Ch. 51 Structure and Function Male Reproductive Patho

The male reproductive system is comprised of two systems. The nurse knows that which system is responsible for the transportation and storage of sperm?

Ductile system

A nurse suspects an elderly client is experiencing benign prostatic hyperplasia (BPH). Which of the following questions should the nurse ask this client?

"Has the force of your urinary stream decreased?"

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."

The parents of a baby born with hypospadias ask the nurse if the baby can be circumcised. The best response would be:

"The circumcision will not be done now; the foreskin is needed for surgical repair."

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."

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

Absence of the testis in the scrotum bilaterally

The nursing student is teaching an all-male class at a local middle school about reproduction. When should she tell the students that spermatogenesis begins and ends?

At about 13 years and throughout the reproductive years

A male patient has experienced a forceful hit to the testes. The nurse expects that the sensory nerves that transmit pain impulses are associated with which nervous system?

Autonomic nervous system

The anatomy of the prostate gland is made up of three concentric areas surrounding the prostatic uretha, into which they open. The nurse understands that an overgrowth of the mucosal glands can cause which disorder in older men?

Benign prostatic hypertrophy

A client asks the gynecologist what gland is responsible for urethral lubrication during male sexual stimulation. The best response would be:

Bulbourethral glands

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 estradial?

Enlarged breast

A client comes to the college campus nurse complaining of unilateral pain, swelling, and redness on his scrotal area. The nurse knows these clinical manifestations are likely caused by:

Epididymitis

A 60-year-old man comes to the clinic and has been found to have a history of type 2 diabetes mellitus and cardiovascular disease. The manifestations of these diseases will warrant the nurse to assess the patient for which of the following problems?

Erectile dysfunction

In the complex interaction of the sexual act in males, the nurse is aware that there are four stages involved. Which of the following stages involves shunting of blood into the corpus cavernosum?

Erection

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

Fatigue

An older male patient complains of inhibited sexual functioning. The nurse knows which of the following nursing diagnoses could be a priority for his inhibited sexual function?

Impaired self-esteem

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

Benign prostate hypertrophy (BPH) is caused by an overgrowth of which of the following?

Mucosal glands

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

Pair of gonads Seminiferous tubules Prostate gland

The fluid from both the vas deferens and the vagina are acidic. From where do the alkaline secretions that allow mobilization of sperm come?

Prostate

Screening for which of the following disease processes should be done prior to beginning testosterone replacement therapy?

Prostate cancer

In the aging male, testosterone replacement may be used to improve muscle strength and vigor. The nurse would question the use of testosterone before which type of screening in this patient?

Prostate cancer screening

A client comes to the urgent care center because he thinks he may have a urinary tract infection. He is diagnosed with epididymitis. Select the risk factors that may have contributed to the diagnosis. Select all that apply.

Prostate obstruction Sexual activity Recent urinary surgery Bike riding

A nurse is evaluating diagnostic tests for a client suspected of having prostate cancer. Which of the following results requires further evaluation?

Prostate-specific antigen (PSA) of 12 ng/mL

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

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

Which of the following chromosome(s) or genes result in the development of testes rather than ovaries?

SRY

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

Testosterone

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

Testosterone does not have any effect on development of increased musculature during puberty

With the aging male, many changes are measurable. The measurable changes in the reproductive system of the older male are particularly attributable to which hormone?

Testosterone hormone

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

The male testes are located inside the abdominal cavity.

A male patient is being prepared for a physical examination of his prostate gland. How will the nurse explain the location of the prostate gland?

The prostate gland is located in the pelvis, inferior to the bladder.

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 of the following reasons?

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

The nursing student who is studying pathophysiology of the male genitourinary system correctly identifies which of the following to be functions of the penis? Check all that apply.

Urine elimination Sexual function

A client has been diagnosed with an anterior pituitary tumor, and synthesis and release of follicle-stimulating hormone has become deranged. What are the potential consequences of this alteration in endocrine function?

Dysfunction of spermatogenesis