CH 42 PREP U

The prostate gland functions in the elimination of urine. The nurse knows that the prostate gland if enlarged can cause which dysfunction of the urinary system?

Obstruction

The nurse knows that which structures are a part of the male reproductive system? Select all that apply.

Pair of gonads Seminiferous tubules Prostate gland

Consider this a normal finding and proceed with the examination.

Prostate cancer

An older male client is experiencing difficulty initiating urination, and notes that the force and volume of the stream is reduced. What assessment data indicates benign prostatic hyperplasia (BPH)?

Weak urinary stream

A nurse suspects an older adult client is experiencing benign prostatic hyperplasia (BPH). Which question should the nurse ask this client?

"Has the force of your urinary stream decreased?"

A male client has been involved in a severe accident that has caused a complete transection of his spinal cord. The client's wife is concerned about their ability to become pregnant. Which response relating to childbearing and spinal cord injury is most accurate?

"Some men with complete transection of the spinal cord are able to produce an erection and ejaculation with genital stimulation."

A 41-year-old male client is planning on having a vasectomy. While explaining this surgery to the client, the health care worker will include which physiologic principle as the basis for this contraception technique?

"Sperm can no longer pass through the ductus deferens."

A male client is diagnosed with an inguinal hernia. Which statement by the client indicates that the nurse's teaching about the hernia has been effective?

"The hernia is a loop of bowel protruding through a weak spot in my abdominal muscles."

A 70-year-old male tells the health care provider he is now in a relationship with a younger woman who is capable of reproduction. The client asks if he may still be fertile. The best response would be:

"Yes; some 80- and 90-year-old men have been known to father children."

A 40-year-old male client with multiple health problems has been diagnosed with a testosterone deficiency. The nurse knows that which assessment findings would correlate with a testosterone deficiency? Select all that apply.

A high-pitched voice. A low muscle mass in proportion to his total body weight. Hot flashes and diaphoresis.

An 18-month-old boy is diagnosed with cryptorchidism. Based on this diagnosis, what does the nurse expect to observe during the physical assessment?

Absence of the testis in the scrotum bilaterally

When discussing male hormones and their effects, the instructor tells the class that there is much publicity about the use of androgens to enhance athletic ability. What does the instructor tell the class are some effects from taking these supplements? Select all that apply.

Acne Decreased testicular size Azoospermia Breast enlargement

A male client seeks treatment for erectile dysfunction. What factors contribute to this condition? Select all that apply.

Age 65 years Cardiovascular disease Antihypertensive medications

Which physiologic process results from the synthesis and release of testosterone?

Musculoskeletal growth

The nurse is teaching an all-male class at a local middle school about reproduction. Which time frame should the nurse tell the students that spermatogenesis begins and ends?

At about 13 years and throughout the reproductive years

The nurse is speaking with a couple at the fertility clinic about ways to increase sperm counts. Which topic does the nurse include in the discussion?

Avoid tight undergarments

The nurse planning a community education program on abuse of androgens to enhance athletic performance should include which adverse event as a potential harmful effect?

Azoospermia

A 60-year-old male client is informed by the health care provider that he has an overgrowth of mucosal glands of the prostate. Based solely on this finding, what diagnosis will the provider likely document in the health record?

Benign prostatic hyperplasia (BPH)

A client asks, "What gland is responsible for urethral lubrication during male sexual stimulation?" Which response by the health care provider would be the best reply?

Bulbourethral glands

As men age the reproductive system undergoes degenerative changes. The declining physiologic efficiency of the male reproductive function is also affected. The nurse understands that which systems are involved? Select all that apply.

Circulatory Endocrine Neuromuscular

A 17-year-old male has developed phimosis to the point that he is having difficulty voiding. The nurse should prepare this teenager for:

Circumcision

A nurse is performing a genital examination on a 25-year-old male client. The nurse notes pigmented, wrinkled scrotal skin. Based on this information, what should the nurse do next?

Consider this a normal finding and proceed with the examination.

In the male stages of the sexual act, emission precedes which stage, which is mediated through spinal cord reflexes?

Ejaculation

A male athlete admitted to the emergency room is suspected of abusing androgens. Which physical characteristic would the nurse expect to see if the testosterone has been aromatized to estradiol?

Enlarged breast

Where is the final site for sperm maturation?

Epididymis

The nurse assessing an adult male with impaired testosterone should evaluate which of the following as an expected finding?

Fatigue

A male client is admitted with a spinal injury that has damaged his sacral plexus. The nurse understands that this type of injury could affect the impulse stimulation for initiating the sexual act through which organ?

Glans penis

An adult client had bilateral orchiectomy (testicular removal) due to cancer. What will be the primary effect of the disruption in testosterone synthesis?

He will likely experience an overall reduction in muscle mass.

An older man is concerned about his sexual dysfunction. The nurse knows problems in which bodily system/function can cause erectile dysfunction? Select all that apply.

Hyperlipidemia Cardiovascular disease Side effects of medications

The nurse assesses the client upon admission to the hospital. He states that he has been losing facial and body hair, has been fatigued and depressed, and has erectile dysfunction and a decreased libido. The nurse understands these symptoms to occur with which disorder?

Hypogonadism

A male client reports sudden pain and a bulging in the scrotal sac after lifting a heavy object. The swelling does not reduce when the client is supine and he begins to sweat profusely. What condition is the likely cause of these manifestations?

Inguinal hernia

What would be the expected laboratory finding that supports a diagnosis of hypergonadotropic hypogonadism?

Low levels of testosterone and a high level of follicle-stimulating hormone (FSH)

A nurse is performing a genital examination on a male client who develops an erection. What is the nurse's most appropriate intervention?

Reassure the client that this is a normal response and continue with the examination

A young couple informs the health care provider that they have been trying to conceive for the last 4 months. The male states, "I am afraid that I may be sterile because I have read recently that 'briefs' underwear can cause sterility." What would be the nurse's best response to this statement?

Sperm production requires temperatures that are 3° to 4°F (2° to 3°C) below body temperature.

The nurse conducting a health promotion class for teenage boys on human reproduction determines that the participants are understanding the information when they state:

Spermatogenesis continues throughout a man's reproductive years.

A client arrives in the emergency department complaining of severe testicular pain associated with nausea and vomiting. His pulse rate is 120 beats/min. Physical exam reveals an enlarged testis that is painful to palpation. The nurse suspects:

Testicular torsion

The health care provider is caring for an older adult male client who reports fatigue and decreased strength. The nurse anticipates which treatment may be prescribed?

Testosterone

The nursing instructor is teaching the class about the male hormone testosterone. Which statement made by a student indicates a need for further instruction?

Testosterone does not affect development of increased musculature during puberty.

In the development of the testes, the nurse understands that which of the following can lead to an inguinal hernia later in life?

The inguinal canal has failed to almost completely close.

A nurse is inspecting the scrotum and testes of a 43-year-old male client. Which finding requires additional evaluation?

The skin on the scrotum is hard, taut, and shiny.

A nursing student is studying pathophysiology as part of the nursing curriculum. Which statement made by the student indicates a need for further instruction?

The male testes are located inside the abdominal cavity.

Men who experience enlarged prostate glands often complain of difficulty urinating. The nurse will be able to explain that this symptom is caused by which reason?

The prostate gland surrounds the urethra and can produce urinary obstruction.

The nurse is performing a health history of a client being evaluated for erectile dysfunction. Which disorder places the client at highest risk for the erectile dysfunction?

Type 2 diabetes

The nursing student who is studying pathophysiology of the male genitourinary system correctly identifies which of these as functions of the penis? Select all that apply.

Urine elimination Sexual function

A surgeon is explaining the anatomical structures of the penis during grand rounds. During his explanation the surgeon states that the cremaster muscles work in concert with the pampiniform plexus that surrounds the testicular artery to:

maintain testicular temperature.

Spermatogenesis, or generation of spermatozoa or sperm, begins at approximately 13 years of age and continues as long as a man remains fertile. It is in the seminiferous tubules that spermatogenesis takes place. The inner lining of the seminiferous tubules is composed of:

Sertoli cells

Which statements are accurate when it comes to changes in the male reproductive system as one ages? Select all that apply.

Sexual energy levels decrease as one ages, with decreasing testosterone levels. The testes become smaller and lose their firmness. The prostate gland enlarges with age.

A young pregnant mother is told after an ultrasound that the fetus's testes have not descended. What hormone is responsible for the descent of the testes?

Testosterone

An obstetrician is explaining the differentiation of embryonic tissue into a fetus to an aspiring class of nursing students. Which hormone is primarily responsible for the development of male sex characteristics?

Testosterone