NUR 222 - Ch 34 - PrepU
The nurse is demonstrating the technique for performing a testicular self examination {TSE} to a group of men for a company health fair. One of the men asks the nurse at what age a man should begin performing TSE. What is the best answer by the nurse?
"It should begin in adolescence." (Page 966)
A client with erectile dysfunction is prescribed sildenafil {Viagra}. Which of the following would the nurse include in the teaching plan for this client?
"You may experience headache and some flushing with this drug." (Page 954)
A male client has undergone a semen analysis for evaluation of fertility. The nurse understands that a sperm count of which of the following would suggest infertility?
18 million/mL
What is included in the home care instructions for a client with epididymitis and orchitis?
All options are correct (Page 965)
Which treatment involves implantation of interstitial radioactive seeds under anesthesia to treat prostate cancer?
Brachytherapy (Page 957)
A client with Stage IV prostate cancer is to receive hormone therapy. The nurse would inform the client about possible adverse effects including which of the following?
Breast tenderness
Which is inconsistent with a digital rectal examination {DRE}?
Can reveal a hydrocele (Page 956)
After teaching a group of student about structural abnormalities of the male reproductive system, the instructor determines that the teaching was successful when the students identify which of the following as an example?
Cryptorchidism (Page 966)
Which term refers to a failure of one or both or both of the testes to descend into the scrotum?
Cryptorchidism (Page 966)
A patient experiences hypotension, lethargy, and muscle spasms while receiving bladder irrigations after a transurethral resection of the prostate {TURP}. What is the first action the nurse should take?
Discontinue the irrigations (Page 961)
A patient is planning to use a negative-pressure {vacuum} device to maintain and sustain an erection. What should the nurse caution the patient about with the use of this device?
Do not leave the constricting band in place for longer than 1 hour to avoid penile injury (Page 953)
Which of the following would lead a nurse to suspect that a client is experiencing acute prostatitis? Select all that apply.
Dysuria; Nocturia; Perineal pain (Page 954)
Which of the following recommendations would a nurse advocate during infancy and childhood to help reduce potential adult complications such as orchitis?
Ensure immunizations against infectious diseases such as mumps.
The diagnosis of prostate cancer is confirmed by which of the following?
Histologic exam of tissue (Page 956)
Which statement is accurate regarding sildenafil?
Its side effects include headache, flushing, and dizziness. (Page 952)
After a radical prostatectomy for prostate cancer, a client has an indwelling catheter removed. The client then begins to have periods of incontinence. During the postoperative period, which intervention should be implemented first?
Kegel exercises (Page 965)
Which nursing assessment finding is most significant in determining the plan of care in a client with erectile dysfunction?
Medication use
The nurse is preparing a presentation for a men's community group about health promotion. Which of the following would the nurse include as a current recommendation for screening?
Monthly testicular self-examination {TSE} (Page 966)
Carlos Gutierrez, an 80-year-old retired farmer, is being seen by the urologist due to his erectile dysfunction. How many men, 75 years of age and older, have chronic erectile dysfunction?
More than half (Page 950)
Which term refers to the surgical removal of one or both testes?
Orchiectomy (Page 957)
The nurse is preparing a discharge teaching plan for a client who has had a prostatectomy. Which of the following would be appropriate to include?
Performing perineal exercises frequently throughout the day (Page 964)
A client comes to the emergency department complaining of sudden, sharp testicular pain. Further examination reveals torsion of the spermatic cord. Which of the following would the nurse expect to do next?
Prepare the client for surgery
A patient is suspected to have prostate cancer related to observed clinical symptoms. What definitive test can the nurse assist with to confirm a diagnosis of prostate cancer?
Prostate biopsy (Page 956)
A 73-year-old client has been diagnosed with epididymitis after examination and diagnostic tests ordered by a physician with the urology group where you practice nursing. What treatment would you expect the physician to order? Choose all correct options.
Scrotal elevation, Comfort measures (Page 965)
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?
Suggest donor insemination or adoption (Page 967)
A patient is having a DRE in the physician's office and the nurse is to assist in the examination. What can the nurse instruct the client to do to decrease the discomfort from the exam?
Take a deep breath and exhale when the physician inserts a gloved finger into the rectum.
Which should be included as part of the home care instructions for a client with epididymitis and orchitis?
Take prescribed antibiotics (Page 965)
A patient comes to the emergency department and tells the nurse, "I took a pill to help me perform and then passed out." The nurse is assessing the patient and finds a nitroglycerin patch on his back. What is the first intervention the nurse must perform?
Take the patient's blood pressure (Page 953)
A nurse is teaching a male client to perform monthly testicular self-examinations. Which point is appropriate to make?
Testicular cancer is a highly curable type of cancer (Page 965-966)
After having transurethral resection of the prostate {TURP}, a client returns to the unit with a three-way indwelling urinary catheter and continuous closed bladder irrigation. Which finding suggests that the client's catheter is occluded?
The client reports bladder spasms and the urge to void (Page 964)
Which of the following is the only definitive test that can determine if cancer of the testis is present?
Tissue biopsy (Page 966)
A clinical manifestation related to metastasis from prostate cancer is
hip pain. (Page 956)
What should a male client older than age 50 do to help ensure early identification of prostate cancer?
Have a digital rectal examination and prostate-specific antigen (PSA) test done yearly (Page 956)
An 80-year-old client is being seen by the urologist because of erectile dysfunction. This client has a history of hypertension. Which of the following would be the most likely cause of his erectile dysfunction?
Hypertension medication (Page 950-951)
The nurse is teaching a young adult male how to perform testicular self-examination {TSE}. The nurse determines that the client has understood the instructions when he states which of the following?
"The best time to do it is once a month after I take my warm morning shower." (Page 967)
A client is scheduled for a transurethral rescection of the prostate {TURP}. Which statement demonstrates that the expected outcome of "client demonstrates understanding of the surgical procedure and aftercare" has been met?
"The surgeon is going to insert a scope through my urethra to remove a portion of the gland." (p. 958, 960)
Bright red bleeding following prostate surgery indicates which of the following?
Arterial bleed (Page 963)
Which of the following would a nurse include in the teaching plan for a client who has had surgery for cancer of the testes?
Consuming a well-balanced diet with adequate fluids.
After teaching a group of students about erectile dysfunction, the instructor determines that the teaching was successful when the students identify which of the following as true?
Erectile dysfunction may be due to testosterone insufficiency.
A client who comes to the clinic complaining of perineal pain, dysuria and fever is diagnosed with prostatitis. The nurse understands that which of the following organisms would be the most likely cause?
Escherichia coli (Page 954)
The client with benign prostatic hyperplasia {BPH} is considering use of medication in the management of symptoms. Which of the following drugs reduces the size of the prostate without lowering circulating levels of testosterone?
Finasteride {Proscar}
In a client with benign prostatic hyperplasia {BPH}, which assessment finding provides the best indication of urinary retention?
Frequency
A client is receiving leuprolide as part of his treatment for prostate cancer. The nurse would be alert for which of the following as a possible adverse effect?
Gynecomastia (Page 956)
The nurse is preparing a presentation for a local community group about prostate cancer and possible dietary risk factors. Which of the following would the nurse most likely include?
High-fat diet (Page 956)
Which of the following should nurses teach all men, especially those who have had cryptorchidism?
How to perform a testicular self-examination (Page 967)
Following prostatectomy, the nurse monitors the patient for indicators of fluid volume excess {FVE}. Which of the following are positive indicators? Select all that apply.
Jugular vein distention; An S3 gallop heart sound; Pulmonary crackles; Dyspnea and wheezing. (Page 962)
A patient with an indwelling catheter after a radical prostatectomy is having bladder spasms. What medication prescribed by the physician can the nurse administer to help alleviate the discomfort?
Oxybutynin {Ditropan}
The nurse is providing instruction for testicular self-examination to a group of young adolescents. Which is the most correct examination technique?
Palpate each testicle separately, following a warm shower.
Hydrocele can be differentiated from a hernia by transillumination. The hydrocele will glow which of the following colors?
Red (Page 967)
When developing an educational program for a group of adolescents about sexually transmitted infections {STIs}, what should the nurse inform the group about the single greatest risk factor for contracting an STI?
The number of sexual partners
Which of the following is the only definitive way to diagnose testicular cancer?
Tissue biopsy (Page 966)
A client with benign prostatic hyperplasia doesn't respond to medical treatment and is admitted to the facility for prostate gland removal. What is the most widely used procedure for prostate gland removal?
Transurethral resection of the prostate {TURP} (Page 959)
Following a vasectomy, which is the most important instruction to provide to the client?
Use another form of birth control until further notice.
A client underwent a transurethral resection of the prostate gland 24 hours ago and is on continuous bladder irrigation. Which nursing intervention is appropriate?
Use sterile technique when irrigating the catheter (Page 964)
Which of the following would be most important to include in a teaching plan for a client who has had a vasectomy?
Using a reliable method of contraception for several weeks.
A client is ordered continuous bladder irrigation at a rate of 60 gtt/minute. The nurse hangs a 2 L bag of sterile solution with tubing on a three-legged IV pole. She then attaches the tubing to the client's three-way urinary catheter, adjusts the flow rate, and leaves the room.
Which important procedural step did the nurse fail to follow? Evaluating patency of the drainage lumen (Page 964)
A triple-lumen indwelling urinary catheter is inserted for continuous bladder irrigation following a transurethral resection of the prostate. In addition to balloon inflation, the functions of the three lumens include:
continuous inflow and outflow of irrigation solution. (Page 964)
A client is undergoing a diagnostic workup for suspected testicular cancer. When obtaining the client's history, the nurse checks for known risk factors for this type of cancer. Testicular cancer has been linked to:
cryptorchidism (Page 966)