EAQ Chapter 72: Module 1

The nurse is preparing a patient for a digital rectal examination (DRE) of the prostate. What does the nurse teach the patient about the examination?

The patient must void...

A 66-year-old man is receiving education pertaining to the use of a vacuum constrictive device (VCD). A patient would demonstrate understanding of the device's primary action when he states:

This device draws...

The nurse is caring for a patient after a transurethral resection of the prostate (TURP). What action does the nurse take?

Use NS...

The nurse is working with a couple having difficulty conceiving a child. What may be a possible cause of infertility in the male?

Varicocele

A 55-year-old male reports difficulty maintaining an erection. After discussing the patient's history, which statement by the patient would best support a diagnosis of erectile dysfunction?

"After a motor...

A nurse is educating a patient who will receive a penile implant. Which statement demonstrates correct patient teaching by the nurse?

"Contact your...

The nurse is teaching a patient about taking tadalafil (Cialis) for erectile dysfunction. Which statement by the patient indicates a need for further teaching?

"I must have sex....

A patient with a diagnosis of BPH was given a prescription for tamsulosin. Which statement by the patient indicates further drug teaching is needed?

"I need follow-up lab testing because tamsulosin can cause kidney dysfunction."

The patient diagnosed with BPH just completed a teaching session by the nurse. Which statement by the patient indicates that further teaching is needed?

"I will take saw palmetto twice a day."

After a being diagnosed with prostatitis, which actions by the patient best demonstrate an understanding of discharge teaching?

"I will take... "A sitz bath could make me more comfortable."

A patient with benign prostatic hyperplasia (BPH) is prescribed finasteride. What instructions does the nurse give to the patient about this drug?

"Obtain... "Slowly... "This...

When teaching a group of men about preventing chronic bacterial prostatitis, which statement should the nurse make?

"Prostatitis is more common in older men."

A patient was recently diagnosed with benign prostatic hyperplasia (BPH). The nurse is teaching the patient the physiology of the bladder and prostate in patients with BPH. Which statement by the patient indicates the need for further teaching?

"The bladder muscle thins to help urine push past the enlarged prostate gland."

The nursing instructor is teaching a group of nursing students how to prepare a patient with benign prostatic hyperplasia (BPH) for a digital rectal examination (DRE). What statement by a student nurse indicates a need for further teaching?

"The residual urine will be measured during the examination."

A patient reports pain and heat sensation in the scrotum and that the scrotum feels "wormlike." The primary health care provider anticipates that the patient may become infertile if the condition is not treated. What should the nurse identify the likely cause of the infertility to be?

A dilated cluster of veins behind the testis

A patient has undergone transurethral resection of the prostate (TURP). Which interventions does the nurse incorporate in this patient's postoperative care?

Administer... Assist...

The RN working in the hospital emergency department is assigned to care for these four patients. Which patient does the nurse attend to first?

Adolescent with an erection for "10 or 11 hours" who is reporting severe pain

A patient with severe benign prostatic hypertrophy has elected to undergo holmium laser enucleation of the prostate (HoLEP). The patient admits to having a very active lifestyle, and he expresses fear that the surgery will cause permanent incontinence. What teaching point can the nurse use to calm this patient's anxiety?

After recovery...

Twelve hours after the patient has a transurethral resection of the prostate (TURP) he begins having bright red urinary drainage with numerous clots. The nurse, per the surgeon's orders, irrigates the catheter with normal saline, but the bleeding and clots continue. When the nurse calls the surgeon again, which drug does the nurse expect the surgeon to order?

Aminocapric...

The nurse is assessing a patient who is experiencing blood in his urine. If the patient has a CBC (complete blood count) done, what findings are most likely on the CBC?

An elevated white blood cell count (WBC) and a low red-blood cell count (RBC)

After returning from transurethral resection of the prostate (TURP), the patient's urine in the continuous bladder irrigation system is a burgundy color. Which patient needs does the nurse anticipate after the surgeon sees the patient?

Anti... Monitoring...

A patient has been diagnosed with benign prostatic hyperplasia. His medical chart indicates that he has a history of heart disease, seasonal allergies, obesity, and type II diabetes mellitus. Which medication is it imperative for the nurse to teach the patient to avoid?

Antihistamines

A patient underwent a transurethral resection of the prostate (TURP) yesterday for benign prostatic hyperplasia (BPH). What intervention does the nurse perform for the patient during the first postoperative day?

Assess for excessive bleeding.

The nurse is caring for a patient with benign prostatic hyperplasia (BPH). What nonsurgical interventions to improve urinary elimination does the nurse teach the patient?

Avoid Avoid Avoid

A patient with benign prostatic hyperplasia (BPH) is being discharged with alpha-adrenergic blockers. Which information is important for the nurse to include when teaching the patient about this type of pharmacologic management?

Avoid... Be careful... Keep all...

A 65-year-old patient with benign prostatic hyperplasia (BPH) is prescribed finasteride and doxazosin. What is the priority nursing assessment to perform following the first dose?

BP...

A 56-year-old patient reports being treated for prostatitis by his health care provider. Which assessment data would best support this diagnosis?

Bactrim antibiotic treatment regimen UTI Irregularly enlarged prostate

The nurse is teaching a patient with benign prostatic hyperplasia (BPH) about ways to avoid loss of bladder muscle tone. What instructions does the nurse provide?

Empty... Avoid... Avoid...

What preoperative teaching does the nurse provide to a patient who is to undergo a transurethral resection of the prostate (TURP)?

Epidural...

The nurse just completed teaching a patient about finasteride. Which statement made by the patient indicates understanding of why the medication was prescribed?

Finistride reduces...

The nurse is obtaining a health history from a patient suspected of benign prostatic hyperplasia (BPH). What are the symptoms of BPH?

Frequent waking during the night to void Sensation of incomplete bladder emptying Difficulty in starting and continuing urination Decreased force and intensity of urinary stream

The nurse is performing a history assessment of a patient complaining of several urinary problems, including frequency, post-void dribbling, overflow incontinence, nocturia, and incomplete emptying. The patient scored a 24 on the I-PSS. What other conditions should the nurse assess the patient for?

Hematuria Depression Urinary infection

The nurse reviews the medication profile of a patient with benign prostatic hyperplasia and notes long-term use of coumadin. The nurse anticipates that which surgical procedure will be performed to treat the patient's condition?

HoLEP

The nurse is caring for a patient who has been taking finasteride for 6 months. The nurse recognizes that further treatment is needed when the patient experiences what?

Hydroureter

A patient with benign prostatic hyperplasia (BHP) is being considered for a transurethral resection of the prostate (TURP). What complications can occur as a result of this procedure?

Hyponatremia Fluid overload Water intoxication

A patient who has previously been diagnosed with benign prostatic hyperplasia enters the emergency department with the complaint of being unable to urinate. What is the priority nursing intervention for this patient?

Insert...

A patient had a transurethral resection of the prostate (TURP) yesterday. The staff nurse notes that the urinary output from the catheter has decreased and the patient is reporting severe bladder spasms. What is the nurse's priority action?

Irrigate...

The nurse is assessing a patient for benign prostatic hyperplasia (BPH) using the International Prostate Symptoms Score (I-PSS). What statement most accurately describes the I-PSS system?

It asks the patient about the severity of urinary symptoms.

A patient has undergone transurethral resection of the prostate (TURP) for benign prostatic hyperplasia. Upon discharge, the nurse should give the patient instructions about performing which type of exercises?

Kegel exercises

A patient has returned from the Patient Anesthesia Care Unit (PACU) following a transurethral resection of the prostate (TURP). What interventions are appropriate for the nurse to implement?

Monitor... Assess... Maintain...

The nurse assesses a patient with BPH and notices that he has some signs and symptoms of depression. What urinary symptoms most likely contributed to his depression?

Noc... Sex... Post...

The nurse is caring for a patient just diagnosed with benign prostatic hypertrophy. The physician is starting the patient on dutasteride therapy. What teaching points should the nurse include when talking to the patient about his diagnosis and therapy?

Noticeable improvement may take as long as 6 months to achieve. Side effects may include erectile dysfunction and decreased libido. The patient may experience orthostatic hypotension, so he should change positions slowly.

A nurse is performing vitals on a patient who is recovering from a transurethral resection of the prostrate (TURP) and notices that arterial bleeding is occurring and the urinary drainage is bright red with numerous clots. What should the nurse do?

Notify Note Irrigate

During the assessment of a 72-year-old man, a nurse notes dysuria and urinary frequency. Which assessment data best indicates prostatitis?

Oral... Ecoli... Uretheral...

The nurse is caring for a patient who is being treated with a 5-alpha reductase inhibitor (5-ARI) as the first-line drug therapy for benign prostatic hyperplasia (BPH). What instruction does the nurse give to the patient about this therapy?

Orthostatic hypotension is a side effect of this treatment.

All of the patients below have erectile dysfunction (ED). Which patient is the most likely to suffer from functional ED?

Patient A

The nurse is caring for four different patients who are unable to achieve an erection. Which patient should not be prescribed PDE-5 inhibitors?

Patient C

The nurse is caring for a patient with erectile dysfunction (ED) who has not had success with other treatment modalities. The nurse anticipates that the health care provider will recommend which treatment for this patient?

Penile implants

A patient has a cystic fluid-containing mass around the testis and undergoes surgery for removal of the mass. The nurse evaluates the recovery of the patient 12 hours after surgery. Which finding indicates normal postoperative recovery?

Presence of serosanguineous fluid in incision drain after 36 hours

Which method is a common complementary and alternative therapy for benign prostatic hyperplasia (BPH)?

Serenoa repens

A patient is scheduled for a transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH). What preoperative information must the patient understand?

Sexual function...

During examination, the nurse notices that a patient who is in testicular cancer remission has a self-contained mass on his epididymis inside his scrotum. What is this mass most likely to be diagnosed as?

Spermatocele

A patient fills out the International Prostrate Symptom Score (I-PSS), and the nurse notices that while the patient has restricted urinary flow, he does not complain of frequency or nocturia. Which diagnosis is most likely for this patient?

The patient has an infection

What noninvasive techniques are available to destroy excess prostate tissue in patients with benign prostatic hyperplasia (BPH) who do not experience a relief of urinary symptoms with drug therapy?

Transurethral microwave therapy Transurethral needle ablation Electrovaporization of the prostate Contact laser prostatectomy

A patient is diagnosed with benign prostatic hyperplasia (BPH). When discussing the diagnosis with the patient, the nurse would likely make which statement?

"The exact cause...

The nurse is caring for a patient with chronic prostatitis. What instructions does the nurse provide?

Chronic...

Which complications would the nurse anticipate in a patient after being treated for prostatitis? .

Epidid.. UTI Cystitis

What term is used for a cystic mass that forms around the testis and is usually filled with straw-colored fluid?

Hydrocele

The nurse is completing a physical assessment of an obese patient who complains of frequency, nocturia, and overflow incontinence. Which assessment technique is the best technique to use to assess this patient's urinary system?

Percussion

A patient with erectile dysfunction (ED) is prescribed phosphodiesterace-5 (PDE-5) inhibitors. What are the dosing-related side effects of PDE-5?

Stuffy nose Facial flushing Dyspepsia Headache