Concepts of clinical decision making module 3 - Male reproduction
A nurse is reviewing the clinical record of a client with a diagnosis of benign prostatic hyperplasia (BPH). Which test result will the nurse check to confirm the diagnosis?
Biopsy of prostatic tissue
A client with positive family history of testicular cancer arrives at the hospital and reports testicular pain. The primary healthcare provider reviews the laboratory reports and makes a diagnosis of testicular cancer. After surgery, the client will undergo chemotherapy. What conditions might occur in this client after chemotherapy? Select all that apply.
-Infertility -Heart disease -Metabolic syndrome
A client scheduled for a transurethral prostatectomy expresses concern about the effect the surgery will have on sexual ability. Which information should the nurse share with the client?
May experience retrograde ejaculations
The nurse is caring for several adolescent clients. Which are at increased risk for testicular cancer? Select all that apply.
-Client with infertility -Client with cryptorchidism -Client with Klinefelter syndrome
A client has a body temperature of 102.8° F along with chills; dysuria; urethral discharge; and a boggy, tender prostate. Which organism is responsible for this condition?
Escherichia coli
The nurse is providing care to a client who has had a transurethral resection of the prostate (TURP). Which goal is the priority?
Maintain patency of the indwelling catheter
A client who has had a transurethral resection of the prostate (TURP) experiences dribbling after the indwelling catheter is removed. Which is an appropriate nursing response?
"Increase your fluid intake and urinate at regular intervals."
After prostate surgery a client's indwelling catheter and continuous bladder irrigation (CBI) are to be removed. The nurse discusses with the client the procedure and what to expect after the removal. Which statement by the client indicates teaching by the nurse is understood?
"I probably will experience some burning on urination."
A client who had a transurethral resection of the prostate is transferred to the postanesthesia care unit with an intravenous (IV) line and a urinary retention catheter. For which major complication is it most important for the nurse to assess during the immediate postoperative period?
Hemorrhage
Before a transurethral resection of the prostate (TURP), a client asks about what to expect postoperatively. Which response by the nurse is most appropriate?
"There will be an indwelling urinary catheter and a continuous bladder irrigation in place."
What instructions should a nurse provide to adolescent boys regarding the usual procedure to be followed and normal findings observed during testicular self-examination. Select all that apply.
-A firm, smooth, egg-shaped organ can be palpated -Each testicle is examined individually after relaxing the scrotal skin -The thumb and fingers of both hands can be used to apply firm and gentle pressure -A raised swelling that can be palpated on the superior aspect of the testicle is the epididymis
The nurse reviews the medical records of four male clients. Which client will the nurse assess most closely for developing prostate cancer?
Black 55-year-old
A client is informed that he has benign prostatic hyperplasia (BPH), and the healthcare provider prescribes finasteride. The client would like to take saw palmetto instead of the finasteride. What does the nurse inform the client about this herbal supplement?
It may be taken after consultation with the healthcare provider
A nurse is caring for a client with a diagnosis of benign prostatic hyperplasia (BPH). Which information about this condition is important for the nurse to consider when caring for this client?
It predisposes to hydronephrosis.
After a transurethral prostatectomy, a client returns to the postanesthesia care unit with a three-way indwelling catheter with continuous bladder irrigation. Which nursing action is the priority?
Monitoring for bright red blood in the drainage bag because bright red blood can indicate that there is a hemorrhage
The nurse is caring for a client in the postanesthesia care unit. The client had a suprapubic prostatectomy for cancer of the prostate and has a continuous bladder irrigation (CBI) in place. Which primary goal is the nurse trying to achieve with the CBI?
Prevent the development of clots in the bladder
A nurse is caring for a client with a diagnosis of cancer of the prostate. The nurse should teach the client that which serum level will be monitored throughout the course of the disease?
Prostate-specific antigen (PSA)
