chapter 39

The nurse is planning discharge instruction for a patient who just had a vasectomy. Which information is most important for the nurse to include? (select all that apply.) Use a scrotal support for comfort. Apply an ice pack to the scrotum for the first 24 hours. Wait 3 days before resuming sexual intercourse. Use a backup birth control method until the sperm count is negative. Return for a follow-up sperm count in 6 months.

Use a scrotal support for comfort. Apply an ice pack to the scrotum for the first 24 hours. Use a backup birth control method until the sperm count is negative.

The nurse reminds a 68-year-old man that a man of any age can reproduce if he is able to perform which function?

Participate in intercourse

The nurse is educating a patient about testicular self-examination. Which information is most important for the nurse to include?

Perform self-examinations after bathing when scrotal skin is relaxed.

The nurse has provided discharge instructions to a patient who underwent a vasectomy. Which statement indicates the patient understands the nurse's teaching?

"I should ice my scrotum once I get home."

The nurse is caring for a patient in the initial hours after having surgery to manage an enlarged prostate. The patient's postoperative care includes continuous bladder irrigation. Which statement indicates the patient understands the nurse's teaching?

"I will need to have my bladder irrigated for the first 2 to 3 days."

The nurse is teaching a patient with BPH who has a new prescription for finasteride (Proscar). Which information is most important for the nurse to include?

"It may take several months for this medication to work."

The nurse is caring for an older male patient. Which patient statement would alert the nurse to a probable presence of benign prostatic hyperplasia (BPH)?

"It takes a long time for me to be able to urinate."

A young man who has been diagnosed as sterile says to the nurse, "I am not much of a man or a husband." Which response is most therapeutic?

"What about this sterility diagnosis concerns you the most?"

The nurse is interviewing a patient who is seeking assistance at the urology clinic for erectile dysfunction. Which statement is the best way to open the interview?

"What experiences have you had with erectile dysfunction?"

The nurse understands that the clinical definition of sterility is failure to conceive after frequent, unprotected sex over what period of time?

12 months

The nurse is aware that of the known infertility causes, approximately what percentage is due to male factors?

25%

The nurse is caring for a patient who returns to the unit after undergoing a transurethral resection of the prostate (TURP). The nurse observes a few small clots and pieces of tissue returning in the indwelling catheter bag. What should the nurse do next?

Document the finding.

The nurse is collecting data from a patient who has come to the ambulatory care clinic with complaints of erectile dysfunction. When reviewing the patient's health history, which finding(s) would provide support for this condition? (select all that apply.) History of iron deficiency anemia History of treatment for irritable bowel syndrome (IBS) History of medications to manage hypertension History of insulin-dependent diabetic History of bipolar disorder

History of medications to manage hypertension History of insulin-dependent diabetic History of bipolar disorder

Which factor(s) increase a patient's risk for developing benign prostatic hyperplasia (BPH)? (select all that apply.) Increasing age Smoking Functioning testes Infrequent ejaculation Neurogenic bladder

Increasing age Functioning testes

Which changes in the male reproductive tract result from age? (select all that apply.) Increasingly pendulous scrotum Enlarged prostate Decreased testosterone Increased ejaculate volume Shortened arousal time

Increasingly pendulous scrotum Enlarged prostate Decreased testosterone

A postoperative prostatectomy patient is discouraged that he is still dribbling and wearing a protective pad 1 month after surgery. Which action should the nurse suggest?

Practice Kegel exercises several times a day.

The nurse is educating a patient who has been given a prescription for tadalafil (Cialis). The nurse warns the patient about which potential complication?

Priapism

After a fall on a bicycle, a 15-year-old boy is brought to the emergency department complaining of nausea and sudden and acute scrotal pain. There is an absence of the cremasteric reflex. Which problem does the nurse suspect?

Testicular torsion

The health care provider has recommended that a patient undergo transurethral microwave thermotherapy (TUMT). Which statement correctly explains this procedure?

The doctor uses a probe with an antenna that releases microwave energy to heat and coagulate prostatic tissue.

The nurse explains to a male patient undergoing infertility studies that his luteinizing hormone (LH) is low and his follicle-stimulating hormone (FSH) is high. Which statement accurately interprets these laboratory findings?

The patient is making testosterone and has decreased spermatogenesis.

Which possible complication(s) may result from benign prostatic hyperplasia (BPH)? (select all that apply.) Urinary tract infection (UTI) Bladder cancer Hydroureter Hydronephrosis Renal failure

Urinary tract infection (UTI) Bladder cancer Hydroureter Hydronephrosis Renal failure

When developing a teaching plan for a young man who is undergoing fertility studies, which information is most important for the nurse to include?

Wear boxer shorts instead of jockey shorts.

When teaching a high school boys' health class, which information about latex condoms is most important for the nurse to include?

Leave room at the condom tip for a reservoir for semen.

The nurse is conducting a presentation to a health class for male high school students. A student questions the nurse about what semen "really is." Which contents compose semen? (select all that apply.) A thick, fructose-filled fluid from seminal vesicles Prostaglandins for sperm motility Thin, milky secretions from the prostate gland Lubricating mucus from the bulbourethral gland Spermatozoa

A thick, fructose-filled fluid from seminal vesicles Prostaglandins for sperm motility Thin, milky secretions from the prostate gland Spermatozoa

On the first postoperative day, a patient with a TURP complains of abdominal pain. The nurse finds that the bladder is greatly distended. What should the nurse do next?

Irrigate the indwelling catheter with 20 to 30 mL of normal saline.

In counseling a man with erectile dysfunction about a prescription for sildenafil (Viagra), when should the nurse suggest a different treatment?

The patient takes nitroglycerin for angina.

A patient who is 3 days postoperative after suprapubic prostatectomy asks, "When can I get rid of this other catheter?" Which data best indicates that nurse can discontinue the suprapubic catheter as ordered?

The urine residual after voiding is 50 mL.

The patient considering a vasectomy tells the nurse he is afraid he will be impotent after the surgery. Which statement(s) accurately describe expected outcomes of the procedure? (select all that apply.) The procedure will cause sterility without changes in potency. Correct The procedure will have a minor impact on libido. The procedure will not impact performance. The procedure will not impact ejaculate volume. The procedure will leave some sperm for several weeks.

The procedure will cause sterility without changes in potency. The procedure will have a minor impact on libido. The procedure will not impact performance. The procedure will not impact ejaculate volume. The procedure will leave some sperm for several weeks.