Chapter 43 PrepU: Disorders of the Male Reproductive System The nurse is assessing a client with a collection of blood in the tunica vaginalis of the scrotum. How does the nurse correctly document this in the medical record? Hydrocele Hematocele Spermato

The nurse is instructing a group of young adult male clients about the importance of monthly testicular self-examination. What information does the nurse include? Select all that apply. A. Testicular cancer can metastasize early in development. B. Testicular cancer is highly responsive to treatment. C. Other signs of testicular cancer are vague in presentation. D. Early detection can prevent the need for orchiectomy. E. Delaying diagnosis results in developing prostate cancer.

A, B, C

Which chronic health issues increase a man's risk for developing erectile dysfunction? Select all that apply. A. Hypertension B. Hyperlipidemia C. Diabetes mellitus D. Asthma E. Crohn disease

A, B, C

The nurse on the urology unit teaches the nursing student that which test assists in detecting a recurrence of prostate cancer after prostatectomy? A. prostate-specific antigen (PSA) level B. alpha-fetoprotein (AFP) serum level C. human chorionic gonadotropin (HCG) level D. white blood cell (WBC) count

A

The nurse is reviewing the laboratory results of a client who has non-inflammatory prostatitis. The nurse would expect the results to include: A. Normal leukocyte count B. Increased PSA level C. Positive urine culture for bacteria D. Pain radiating down the inner thighs

A

The nurse is teaching a client about screening for prostate cancer. Which information will the nurse teach the client about the prostate-specific antigen (PSA) test? A. An elevated score on a PSA test does not necessarily indicate the presence of cancer. B. A positive PSA test indicates the presence of cancer. C. The PSA test is not used as a screening device for prostate cancer. D. PSA levels decrease with age.

A

A 12-year-old boy with pain in the tip of his penis and a red, swollen, tender foreskin is uncircumcised because of religious reasons. Which medical diagnosis is likely responsible for this child's manifestations? A. Phimosis B. Paraphimosis C. Balanitis D. Peyronie disease

A

A 52-year-old male diagnosed with erectile dysfunction (ED) asks the nurse what will be implemented as a first option for treatment. The best response would be: A. Psychosexual counseling and PDE-5 inhibitor medications B. Catheterization and increased fluids to increase vascular flow C. Intravenous administration of a PDE-5 inhibitor D. Surgical placement of a penile prosthesis

A

When caring for a group of clients, the nurse recognizes which of these individuals has increased risk for balanitis? A. Client with a sexually transmitted infection B. Client with a congenital genitourinary disorder C. Individual with a thyroid disorder D. Individual with epispadias

A

Which client is at greatest risk for the impairment of spermatogenesis? A. A 15-year-old male who is diagnosed with mumps orchitis B. A 20-year-male soldier whose penis was traumatized in a land mine explosion C. A 35-year-old male who has a history of smoking two packs of cigarettes per day D. A 65-year-old male diagnosed with prostate hypertrophy

A

Which diagnosis is most likely to require surgical correction? A. Hypospadias B. Orchitis C. Erectile dysfunction D. Spermatocele

A

A 27-year-old male developed mumps and was ill for several days. The client suddenly developed a fever and painful enlargement of the testes approximately 4 days after recovering. The nurse should suspect that the client has developed: A. Hydrocele B. Orchitis C. Testicular cancer D. Testicular torsion

B

Priapism (a prolonged painful erection not associated with sexual excitement) can occur at any age. In boys, ages 5 to 10, what are the most common causes of priapism? A. Neoplasms or hemophilia B. Sickle cell disease or neoplasms C. Hemophilia or sickle cell disease D. Hypospadias or neoplasms

B

The nurse is assessing a client with a collection of blood in the tunica vaginalis of the scrotum. How does the nurse correctly document this in the medical record? A. Hydrocele B. Hematocele C. Spermatocele D. Varicocele

B

The nurse is performing a newborn assessment on a 2-day-old male infant. Assessment reveals the presence of the urethral opening on the ventral side of the penis. The nurse would document this finding as being: A. Epispadias B. Hypospadias C. Phimosis D. Balanitis

B

A client asks, "What caused my acute prostatitis?" Which response by the nurse explains the most common cause of acute prostatitis? A. Prostate hyperplasia B. Acute pyelonephritis C. Urethral infection with Escherichia coli D. Mucous gland overgrowth

C

A client comes to the clinic and informs the nurse that he was playing soccer and was kicked in the scrotal area on the right side. The nurse observes that the scrotal skin on the right side is dark red. What should the nurse suspect this client may have? A. Spermatocele B. Varicocele C. Hematocele D. Hydrocele

C

A client complains of not being able to experience satisfactory sexual intercourse. The nurse knows that erectile dysfunction is now recognized as a marker for: A. Arthritis B. Balanitis C. Cardiovascular disease D. Diabetes

C

Based on the group that statistically has the greatest risk, the health care provider should assess which ethnic group for prostate cancer? A. Japanese B. White C. Native American/First Nation D. Black

D

An overweight 50-year-old client presents with reports of erectile dysfunction (ED). What aspect of the client's health should the nurse prioritize as most important to assess? A. Cardiovascular B. Nutritional C. Psychosocial D. Genitourinary

A

Which physiologic change would the nurse recognize as a normal change in an aging male? Select all that apply. A. Small testes B. Enlargement of prostate gland C. Increased pubic hair D. Decreased penis size E. Increased rugae over the scrotum

A, C, D

An adolescent male comes to the urgent care clinic. Upon assessment, the following is noted: history of circumcision, erythema of the glans, and prepuce with a malodorous discharge. Based on symptoms, the probable diagnosis would be: A. Acute superficial balanoposthitis B. Balanitis xerotica obliterans C. Penile carcinoma D. Acute phimosis

A

A client has developed priapism. For which outcome is this client at risk? A. Impotence B. Cancer of the penis C. Swelling of the testicles D. Premature ejaculation

A

A client is admitted with a prolonged and painful erection that has lasted longer than 4 hours. The nurse knows that this is a true urologic emergency, and that the cause is: A. impaired blood flow in the corpora cavernosa of the penis. B. cardiovascular disease. C. chronic inflammation of the glans penis. D. poor hygiene.

A

A client is concerned about having mumps orchitis and asks the nurse about the symptoms. What is the nurse's best response? A. Painful enlargement of the testes with fever 3 days after infection B. Purplish or red-colored scrotum after an abdominal procedure C. Abnormal increase in sexual drive D. Painful urination with the presence of urethral discharge

A

A male client reports frequent urination, difficulty starting to urinate, and dribbling after he has finished urinating. Which diagnosis correlates with this client's manifestations? A. Benign prostatic hyperplasia (BPH) B. Androgen deficiency C. Urinary tract infection D. Bladder cancer

A

After seeking care due to recent history of testicular enlargement and scrotal pain, a 22-year-old college student has been diagnosed with testicular cancer. Which statement by the client indicates the need for further teaching? A. "I can't shake this feeling like I've received a death sentence." B. "I have to admit that the prospect of losing a testicle is a bit overwhelming." C. "I really hope the cancer hasn't spread anywhere, because I've read that it's a possibility." D. "I guess there's some solace in the fact that this cancer wasn't a result of an unhealthy lifestyle."

A

Benign prostatic hyperplasia (BPH) and prostatic adenocarcinomas present differently. The nurse is aware of which difference? A. BPH is commonly located in the periurethral zone of the prostate, while prostate cancers are commonly located in the peripheral zones of the prostate. B. BPH and prostate cancers are commonly multicentric and located in the peripheral zones of the prostate. C. BPH and prostate cancers are commonly discrete lesions in the periurethral region of the prostate. D. BPH is commonly located in the peripheral zones of the prostate, and prostate cancers are commonly located in the periurethral zone of the prostate.

A

A client is admitted with secondary orchitis. Which assessment question is most relevant? A. "Have you ever injured your testicles in sports?" B. "Did you get the flu vaccination this fall?" C. "Have you ever had mumps?" D. "Does cancer run in your family?"

C

Which assessment is most likely to reveal a potential exacerbation in a 70-year-old client's diagnosis of benign prostatic hyperplasia (BPH)? A. Urine testing for microalbuminuria B. Blood test for white blood cells and differential C. Digital rectal examination D. Sperm morphology testing

C

A client arrives in the emergency department complaining of severe pain in the left testicular area with nausea and vomiting for 2 hours. The left testicle is large and tender to palpation and radiating to the inguinal area. Which of the following reflexes can the nurse assess the absence of in order to indicate testicular torsion? A. Fluid wave B. Superficial neurologic reflex C. Abdominal reflex D. Cremasteric reflex

D

If not treated urgently, testicular torsion can result in which complication? A. Inguinal herniation B. Cancer of the scrotum C. Dartos muscle atrophy D. Loss of testicular perfusion

D

The mother of a 5-year-old boy brings him into the clinic because there is a firm feeling and swelling around one of his testes. What would the suspected diagnosis be? A. Peyronie disease B. Cryptorchidism C. Priapism D. Hydrocele

D

The nurse in the urology office recognizes screening men at risk for prostate cancer includes which diagnostic measures? A. Alpha fetoprotein and human chorionic gonadotropin (HCG) serum blood levels B. Prostate biopsy and tissue cytology C. Pelvic ultrasound and x-ray of kidneys, ureter, and bladder D. Blood level of prostate-specific antigen (PSA) and digital rectal exam

D

The nurse in the urology unit is teaching about medication to treat erectile dysfunction. The mechanism of action of most of these medications is that the medication: A. promotes nerve signaling to penile vessels. B. promotes trapping of blood in the corpora cavernosa. C. promotes arousal by eliminating depression or other psychological factors. D. promotes increase in blood flow to the corpora cavernosa.

D

The nurse inserts a Foley catheter in an uncircumcised male client for the treatment of urinary retention and does not place the foreskin back over the glans penis. Several hours later, the client complains of severe pain at the catheter site and, when assessed, the nurse is unable to retract the foreskin. Which problem does the nurse know has occurred? A. Phimosis B. Hypospadias C. Balanitis D. Paraphimosis

D

Which disorder of the male genitourinary system creates the most urgent need for prompt and aggressive surgical treatment? A. Spermatocele B. Benign prostatic hyperplasia (BPH) C. Intravaginal testicular torsion D. Erectile dysfunction

C

Erectile dysfunction is the inability to achieve and maintain an erection sufficient to permit satisfactory sexual intercourse. The nurse knows that there may be many causes of erectile dysfunction, and a psychogenic cause would include which of the following? A. Depression B. Hypertension C. Cigarette smoking D. Decrease in androgen levels

A

Physical assessment data of a client include verbalizations of painful and bent erections and the presence of a hard mass. How would the health care provider interpret and record this finding? A. Peyronie disease B. Phimosis C. Priapism D. Paraphimosis

A

The nurse is caring for a client with acute superficial balanoposthitis. The nurse assesses for which of these signs or symptoms consistent with the diagnosis? A. Redness of the glans penis and malodorous discharge B. Penile distortion of the erect penis C. Painful erection lasting more than 4 hours D. Pus or bacteria in the urine

A

Which of these complications does the nurse recognize may occur after illness with parotitis (mumps) in young men? A. Orchitis with residual sterility B. Feminization C. Glomerulonephritis D. Cancer of the seminiferous tubules

A

Which client is at greatest risk for developing balanoposthitis? A. gay man with a monogamous partner B. man who has had the pituitary gland removed due to cancer C. man who has an uncircumcised penis D. middle-aged man with history of chronic prostatitis

C

Which client is at highest risk for developing acute bacterial prostatitis? A. A middle-aged male with prostate hyperplasia B. A fifth-grade boy diagnosed with acute pyelonephritis C. An older adult male diagnosed with frequent urinary tract infections testing positive for Gram-negative rods D. A male client with sickle cell anemia reporting prolonged erection lasting less than 4 hours

C