Ch. 54: Male Reproductive System

24. A 22-year-old man tells the nurse at the health clinic that he has recently had some problems with erectile dysfunction. Which question should the nurse ask first to assess for possible etiologic factors?

"Do you use any recreational drugs or drink alcohol?"

31. When obtaining the pertinent health history for a man who is being evaluated for infertility, which question is most important for the nurse to ask?

"Do you use medications to improve muscle mass?"

18. A patient with urinary obstruction from benign prostatic hyperplasia (BPH) tells the nurse, "My symptoms are much worse this week." Which response by the nurse is most appropriate?

"Have you been taking any over-the-counter (OTC) medications recently?"

21. A 71-year-old patient who has benign prostatic hyperplasia (BPH) with urinary retention is admitted to the hospital with elevated blood urea nitrogen (BUN) and creatinine. Which prescribed therapy should the nurse implement first?

Insert a urinary retention catheter.

6. The nurse will plan to teach the patient scheduled for photovaporization of the prostate (PVP)

b. how to care for an indwelling urinary catheter.

32. The following male patients recently arrived in the emergency department. Which one should the nurse assess first?

19-year-old who is complaining of severe scrotal pain

30. Several patients call the urology clinic requesting appointments with the health care provider as soon as possible. Which patient will the nurse schedule to be seen first?

22-year-old who has noticed a firm, nontender lump on his scrotum

22. The nurse in the clinic notes elevated prostate specific antigen (PSA) levels in the laboratory results of these patients. Which patient's PSA result is most important to report to the health care provider?

A 48-year-old whose father died of metastatic prostate cancer

26. The nurse working in a health clinic receives calls from all these patients. Which patient should be seen by the health care provider first?

A 66-year-old man who has a painful erection that has lasted over 7 hours

25. A 58-year-old man with erectile dysfunction (ED) tells the nurse he is interested in using sildenafil (Viagra). Which action should the nurse take first?

Ask the patient about any prescription drugs he is taking.

35. After reviewing the electronic medical record shown in the accompanying figure for a patient who had transurethral resection of the prostate the previous day, which information requires the most rapid action by the nurse?

Bladder spasms and decreased urine output

29. The health care provider prescribes the following interventions for a patient with acute prostatitis caused by E. coli. Which intervention should the nurse question?

Catheterize the patient as needed if symptoms of urinary retention develop.

23. After a transurethral resection of the prostate (TURP), a 64-year-old patient with continuous bladder irrigation complains of painful bladder spasms. The nurse observes clots in the urine. Which action should the nurse takefirst?

Manually instill and then withdraw 50 mL of saline into the catheter.

34. When caring for a patient with continuous bladder irrigation after having transurethral resection of the prostate, which action could the nurse delegate to unlicensed assistive personnel (UAP)?

Report any complaints of pain or spasms to the nurse.

33. Which action by the unlicensed assistive personnel (UAP) who are assisting with the care of patients with male reproductive problems indicates that the nurse should provide more teaching?

The UAP leave the foreskin pulled back after cleaning the glans of a patient who has a retention catheter.

12. Which information will the nurse teach a patient who has chronic prostatitis?

c. Intercourse or masturbation will help relieve symptoms.

10. A 70-year-old patient who has had a transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH) is being discharged from the hospital today, The nurse determines that additional instruction is needed when the patient says which of the following?

a. "I should call the doctor if I have incontinence at home."

14. Which information will the nurse plan to include when teaching a community health group about testicular self-examination?

a. Testicular self-examination should be done in a warm room.

16. When performing discharge teaching for a patient after a vasectomy, the nurse instructs the patient that he

a. should continue to use other methods of birth control for 6 weeks.

15. A 27-year-old man who has testicular cancer is being admitted for a unilateral orchiectomy. The patient does not talk to his wife and speaks to the nurse only to answer the admission questions. Which action is best for the nurse to take?

b. Ask the patient if he has any questions or concerns about the diagnosis and treatment.

Patient diagnosed with benign prostatic hyperplasia (BPH) tells the nurse that he does not want a transurethral resection of the prostate (TURP) because it might affect his ability to maintain an erection during intercourse. Which action should the nurse take?

b. Discuss that TURP does not commonly affect erectile function.

3. The health care provider prescribes finasteride (Proscar) for a 67-year-old patient who has benign prostatic hyperplasia (BPH). When teaching the patient about the drug, the nurse informs him that

b. his interest in sexual activity may decrease while he is taking the medication.

17. A 52-year-old man tells the nurse that he decided to seek treatment for erectile dysfunction (ED) because his wife "is losing patience with the situation." The most appropriate nursing diagnosis for the patient is

b. ineffective role performance related to effects of ED.

9. A 57-year-old patient is incontinent of urine following a radical retropubic prostatectomy. The nurse will plan to teach the patient

b. pelvic floor muscle exercises.

13. The nurse performing a focused examination to determine possible causes of infertility will assess for

b. varicocele.

8. A patient returning from surgery for a perineal radical prostatectomy will have a nursing diagnosis of risk for infection related to

c. possible fecal wound contamination.

7. A 53-year-old man is scheduled for an annual physical exam. The nurse will plan to teach the patient about the purpose of

c. prostate specific antigen (PSA) testing.

5. Which information about continuous bladder irrigation will the nurse teach to a patient who is being admitted for a transurethral resection of the prostate (TURP)?

d. Bladder irrigation prevents obstruction of the catheter after surgery.

27. Which assessment information is most important for the nurse to report to the health care provider when a patient asks for a prescription for testosterone replacement therapy (TRT)?

d. The patient has had a gradual decrease in the force of his urinary stream.

1.To determine the severity of the symptoms for a 68-year-old patient with benign prostatic hyperplasia (BPH) the nurse will ask the patient about

d. force of the urinary stream.

4. The nurse will anticipate that a 61-year-old patient who has an enlarged prostate detected by digital rectal examination (DRE) and an elevated prostate specific antigen (PSA) level will need teaching about

d. transrectal ultrasonography (TRUS).

11. The nurse will inform a patient with cancer of the prostate that side effects of leuprolide (Lupron) may include

flushing

20. The nurse will plan to provide teaching for a 67-year-old patient who has been diagnosed with orchitis about

pain management.

28. A 76-year-old patient who has been diagnosed with stage 2 prostate cancer chooses the option of active surveillance. The nurse will plan to

schedule the patient for annual prostate-specific antigen testing.

19. The nurse taking a focused health history for a patient with possible testicular cancer will ask the patient about a history of

undescended testicles.