Chapter 25: Male Genitalia

. A 55-year-old man is in the clinic for a yearly checkup. He is worried because his father died of prostate cancer. The nurse knows which tests should be performed at this time? Select all that apply. A) Blood test for prostate-specific antigen (PSA) B) Urinalysis C) Transrectal ultrasound D) Digital rectal examination (DRE) E) Prostate biopsy

AD

When performing a genitourinary assessment, the nurse notices that the urethral meatus is ventrally positioned. This finding is:

Called hypospadias.

The nurse is performing a genital examination on a male patient and notices urethral drainage. When collecting urethral discharge for microscopic examination and culture, the nurse should:

Compress the glans between the examiners thumb and forefinger, and collect any discharge.

4. When performing a genital examination on a 25-year-old man, the nurse notices deeply pigmented, wrinkled scrotal skin with large sebaceous follicles. On the basis of this information, the nurse would:

Consider this finding as normal, and proceed with the examination.

During a genital examination, the nurse notices that a male patient has clusters of small vesicles on the glans, surrounded by erythema. The nurse recognizes that these lesions are:

Genital herpes.

When performing a genital assessment on a middle-aged man, the nurse notices multiple soft, moist, painless papules in the shape of cauliflower-like patches scattered across the shaft of the penis. These lesions are characteristics of

Genital warts.

27. During an examination of an aging man, the nurse recognizes that normal changes to expect would be:

Decrease in the size of the penis.

9. During an examination of an aging man, the nurse recognizes that normal changes to expect would be:

Decreased penis size.

The nurse is performing a genitourinary assessment on a 50-year-old obese male laborer. On examination, the nurse notices a painless round swelling close to the pubis in the area of the internal inguinal ring that is easily reduced when the individual is supine. These findings are most consistent with a(n) ______ hernia.

Direct inguinal

Which of these statements is most appropriate when the nurse is obtaining a genitourinary history from an older man?

Do you need to get up at night to urinate?

A 59-year-old patient has been diagnosed with prostatitis and is being seen at the clinic for complaints of burning and pain during urination. He is experiencing:

Dysuria

A 55-year-old man is experiencing severe pain of sudden onset in the scrotal area. It is somewhat relieved by elevation. On examination the nurse notices an enlarged, red scrotum that is very tender to palpation. Distinguishing the epididymis from the testis is difficult, and the scrotal skin is thick and edematous. This description is consistent with which of these?

Epididymitis

21. When the nurse is performing a genital examination on a male patient, which action is correct?

Having the patient shift his weight onto the left (unexamined) leg when palpating for a hernia on the right side

During a health history, a patient tells the nurse that he has trouble in starting his urine stream. This problem is known as:

Hesitancy

The nurse is describing how to perform a testicular self-examination to a patient. Which statement is most appropriate?

If you notice an enlarged testicle or a painless lump, call your health care provider.

22. The nurse is aware of which statement to be true regarding the incidence of testicular cancer?

Men with a history of cryptorchidism are at the greatest risk for the development of testicular cancer.

. During a physical examination, the nurse finds that a male patients foreskin is fixed and tight and will not retract over the glans. The nurse recognizes that this condition is:

Phimosis

The nurse is providing patient teaching about an erectile dysfunction drug. One of the drugs potential side effects is prolonged, painful erection of the penis without sexual stimulation, which is known as:

Priapism

2. An accessory glandular structure for the male genital organs is the:

Prostate

When the nurse is performing a genital examination on a male patient, the patient has an erection. The nurses most appropriate action or response is to:

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

1. The external male genital structures include the:

Scrotum.

When assessing the scrotum of a male patient, the nurse notices the presence of multiple firm, nontender, yellow 1-cm nodules. The nurse knows that these nodules are most likely:

Sebaceous cysts.

10. An older man is concerned about his sexual performance. The nurse knows that in the absence of disease, a withdrawal from sexual activity later in life may be attributable to:

Side effects of medications.

The nurse is inspecting the scrotum and testes of a 43-year-old man. Which finding would require additional follow-up and evaluation?

Skin on the scrotum is taut.

16. The nurse is examining the glans and knows which finding is normal for this area?

Smegma may be present under the foreskin of an uncircumcised male.

. A 45-year-old mother of two children is seen at the clinic for complaints of losing my urine when I sneeze. The nurse documents that she is experiencing:

Stress incontinence.

When performing a scrotal assessment, the nurse notices that the scrotal contents show a red glow with transillumination. On the basis of this finding the nurse would:

Suspect the presence of serous fluid in the scrotum.

When the nurse is performing a testicular examination on a 25-year-old man, which finding is considered normal?

Testes that feel oval and movable and are slightly sensitive to compression

A male patient with possible fertility problems asks the nurse where sperm is produced. The nurse knows that sperm production occurs in the:

Testes.

5. Which statement concerning the testes is true?

The cremaster muscle contracts in response to cold and draws the testicles closer to the body.

During an examination, the nurse notices that a male patient has a red, round, superficial ulcer with a yellowish serous discharge on his penis. On palpation, the nurse finds a nontender base that feels like a small button between the thumb and fingers. At this point the nurse suspects that this patient has:

c. Syphilitic chancre.

A 62-year-old man states that his physician told him that he has an inguinal hernia. He asks the nurse to explain what a hernia is. The nurse should:

d. Explain that a hernia is a loop of bowel protruding through a weak spot in the abdominal muscles.

When the nurse is conducting sexual history from a male adolescent, which statement would be most appropriate to use at the beginning of the interview?

d. Often adolescents your age have questions about sexual activity.

3. Which of these statements is true regarding the penis?

d. The corpus spongiosum expands into a cone of erectile tissue called the glans.