Male Reproductive Disorders

A client was diagnosed with benign prostatic hyperplasia (BPH), and the primary health-care provider decides that watchful waiting is appropriate. Which statement made by the client requires further teaching?

3. "I should drink lots of fluids in the evening."

The nurse is giving instructions to a client with erectile dysfunction regarding the use of alprostadil. Which statement made by the client indicates effective teaching?

3. "I should massage my penis after the administration of the drug."

The RN is reinforcing the teachings to a nursing student regarding sildenafil administration for erectile dysfunction. Which statement made by the nursing student indicates the need for further learning?

3. "The duration of erection is dependent on the dose the drug."

The RN is talking with the nursing student about clients who have a normal prostate cancer risk based on prostate specific antigen (PSA) levels. Which client would the nurse expect to be normal?

3. A 73-year-old man with a PSA level of 5 mg/mL

The nurse is assessing the protein specific antigen (PSA) test reports of clients who were suspected to have prostate cancer. Which client should have follow-up testing for prostate cancer based on the PSA report?

3. A reading of 3.9 ng/mL in a 50-year-old client

Which therapy used in the treatment of prostate cancer acts by altering endogenous hormone production in order to suppress tumor growth?

3. Ablative hormone therapy

A client visits the primary health-care provider because of painful urination. The diagnosis revealed benign prostatic hyperplasia. Which medication is most likely to be prescribed?

3. Indoramin

Which is true regarding the incisions made during the surgical removal of prostate cancer using the laparoscopic technique?

3. Multiple incisions are made in the lower abdominal region.

Which medication should be administered if an overactive bladder exists along with benign prostatic hyperplasia?

3. Oxybutynin

Which neoadjuvant therapy is used in the treatment of prostate cancer?

1. Cryotherapy

In which treatment method is the prostate gland frozen during the treatment?

2. Cryotherapy

A client is diagnosed with benign prostatic hyperplasia (BPH) and has minimal symptoms. The primary health-care provider recommends active surveillance of the client. The RN is teaching the nursing student about the interventions that are advisable to the client. Which responses given by the nursing student indicate effective understanding? Select all that apply.

1. "I must advise the client to avoid sedatives." 3. "I must advise the client to visit the physician yearly."

The primary health-care provider is talking with the nursing student about the causes of bladder stones. Which symptoms does the nurse expect to be related to bladder stones? Select all that apply.

1. Blood in the urine 2. Mineral deposits 3. Obstructed urine flow

Which therapy includes liquid nitrogen for freezing the prostate?

1. Cryotherapy

Which is a symptom of locally invasive prostate cancer?

1. Dysuria

Which is most important to monitor in a client who is receiving alpha-adrenergic blockers for treatment of benign prostatic hyperplasia? Select all that apply.

1. Heart rate 3. Blood pressure

Which symptom indicates locally invasive prostate cancer?

1. Hematuria

A client diagnosed with erectile dysfunction is considering treatment options. Which nursing interventions are beneficial to the client? Select all that apply.

1. Instructing the client regarding medication administration 2. Assessing for cardiovascular disease and testosterone levels 3. Assessing the client for unstable emotions and performance anxiety

Which is true regarding laser surgery used in the treatment of benign prostatic hyperplasia (BPH)?

1. It prevents tissue regrowth.

A client working with farming equipment has a degloving testicular trauma. Upon assessment, the client is found to have insufficient scrotal skin for primary closure of the testes. Which intervention is most preferred in this scenario?

1. Placing the testes in an adjacent area

Which is true regarding prostate cancer? Select all that apply.

1. Prostate cancer may run in families. 3. Metastasized prostate cancer may be curable. 4. Prostate cancer generally occurs in older males.

The RN is discussing the decision-making process for prostate cancer screening and treatment with a group of nursing students. Which points should the nurse include in the discussion? Select all that apply.

1. Prostate cancer treatment can lead to bowel problems. 2. A prostate-specific androgen (PSA) test will detect prostate cancer earlier than not screening. 3. Infections can be caused by biopsies, which are ordered to follow up about any abnormal prostate screening results.

Which is true regarding metallic prostatic stents used to treat benign prostatic hyperplasia?

1. They are used for short-term treatment.

The nurse is caring for a client who is diagnosed with prostate cancer. Which client symptom caused the nurse to suspect that the nature of the cancer is a locally advanced disease?

1. Urinary incontinence

The nurse is reinforcing the teaching of the primary health-care provider to the client who had a scrotal injury. Which response given by the client indicates the need for further teaching?

2. "I must gently apply an icepack on the scrotal skin."

The RN is teaching a nursing student about different surgical management procedures used to treat benign prostatic hyperplasia. Which statement made by the nursing student indicates effective teaching?

2. "Transurethral microwave therapy causes shrinkage of the prostate gland."

Which can lead to a testicular injury that causes penetrating trauma?

2. Gunshot wounds

A client with benign prostatic hyperplasia (BPH) is diagnosed with hydronephrosis. Which complication is associated with this diagnosis?

2. Kidney damage

Which is true regarding alpha-adrenergic receptor blockers?

2. They relax the smooth muscles of the prostate.

In which stage of testicular cancer does the tumor invade the tubes that transport sperm?

3. Stage T3

Which surgical procedure involves the passage of a cystoscope through urethra?

3. Transurethral needle ablation (TUNA)

In which procedure is hot water used for causing coagulation necrosis of the prostate tissue?

3. Water-induced thermotherapy (WIT)

The nurse is providing instructions to a client with blunt testicular trauma. Which statement by the client indicates the need for further teaching?

4. "I should apply ice directly to the skin of the scrotum."

Which condition can be treated with Cernilton?

4. Benign prostatic hyperplasia

Which herbal therapy used in the treatment of benign prostatic hyperplasia (BPH) contains beta-sitosterols?

4. South African star grass

Which stage of testicular cancer invades blood vessels that supply the testicles?

4. T4

Which procedure removes the entire inner prostate leaving the outer layer?

4. Transurethral resection of the prostate