?

No postoperative treatment A patient who is diagnosed with mild BPH is often treated with lifestyle changes and a "wait and see" approach. Urinating at first urge is a lifestyle change that is appropriate for this patient.

A patient with prostate cancer is being discharged from the hospital. Which educational topic is inappropriate for this patient?

Provide information on doses of complementary herbs

A male patient tells the nurse that he has no idea why his wife wants to stay married to him because he has not been able to "perform" sexually since his prostate surgery. Which diagnosis would be appropriate for this patient?

Situational Low Self-Esteem

The nurse is caring for a patient with erectile dysfunction (ED). Which medication should the nurse anticipate being prescribed for this patient? Select all that apply.

Tadalafil (Cialis) Sildenafil (Viagra) Vardenafil (Levitra)

A patient is recovering from prostate surgery on a medical-surgical unit. The patient will be ready for discharge within the next few days. Which teaching point is appropriate for this patient?

The patient should increase the fiber in his diet. The patient should be encouraged to increase the fiber in his diet, as straining for bowel movements after surgery can cause increased pressure in the prostate area. The patient and family are taught good dietary habits to keep bowel movements regular and soft.

The nurse is preparing an educational program on risk factors for the development of prostate cancer. Which information will the nurse include as being the greatest risk factor for developing prostate cancer?

The patient's age

The nurse is planning care for a patient with erectile dysfunction. What should the nurse include in this patient's plan of care?

Types of devices and surgeries available to help with the disorder

The nurse is providing care to a patient who is diagnosed with mild benign prostatic hyperplasia (BPH). Which lifestyle change is appropriate for this patient?

Urinating at first urge