LS1 Week 8 Assessment and Management of Problem Related to Make Reproductive Process

The nurse knows that a client being screened for prostate cancer needs further instruction when he makes which statement? a. "This back pain I have had for approximately 6 months could be a symptom of prostate cancer" b. "I'm concerned that I may have prostate cancer because i have difficulty urinating" c. "I understand blood in the urine is the first symptom of prostate cancer" d. "It worries me that I continue to experience"

c. "I understand blood in the urine is the first symptom of prostate cancer"

A 55 year old Asian man has a PSA level of 4.8. Based on the client's PSA level, which assesment question does the nurse need to ask? a. "Will you remeber to schedule your next PSA test in 1 year?" b. "How often do you include foods high in purines in your diet?" c. "Do you wear boxers of briefs?" d. "Do you wear boxers or briefs?"

d. "When was the last time you experienced ejaculation?"

Lately, a 75 year old man is having difficulty emptying his bladder. He is unable to empty it completely and yet it feels full, causing discomfort. The physician suspects prostate cancer Which question would you expect the physician to ask the client? Select all that appyl a. "Do you have a family history of prostate cancer?" b. "Do you leak urine involuntarily?" c. "Do you pass blood in your urine?" d. "Do you feel thirsty often?" e. "Do you have a burning sensation during urination?"

a. "Do you have a family history of prostate cancer?" c. "Do you pass blood in your urine?" e. "Do you have a burning sensation during urination?"

Which client is most likely to develop prostate cancer according to a nurse working at a health screening at thelocal mall? a. A 56 year old African American man b. A 35 year old African American man c. A 17 year old Caucasian man d. A 60 year old Asian American man

a. A 56 year old African American man

Which component of client teaching helps the nurse assist a client following treatment for cancer of the prostte gland to manage and minimize the possiblity of a recurrence of the primary cancer or metastasis? a. Have regular prostate specific antigen (PSA) levels tested and repeat lymph node biopsies b. Undertake pelvic floor retraiing exercises c. Avoid strenuous exercises, especially lifting d. Avoid strenuous exercises, especially lifting

a. Have regular prostate antigen (PSA) levels tested and repeat lymph node biopsies.

Which should be included as part of the home care instructions for a client with epididymitis and orchhitis? a. Take prescrived antibiotics b. Apply ice to the area after scrotal swelling subsides c. Resume sexual intercourse d. Undertke lifting exercises

a. Take prescribed antibiotics

Which is an age-related change affecting the male reproductive system? a. Prostate secretion increases. b. Plasma testosterone levels decrease c. Testes become soft d. Patency increases

b. Plasma testosterone levels decrease

Which instruction regarding future sexual activity should a nure give a client with a vasectomy? a. Administer a mild analgesic before any sexual activity b. Sexual activity can resume after 3 weeks c. Expect some bruising and incisional soreness after every sexual activity for the first 2 days d. Use a reliable method of contraception until the physician ensures that sperm no longer are present

d. Use a reliable method of contraception until the physician ensures that sperm no longer are present

The obstructive and irritative sx complex caused by benign prostatic hypertrophy is called a. prostatitis b. prostaglandin c. prostatectomy d. prostatism

d. prostatism

Which nursing diagnoses may be appropriate for a client with prostate cancer? Select all that apply a. Spiritual distress b. Anxiety c. Sexual dysfunction d. Readiness for enhanced knowledge e. Imbalanced nutrition, more than body requirements

b. Anxiety c. Sexual dysfunction d. Readiness for enhanced knowledge

Which term refers to a failure of one or both of the testes to descend ito the scrotum? a. Hydrocele b. Cryptorchidism c. Varicocele d. Phimosis

b. Cryptorchidism

Which statement should be included in the teaching plan for a client prescribed sildenafil? a. It should be taken immediately before intercourse b. It will restore sex drive c. Only one tablet of the prescribed doese should be taken each day d. It will result in erection formation

c. Only one tablet of the prescribed dose should be taken each day

Which term refers to the surgical removal of one or both testes? a. Vasectomy b. Hydrocelectomy c. Orchiectomy d. Circumcision

c. Orchiectomy

Which condition is associated with the buildup of fibrous plaques in the sheath of the corpus cavernosum, causing curvature of the penis when it is erect? a. Phimosis b. Priapism c. Peyronie's disease d. Bowen's disease

c. Peyronie's disease

A client is to undergo a TURP for BPH. Which statement is accurate with regard to a TURP? a. It is done on an outpatient basis b There is no danger of retrograde ejaculation c. Urethral strictures are more frequent for TURP than for nontransurethral procedures. d. A TURP causes erectile dysfunction

c. Urethral strictures are more frequent for TURP than for nontransurethral procedures.

Which component of client teaching helps the nurse assist a client following treatment for cancer of the prostate gland to manage and minimize the possiblity of a recurrence of the primary cancer or metastasis? a. Avoid sexual intercourse for at least 2 years b. Have regular prostate antigen (PSA) levels tested and repeat lymph node biopsies c. Avoid streuous exercise, especially lifiting d. undertake pelvic floor retraining exercises

b. Have regular PSA levels tested and lymph node biopsies

A 57 year old Caucasian man is being treated in the outpatient community center. The client report that most nights he wakes up twice to urinate. In addition, he reports occassional blood in his urine. The client's laboratory tests reveal a PSA level of 3.8 ng/mL and a white blood cell (WBC) count of 6, 000 mm3. The nurse most likely suspects that the client is experiencing which condition? a. Prostatitis b. Prostatism c. Prostatectomy d. Prostate cancer

b. Prostatism

The student nurse studying the male reproductive tract demonstrates understanding movement of testicular secretions when they exist the penis by selecting which pathway? a. Epididymis, ejaculatory duct, vas deferens, penis b. Seminiferous tubules, epididymis, vas deferens, ejaculatory duct c. Vas deferens, epididymis, ejaculatory duct, urethra d. Seminiferous tubules, urethra, ejaculatory duct, penis

b. Seminiferous tubules, epididymis, vas deferens, ejaculatory duct

Which should be included as part of the home care instruction for a client with epididymitis and orchitis? a. Apply ice to the area after scrotal swelling subsides b. Take prescribed antibiotics c. Undertake lifting exercises d. Resume sexual intercourse

b. Take prescribed antibiotics

Which is the most common type of prostate surgery? a. Retropubid prostatectomy b. Transurethral resection of the prostate c. Perineal prostatectomy d. Suprapubic prostatectomy

b. Transurethral resection of the prostate

The nurse working on the postoperative unit receives a report on various clients. Based on the informaton provided, whom should the nure see firt? a. A 55 year old male pt admitted with orchitis, with tenderness in both testicles, unilateral testicular swelling, and WBC of 114, 000. VS are T 100.2, P 82, R 18 and blood pressure 140/80 b. A 35 year old man 1 hour after vasectomy, with scrotal swelling, a pain rating of 5, and scrotal ecchymoses. VS T 98.9 P 72 R 16 and BP 140/82 c. A 67 year old male pt recovering from a prostatectomy, with potassium level of 4.o mEq and a serum sodium level of 130 mEq. VS T 99.2 P 88 R 22 BP 156/92 d. A 45 year old man diagnosed with acute bacterial prostatitis and painful urination. VS T 101.2 P 92 R 16 BP 148/88

c. A 67 year old male pt recovering from a prostatectomy, with potassium level of 4.o mEq and a serum sodium level of 130 mEq. VS T 99.2 P 88 R 22 BP 156/92

A client is undergoing tx for prostate cancer. He has chemotherapy sessions regulary. However, of late he is showing sx of food allergy and loss of appetite. He has lost considerable weight as a result. Which is an appropriate nursing task in this situation? a. Include fruits in the client's dieet b. Administer serotonin blockers c. Ask the client to keep a diet diary d. Ensure greater fluid intake

c. Ask teh client to keep a diet diary

Which is inconsistent with a digital rectal examination (DRE)? a. Recommended for men older than 40 years of age b. Assists in screening for cancer of prostate gland c. Can reveal a hydrocele d. Enables examiner to assess size, shape and consistency of prostate gland

c. Can reveal a hydrocele

A clinical manifestation related to mestastasis from prostate cancer is a. wt gain b. plyuria c. hip pain d. thrombocytopenia

c. hip pain

Which condition is associated with buildup of fibrous plaques in teh sheath of the corpus cavernosum, causing curvature of teh penis when it is erect? a. Priapism b. Phimosis c. Bowen's disease d. Peyronie's disease

d. Peyronie's disease

Which instruction regarding future sexual activity should a nurse give a client with a vasectomy? a. Expect some brusing and incisional soreness after every sexual activity for the first 2 days. b. Administer a mild analgesic before andy sexual activity c. Sexual activity can resume after 3 weeks d. Use a reliable method of contraception until the physician ensures that sperm are no longer present

d. Use a reliable method of contraception until the physcician ensures that sperm are no longer present.

Which statement is accurate regarding sildenafil? a. Its side effects include headache, flushing, and dizziness b. Sexual stimulation is not needed to produce an erection c. The medication should be taken right before intercourse d. It can be taken twice daily for increased effect

a. Its side effects include headache, flushing, dizziness.

Which would be included as a condition that can cause an elevated PSA level in the absence of prostate cancer? Select all that apply a. Erectile dysfunction b. Acute urinary retention c. BPH d. Acute prostatitis

b. Acute urinary retention

A 48 year old man recently diagnosed with benigh prostatic hyperplasia (BPH) reports consuming Serenoa repens (saw palmetto berry). The nurse needs to intervene if the physician orders which treatment? a. Ketoconazole b. Finasteride c. Sipuleucel-T d. Terazosin

b. Finasteride

A nurse is working in an oncology treatment center. Which clinical manifestation when reported by a client would the nurse know may be related to metastasis from prostate cancer? a. Frequent nighttime urination b. Large amounts of dilute urine when voiding c. Constant hip aching and discomfort d. Wt gain of 3 pounds in 1 month

c. Constant hip aching and discomfort

The nurse is caring for a client who had transurethral resection of the prostate (TURP) 1 day ago. Which assessment finding does the nurse expect? Select all that apply a. Rounded swelling above the pubis b. Increaseing pulse rate and diaphoresis c. Large amounts of amber colored urine in the drainage bag d. Reports of the urge to void from the client e. Drainage tube secured to the inner thigh

c. Large amounts of amber colored urine in the drainage bag d. Reports of the urge to void from the client e. Drainage tube secured to the inner thigh

A client expresses concerns about future reproduction after a surgery to correct the cancer of the testes. For this client, treatment proceeded without first collecting and storing sperm. Which alternative should the nurse suggest to the client? a. Reverse the surgery b. Undertake herbal alternatives c. Suggest donor insemination or adoption d. Suggest the use of sildenafil

c. Suggest donor insemination or adoption

A client has been scheduled to undergo a transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH). The nurse knows that the client understands preoperative teaching when he makes which statement? a. "I understand there is no danger of retrograde ejaculation following the TURP" b. "I will have my wife come with me to drive me home after the outpatient procedure" c. "I'm worried my wife will leave me after the TURP because of the side effect of erectile dysfunction" d. "I understand I may develop urethral strictures as a result of having the TURP"

d. "I understand I may develop urethral strictures as a result of having the TURP"

Which treatment involves implantation of interstitial radioactive seeds under anesthesia to treat prostate cancer? a. Chemoterapy b. Hormone therapy c. Teletherapy d. Brachytherapy

d. Brachytherapy

Which is inconsistent with digitals rectal examination (DRE)? a. Recommended for men older than 40 years of age b. Enables examiner to assess sized, shape and consistency of prostate gland c. Assists in screeing for cancer of prostate gland d. Can reveal a hydrocele

d. Can reveal a hydrocele

Which age related change affects the male reproductive system? a. increased prostate secretion b. Testes become soft c. Increased patency d. Decreased plasma testosterone

d. Decreased plasma testosterone

A 35 year old male client is seeking infertility treatment. The client's diagnostic workup includes a PSA level of 5.0 and a WBC count of 8,000. His physician diagnoses him with prostatis. Which type of prostatitis is the client most likely experiencing? a. I b. III c. II d. IV

d. IV

A 59 year old African American man has opted for hormonal androgen deprviation therapy (ADT) to treat his prostate cancer. Which surgical procedures is the client most likely to undergo? a. Vasectomy b. Hyrocelectomy c. Circumcision d. Orchiectomy

d. Orchiectomy