Chapter 72: Care of Pt with Male Reproductive Problems EAQ

The patient diagnosed with benign prostatic hyperplasia (BPH) just completed a teaching session by the nurse. Which statement by the patient indicates that further teaching is needed? A. "I will take saw palmetto twice a day." B. "I will have frequent sexual intercourse." C. "I will avoid antihistamines and decongestants." D. "I will avoid drinking large amounts of fluid in a short time."

A. "I will take saw palmetto twice a day."

When teaching a group of men about preventing chronic bacterial prostatitis, which statement should the nurse make? A. "Prostatitis is more common in older men." B. "Prostatitis does not impair sexual functioning." C. "Prostatitis is easy to treat with a week regimen of antibiotics." D. "Patients with prostatitis should refrain from sexual intercourse and masturbation."

A. "Prostatitis is more common in older men."

The nurse is assessing a patient who is experiencing blood in his urine. If the patient has a CBC (complete blood count) done, what findings are most likely on the CBC? A. An elevated WBC and a low RBC B. A low (WBC and an elevated RBC C. An elevated WBC and an elevated RBC D. A low white blood cell count (WBC) and a low red-blood cell count (RBC)

A. An elevated WBC and a low RBC

A patient has been diagnosed with benign prostatic hyperplasia. His medical chart indicates that he has a history of heart disease, seasonal allergies, obesity, and type II diabetes mellitus. Which medication is it imperative for the nurse to teach the patient to avoid? A. Antihistamines B. ACE inhibitors C. Antidepressants D. Thiazolidinediones

A. Antihistamines

Which type of medications are most likely to cause urinary retention? Select all that apply. A. Antihistamines B. Decongestants C. Anticholinergics D. Antidepressants E. Insulin sensitizers F. Tumor necrosis factor (TNF) alpha inhibitors

A. Antihistamines B. Decongestants C. Anticholinergics

A patient who had a prostectomy is discharged from the hospital with a urinary catheter. What instructions does the nurse provide to the patient about caring for the catheter at home? A. Clean the end of the new tubing with alcohol swabs. B. Change the drainage bag at least once every 2 days. C. Clean the drainage bag with one part water and one part vinegar. D. Wash the catheter, starting at the penis, with antiseptic solution.

A. Clean the end of the new tubing with alcohol swabs.

What noninvasive techniques are available to destroy excess prostate tissue in patients with benign prostatic hyperplasia (BPH) who do not experience a relief of urinary symptoms with drug therapy? Select all that apply. A. Contact laser prostatectomy B. Transurethral needle ablation C. Transurethral microwave therapy D. Electrovaporization of the prostate E. Transurethral resection of the prostate F. Holmium laser enucleation of the prostate

A. Contact laser prostatectomy B. Transurethral needle ablation C. Transurethral microwave therapy D. Electrovaporization of the prostate

A patient with erectile dysfunction (ED) is prescribed phosphodiesterace-5 (PDE-5) inhibitors. What are the dosing-related side effects of PDE-5? Select all that apply. A. Dyspepsia B. Headache C. Stuffy nose D. Facial flushing E. Urinary incontinence High blood pressure

A. Dyspepsia B. Headache C. Stuffy nose D. Facial flushing

What are the risk factors for prostate cancer? Select all that apply. A. Exposure to arsenic B. Presence of BRCA2 gene mutations C. Intake of foods rich in omega 3-fatty acids D. Low animal fat and high fiber intake in the diet E. Mutation in the glutathione S-transferase (GST P1) gene

A. Exposure to arsenic B. Presence of BRCA2 gene mutations E. Mutation in the glutathione S-transferase (GST P1) gene

A patient with benign prostatic hyperplasia (BHP) is being considered for a transurethral resection of the prostate (TURP). What complications can occur as a result of this procedure? Select all that apply. A. Fluid overload B. Hyponatremia C. Hydronephrosis D. Water intoxication E. Blood-tinged urine

A. Fluid overload B. Hyponatremia D. Water intoxication

The nurse is performing a history assessment of a patient complaining of several urinary problems, including frequency, post-void dribbling, overflow incontinence, nocturia, and incomplete emptying. The patient scored a 24 on the International Prostate Symptom Score. What other conditions should the nurse assess the patient for? Select all that apply. A. Hematuria B. Depression C. Constipation D. Urinary infection E. Diabetes mellitus F. Muscle weakness

A. Hematuria B. Depression D. Urinary infection

What other types of cancers may invade the testes apart from testicular cancer? Select all that apply. A. Leukemia B. Lymphoma C. Androblastoma D. Metastatic carcinomas E. Malignant mesothelioma

A. Leukemia B. Lymphoma D. Metastatic carcinomas

What are the advantages of laparoscopic radical prostatectomy compared to open surgery? Select all that apply. A. Minimal bleeding B. Fewer complications C. Decreased hospital stay D. Nerve-sparing disadvantages E. More postoperative discomfort F. Decreased time for urinary catheter placement

A. Minimal bleeding B. Fewer complications C. Decreased hospital stay F. Decreased time for urinary catheter placement

A patient has returned from the Patient Anesthesia Care Unit following a transurethral resection of the prostate. What interventions are appropriate for the nurse to implement? Select all that apply. A. Monitor the patient closely for signs of infection. B. Keep catheter tubes secure. If patient is confused, reorient and, if ineffective, then restrain. C. Remind the patient that with the catheter in he will feel the urge to void, so he can void around the catheter. D. Assess the patient's pain every 2 to 4 hours and intervene as needed to control pain. E. Maintain the rate of the continuous bladder irrigation to ensure clear urine without clots and bleeding.

A. Monitor the patient closely for signs of infection. D. Assess the patient's pain every 2 to 4 hours and intervene as needed to control pain. E. Maintain the rate of the continuous bladder irrigation to ensure clear urine without clots and bleeding.

The nurse assesses a patient with BPH and notices that he has some signs and symptoms of depression. What urinary symptoms most likely contributed to his depression? Select all that apply. A. Nocturia B. Straining C. Weak stream D. Sexual dysfunction E. Post-void incontinence

A. Nocturia D. Sexual dysfunction E. Post-void incontinence

The nurse is caring for a patient just diagnosed with benign prostatic hypertrophy. The physician is starting the patient on dutasteride therapy. What teaching points should the nurse include when talking to the patient about his diagnosis and therapy? Select all that apply. A. Noticeable improvement may take as long as 6 months to achieve. B. Side effects may include erectile dysfunction and decreased libido. C. Side effects may include increased balding and generalized hair loss. D. The patient may experience orthostatic hypotension, so he should change positions slowly. E. The patient should refrain from contact sports and other dangerous activities. F. The patient should notify the physician immediately if they develop constipation.

A. Noticeable improvement may take as long as 6 months to achieve. B. Side effects may include erectile dysfunction and decreased libido. D. The patient may experience orthostatic hypotension, so he should change positions slowly.

Which are risk factors for development of benign prostatic hyperplasia (BPH)? Select all that apply. A. Obesity B. Diabetes C. Hyperlipidemia D. History of fatty liver disease E. Decreased physical activity F. Use of testosterone and other androgen supplements

A. Obesity B. Diabetes E. Decreased physical activity F. Use of testosterone and other androgen supplements

When planning care for a patient who is Jewish, which spiritual leader should the nurse include as a potential health care resource? A. Rabbi B. Priest C. Minister D. Medicine man

A. Rabbi

Which tumors are considered germ cell tumors? Select all that apply. A. Teratoma B. Seminoma C. Androblastoma D. Choriocarcinoma E. Interstitial cell tumor F. Embryonal carcinoma

A. Teratoma B. Seminoma D. Choriocarcinoma F. Embryonal carcinoma

Which organ produces testosterone? A. Testes B. Prostate gland C. Pituitary gland D. Hypothalamus

A. Testes

A patient fills out the International Prostate Symptom Score, and the nurse notices that while the patient has restricted urinary flow, he does not complain of frequency or nocturia. Which diagnosis is most likely for this patient? A. The patient has an infection. B. The patient has prostate cancer. C. The patient has chronic kidney disease. D. The patient has acute urinary retention.

A. The patient has an infection.

A patient develops urinary incontinence following an open radical prostatectomy for prostate cancer. What does the nurse instruct the patient regarding Kegel exercises to help with urge continence? Select all that apply. A. "Tighten and relax muscles similar to preventing a bowel movement." B. "Contract and relax the perineal and gluteal muscles." C. "Use stool softeners and suppositories as needed." D. "Practice holding an object in the fold between the buttocks and thigh." E. "Restrict your intake of oral fluids to 500 mL per day." F. "Start and stop the urine stream several times while voiding."

B. "Contract and relax the perineal and gluteal muscles." D. "Practice holding an object in the fold between the buttocks and thigh." F. "Start and stop the urine stream several times while voiding."

A patient with benign prostatic hyperplasia (BPH) is prescribed finasteride. What instructions does the nurse give to the patient about this drug? Select all that apply. A. "Avoid taking this drug at bedtime." B. "Obtain routine liver function tests while on this medication." C. "Frequently monitor blood pressure to assess hypertension." D. "Look for improvement in obstructive symptoms within 6 weeks." E. "Slowly change position from lying to standing to avoid dizziness." F. "This medication may cause a decreased interest in sexual activity."

B. "Obtain routine liver function tests while on this medication." E. "Slowly change position from lying to standing to avoid dizziness." F. "This medication may cause a decreased interest in sexual activity."

A patient is diagnosed with benign prostatic hyperplasia (BPH). When discussing the diagnosis with the patient, the nurse would likely make which statement? A. "BPH is caused by a poor diet." B. "The exact cause of BPH is unclear." C. "BPH affects men's ability to reproduce." D. "BPH is a natural occurrence in aging men."

B. "The exact cause of BPH is unclear."

The nurse is caring for a patient with benign prostatic hyperplasia (BPH). What nonsurgical interventions to improve urinary elimination does the nurse teach the patient? Select all that apply. A. Empty the bladder at regular intervals. B. Avoid drugs that cause urinary retention. C. Avoid the use of alcohol, diuretics, and caffeine. D. Avoid taking large amounts of fluids in a short time. E. Use palmetto extract to help manage urinary symptoms.

B. Avoid drugs that cause urinary retention. C. Avoid the use of alcohol, diuretics, and caffeine. D. Avoid taking large amounts of fluids in a short time.

When is the best time for the nurse to begin discharge planning and a community-based plan of care for a patient with prostate cancer? A. After surgery B. Before surgery C. The day of discharge D. Two days before being discharged

B. Before surgery

Which symptoms are most likely to occur with benign enlargement of the prostate? Select all that apply. A. Severe anemia B. Bladder calculi C. Urinary tract infections D. Increased residual urine E. Chronic urinary retention F. Overflow urinary incontinence

B. Bladder calculi C. Urinary tract infections D. Increased residual urine E. Chronic urinary retention F. Overflow urinary incontinence

What preoperative teaching does the nurse provide to a patient who is to undergo a transurethral resection of the prostate (TURP)? A. The patient must report any blood-tinged urine after surgery. B. Epidural or spinal anesthesia will be administered to the patient. C. The patient will have an indwelling catheter for 3 days after surgery. D. The patient will not feel the urge to urinate when the catheter is in place.

B. Epidural or spinal anesthesia will be administered to the patient.

Which factors place a patient at risk for developing testicular cancer? Select all that apply. A. Prostatitis B. Family history C. Cryptorchidism D. Erectile dysfunction E. Human immunodeficiency virus

B. Family history C. Cryptorchidism E. Human immunodeficiency virus

A patient with prostate cancer is prescribed hormonal therapy. Which drugs inhibit tumor progression by blocking the uptake of testicular and adrenal androgens? Select all that apply. A. Leuprolide B. Flutamide C. Goserelin D. Nilutamide E. Bicalutamide

B. Flutamide D. Nilutamide E. Bicalutamide

The nurse is obtaining a health history from a patient suspected of benign prostatic hyperplasia (BPH). What are the symptoms of BPH? Select all that apply. A. Inability to develop erection of the penis B. Frequent waking during the night to void C. Sensation of incomplete bladder emptying D. Low back pain with unilateral testicular pain E. Difficulty in starting and continuing urination F. Decreased force and intensity of urinary stream

B. Frequent waking during the night to void C. Sensation of incomplete bladder emptying E. Difficulty in starting and continuing urination F. Decreased force and intensity of urinary stream

What is the usual presenting symptom for testicular cancer? A. Hard, painful mass B. Hard, painless mass C. Scrotal swelling and pain D. Epididymis that is easily palpated

B. Hard, painless mass

A patient had a transurethral resection of the prostate (TURP) yesterday. The staff nurse notes that the urinary output from the catheter has decreased and the patient is reporting severe bladder spasms. What is the nurse's priority action? A. Notify the surgeon immediately. B. Irrigate the catheter with normal saline. C. Provide pain medication as prescribed. D. Document the assessment in the medical record.

B. Irrigate the catheter with normal saline.

A patient who underwent a radical retropubic prostatectomy informs the nurse of abdominal discomfort due to constipation. What is the nurse most likely to administer? A. Fleet enema B. Milk of magnesia C. Soap suds enema D. Bisacodyl suppository

B. Milk of magnesia

Which statement about the classification of testicular cancers is correct? A. Germ cell tumors may arise from Leydig cells. B. Nonseminomas are testicular germ cell tumors. C. Androblastomas often metastasize to distant organs. D. Non-germ cell tumors account for most testicular cancers.

B. Nonseminomas are testicular germ cell tumors.

What are the priority collaborative problems for benign prostatic hyperplasia (BPH)? Select all that apply. A. Infection B. Fatigue secondary to nocturia C. Urinary retention due to bladder outlet obstruction D. Lack of education to decrease intake of fluid, alcohol, diuretics, and caffeine E. Decreased self-esteem due to overflow incontinence and possible sexual dysfunction with or without surgery

C. Urinary retention due to bladder outlet obstruction E. Decreased self-esteem due to overflow incontinence and possible sexual dysfunction with or without surgery

A nurse is educating a patient who will receive a penile implant. Which statement demonstrates correct patient teaching by the nurse? A. "The device will slowly deflate itself after a period of time." B. "You may need to take medications when using the device." C. "You will be admitted for a few days after receiving the implant." D. "Contact your provider for a temperature greater than 100.4 °F."

D. "Contact your provider for a temperature greater than 100.4 °F."

A patient with a diagnosis of benign prostatic hyperplasia was given a prescription for tamsulosin. Which statement by the patient indicates further drug teaching is needed? A. "Tamsulosin should improve my urine stream." B. "Tamsulosin can cause erectile dysfunction and decreased sexual desire." C. "I need to rise slowly when going from lying to sitting and sitting to standing." D. "I need follow-up lab testing because tamsulosin can cause kidney dysfunction."

D. "I need follow-up lab testing because tamsulosin can cause kidney dysfunction."

The nurse is educating a group of young men about self-examination for testicular cancer. Which statement made by a participant indicates a need for further education? A. "It is best to check my testicles after taking a shower." B. "I should examine my testicles once a month for abnormal lumps." C. "It doesn't matter what time of day I perform testicular self-examination." D. "I should examine the peripheral areas of the testes as this is where most tumors are."

D. "I should examine the peripheral areas of the testes as this is where most tumors are."

The nurse is planning the discharge of a patient who had a radical prostectomy. What instruction does the nurse provide to the patient about caring for the catheter at home? A. "Wash the external catheter tubing every other day." B. "Use antiseptic solution rather than soap to wash the catheter." C. "Clean the drainage bag with one part water and one part vinegar." D. "Replace the old drainage bag with a new one at least once a week."

D. "Replace the old drainage bag with a new one at least once a week."

A patient with prostate cancer asks why he must have surgery instead of radiation, even if his cancer is the least-invasive type. What is the nurse's best response? A. "Surgery slows the spread of cancer." B. "The surgery is to promote urination." C. "It is because your cancer growth is large." D. "Surgery is the most common intervention to cure the disease."

D. "Surgery is the most common intervention to cure the disease."

A patient was recently diagnosed with benign prostatic hyperplasia (BPH). The nurse is teaching the patient the physiology of the bladder and prostate in patients with BPH. Which statement by the patient indicates the need for further teaching? A. "The prostate gland enlarges, causing bladder outlet obstruction." B. "The increased volume of residual urine often causes overflow urinary incontinence." C. "Urinary stasis occurs, which can result in urinary tract infections and bladder calculi." D. "The bladder muscle thins to help urine push past the enlarged prostate gland."

D. "The bladder muscle thins to help urine push past the enlarged prostate gland."

Which patient is most likely to have the greatest risk of prostate cancer? A. A 12-year-old patient B. A 25-year-old patient C. A 50-year-old patient D. A 70-year-old patient

D. A 70-year-old patient

A patient with severe benign prostatic hypertrophy has elected to undergo holmium laser enucleation of the prostate (HoLEP). The patient admits to having a very active lifestyle, and he expresses fear that the surgery will cause permanent incontinence. What teaching point can the nurse use to calm this patient's anxiety? A. The patient's urinary symptoms will likely remain unchanged after surgery compared to before surgery. B. The patient will likely have to use a urinary catheter for a month and have incontinence for a few weeks once the catheter is removed, but urinary control should eventually return to normal. C. The patient can resume an active lifestyle even with permanent incontinence by practicing scheduled voiding and using incontinence products. D. After recovery is complete, most patients have better urinary control than before surgery.

D. After recovery is complete, most patients have better urinary control than before surgery.

Twelve hours after the patient has a transurethral resection of the prostate, he begins having bright red urinary drainage with numerous clots. The nurse, per the surgeon's orders, irrigates the catheter with normal saline, but the bleeding and clots continue. When the nurse calls the surgeon again, which drug does the nurse expect the surgeon to order? A. Alfuzosin B. Dutasteride C. Protamine sulfate D. Aminocaproic acid

D. Aminocaproic acid

The nurse is caring for a patient with a history of prostate cancer and prostate removal several years ago. The nurse reviews the laboratory results for the prostate-specific antigen (PSA) level, and it is 15 ng/dL. Based on these results, what would the nurse expect the health care provider to prescribe next? A. Chemotherapy B. Hospice services C. Radiation therapy D. Computed tomography (CT) scan or magnetic resonance imaging (MRI)

D. Computed tomography (CT) scan or magnetic resonance imaging (MRI)

What is the other name for an undescended testis? A. Hydrocele B. Varicocele C. Spermatocele D. Cryptorchidism

D. Cryptorchidism

The nurse is caring for a patient after an open radical prostatectomy. What action does the nurse take? A. Keep the urinary meatus clean with antiseptic solution. B. Allow the patient to get out of bed only the day after surgery. C. Provide suppositories or an enema to allow bowel movements. D. Encourage the patient to use patient-controlled analgesia (PCA).

D. Encourage the patient to use patient-controlled analgesia (PCA).

The nurse reviews the medication profile of a patient with benign prostatic hyperplasia and notes long-term use of coumadin. The nurse anticipates that which mimimally invasive surgical procedure will be performed to treat the patient's condition? A. Bilateral orchiectomy B. Vacuum constriction device (VCD) C. Transurethral resection of the prostate (TURP) D. Holmium laser enucleation of the prostate (HoLEP)

D. Holmium laser enucleation of the prostate (HoLEP)

Which herb is approved by the U.S. Food and Drug Administration (FDA) to help manage the urinary symptoms associated with benign prostatic hypertrophy (BPH) and finasteride? A. Golden seal B. Black cohosh C. Gingko biloba D. Saw palmetto extract

D. Saw palmetto extract

Which test would most likely be used to diagnose and grade bladder outlet obstruction and detrusor muscle function? A. Bladder ultrasound B. Transabdominal ultrasound C. Magnetic resonance imaging D. Urodynamic pressure-flow studies

D. Urodynamic pressure-flow studies

What does the nurse teach a patient with urge incontinence about Kegel exercises? A. They should only be performed once daily. B. They help to prevent urinary incontinence. C. They involve the use of perineal and gluteal muscles. D. They tighten and relax muscles similar to preventing a bowel movement.

C. They involve the use of perineal and gluteal muscles.

The nurse reviews the medical record of a patient who is undergoing treatment for prostate cancer. The nurse suspects that the cancer has metastasized to the pelvic bones based on what assessment finding? A. Presence of alpha-fetoprotein (AFP) B. Increased serum acid phosphatase levels C. Presence of lactate dehydrogenase (LDH) D. Increased serum alkaline phosphatase levels

D. Increased serum alkaline phosphatase levels

The potential problem of grief is most relevant to a patient after which procedure? A. Cystoscopy B. Sperm banking C. Radical prostatectomy D. Transurethral microwave therapy

C. Radical prostatectomy

The nursing instructor is teaching a group of nursing students how to prepare a patient with benign prostatic hyperplasia (BPH) for a digital rectal examination (DRE). What statement by a student nurse indicates a need for further teaching? A. "The residual urine will be measured during the examination." B. "BPH presents as a uniform, elastic, and non-tender enlargement." C. "The patient may feel the urge to urinate when the prostate is palpated." D. "The patient should be assisted to a side-lying fetal position for examination."

A. "The residual urine will be measured during the examination."

A 66-year-old man is receiving education pertaining to the use of a vacuum constrictive device (VCD). A patient would demonstrate understanding of the device's primary action when he states: A. "This device draws blood into my penis." B. "When I use this device, air is used to create an erection." C. "I will use this device to increase the function of my Viagra." D. "In time, this device will restore function to my penis indefinitely."

A. "This device draws blood into my penis."

A patient has undergone transurethral resection of the prostate (TURP). Which interventions does the nurse incorporate in this patient's postoperative care? Select all that apply. A. Administer antispasmodic medications. B. Assist the patient to mobilize as soon as permitted. C. Place the patient in a supine position with his knees flexed. D. Perform intermittent urinary catheterization every 4 to 6 hours. E. Encourage the patient to urinate around the catheter if pressure is felt.

A. Administer antispasmodic medications. B. Assist the patient to mobilize as soon as permitted.

The nurse is preparing a patient for a digital rectal examination (DRE) of the prostate. What does the nurse teach the patient about the examination? A. The patient must void before the physical examination. B. The residual urine will be measured during the examination. C. The patient will be assisted to prone position for examination. D. On examination, the normal prostate feels like a stony-hard nodule.

A. The patient must void before the physical examination.

A patient with prostate cancer asks the nurse for more information and counseling. Which resources does the nurse suggest? Select all that apply. A. Us TOO International B. American Prostate Cancer Society C. National Prostate Cancer Coalition D. American Cancer Society's Man to Man program E. Patient's church, synagogue, or place of worship

A. Us TOO International C. National Prostate Cancer Coalition D. American Cancer Society's Man to Man program E. Patient's church, synagogue, or place of worship

Which method is a common complementary and alternative therapy for benign prostatic hyperplasia (BPH)? A. Yoga B. Acupuncture C. Serenoa repens D. Calcium supplements

C. Serenoa repens

Hormone treatment for prostate cancer works by which action? A. Shrinks the tumor B. Destroys the tumor C. Suppresses growth of the tumor D. Decreases blood flow to the tumor

C. Suppresses growth of the tumor

Which descriptions of laparoscopic radical prostatectomy (LRP) are most accurate? Select all that apply. A. It uses ultrasound-guided imagery. B. It requires smaller incisions and has less scarring. C. It causes minimal bleeding and fewer complications. D. It requires reduced time for urinary catheter placement. E. It decreases the length of the hospital stay to 4 or 5 days. F. It allows for faster recovery and return to normal activities.

B. It requires smaller incisions and has less scarring. C. It causes minimal bleeding and fewer complications. D. It requires reduced time for urinary catheter placement. F. It allows for faster recovery and return to normal activities.

The nurse is educating a group of young men about testicular self-examination (TSE). Which statement by a member of the group indicates teaching has been effective? A. "I will examine my testicles right before taking a shower." B. "I will look and feel for any lumps or changes to my testes." C. "I should squeeze each testicle in my hand to feel any lumps." D. "I should only report any large lumps to my health care provider."

B. "I will look and feel for any lumps or changes to my testes."

The nurse is completing a physical assessment of an obese patient who complains of frequency, nocturia, and overflow incontinence. Which assessment technique is the best technique to use to assess this patient's urinary system? A. Inspection B. Palpation C. Percussion D. Auscultation

C. Percussion

With which male patient does the nurse conduct prostate screening and education? A. Sexually active patient B. Adult who is older than 50 years C. Young adult with a history of urinary tract infections D. Patient who has sustained an injury to the external genitalia

B. Adult who is older than 50 years

The nurse is caring for a patient who is being treated with a 5-alpha reductase inhibitor (5-ARI) as the first-line drug therapy for benign prostatic hyperplasia (BPH). What instruction does the nurse give to the patient about this therapy? A. Increased libido is a side effect of these drugs. B. Orthostatic hypotension is a side effect of this treatment. C. It will take at least 2 months before improvement is noticed. D. Bedtime dosing increases the risk for problems related to hypotension.

B. Orthostatic hypotension is a side effect of this treatment.

What is first-line drug therapy for benign prostatic hypertrophy (BPH)? A. Tadalafil (Cialis) B. Pregabalin (Lyrica) C. Low-dose oral demopressin D. 5-alpha reductase inhibitor, such as finasteride (Proscar)

D. 5-alpha reductase inhibitor, such as finasteride (Proscar)

What are the available options for lymph node dissection? Select all that apply. A. Chemotherapy B. Internal radiation therapy C. Transurethral resection of the prostate D. Minimally invasive surgery using a laparoscope E. Open radical retroperitoneal lymph node dissection

D. Minimally invasive surgery using a laparoscope E. Open radical retroperitoneal lymph node dissection

Following a transurethral resection of the prostate, a patient's urinary drainage is ketchup-like with numerous clots. What is the most appropriate nursing intervention? A. Increasing the rate of bladder irrigation B. Obtaining an order for antifibrinolytic drugs C. Preparing the patient for a blood transfusion D. Notifying the surgeon and irrigating the catheter with saline solution

D. Notifying the surgeon and irrigating the catheter with saline solution

Which glycoprotein is produced by the prostate gland? A. Biliary glycoprotein B. Airway glycoprotein C. Erythropoietin glycoprotein D. Prostate-specific antigen glycoprotein

D. Prostate-specific antigen glycoprotein

The nurse is teaching a patient how to perform a testicular self-examination. What does the nurse instruct the patient to do? A. Perform a biweekly examination. B. Examine before a bath or a shower. C. Testicular tumors are felt at the periphery. D. Roll each testicle between the thumb and fingers.

D. Roll each testicle between the thumb and fingers.

The nurse is caring for a patient with erectile dysfunction who has not had success with other treatment modalities. The nurse anticipates that the health care provider will recommend which treatment for this patient? A. Penile implants B. Penile injections C. Transurethral suppository D. Vacuum constriction device

A. Penile implants

A 55-year-old male reports difficulty maintaining an erection. After discussing the patient's history, which statement by the patient would best support a diagnosis of erectile dysfunction? A. "Most days, I jog at least three miles a day." B. "I often take antibiotics for urinary problems." C. "I've noticed not having nighttime and morning erections." D. "After a motor vehicle accident last year, I received a laminectomy."

D. "After a motor vehicle accident last year, I received a laminectomy."

Which side effect is a patient most likely to experience if receiving both flutamide (Eulexin) and a luteinizing-hormone-releasing hormone (LH-RH) agonist? A. Euphoria B. Hot flashes C. Constipation D. Increased libido

B. Hot flashes

A patient is undergoing a diagnostic workup for suspected testicular cancer. Which serum tumor marker is indicative of testicular cancer? A. Alpha-fetoprotein (AFP) B. Luteinizing hormone C. Serum acid phosphatase D. Serum alkaline phosphatase

A. Alpha-fetoprotein (AFP)

Which man is at greatest risk of developing prostate cancer? A. 56-year-old Asian who is a vegan B. 52-year-old African American whose diet includes red meat C. 25-year-old Hispanic whose uncle had prostate cancer at age 63 D. 40-year-old Caucasian whose father had prostate cancer at age 70

B. 52-year-old African American whose diet includes red meat

Which type of non-germ cell tumors secretes estrogen? A. Seminoma B. Androblastoma C. Interstitial cell tumor D. Embryonal carcinoma

B. Androblastoma

A patient underwent a transurethral resection of the prostate (TURP) yesterday for benign prostatic hyperplasia. What intervention does the nurse perform for the patient during the first postoperative day? A. Assess vital signs every hour. B. Assess for excessive bleeding. C. Assess pain two times every day. D. Assess urine output every 4 hours.

B. Assess for excessive bleeding.

Arrange the common risk factors that cause prostate cancer from highest to lowest priority. A. Advanced age B. Race C. Family history of prostate cancer D. Eating a diet high in animal fat E. Men who have had a vasectomy

A. Advanced age B. Race C. Family history of prostate cancer D. Eating a diet high in animal fat E. Men who have had a vasectomy

A patient with benign prostatic hyperplasia is being discharged with alpha-adrenergic blockers. Which information is important for the nurse to include when teaching the patient about this type of pharmacologic management? Select all that apply. A. Be careful when changing positions. B. Take the medication in the afternoon. C. Avoid drugs used to treat erection problems. D. Hearing tests will need to be conducted periodically. E. Keep all appointments for follow-up laboratory testing.

A. Be careful when changing positions. C. Avoid drugs used to treat erection problems. E. Keep all appointments for follow-up laboratory testing.

The nurse is caring for a patient after a transurethral resection of the prostate. What action does the nurse take? A. Assess the patient's pain every 5 hours. B. Use normal saline solution for bladder irrigant. C. Apply restraints to the patient who is disoriented. D. Change the catheter if it is obstructed with blood clots.

B. Use normal saline solution for bladder irrigant.

The nurse just completed teaching a patient about finasteride. Which statement made by the patient indicates understanding of why the medication was prescribed? A. "Finasteride is used to treat nocturia." B. "Finasteride treats urinary infections." C. "Finasteride reduces an enlarged prostate." D. "Finasteride increases bladder muscle strength."

C. "Finasteride reduces an enlarged prostate."

After returning from transurethral resection of the prostate, the patient's urine in the continuous bladder irrigation system is a burgundy color. Which patient needs does the nurse anticipate after the surgeon sees the patient? Select all that apply. A. Forced fluids B. Emergency surgery C. Antispasmodic drugs D. Monitoring for anemia E. Increased intermittent irrigation

C. Antispasmodic drugs D. Monitoring for anemia

A 65-year-old patient with benign prostatic hyperplasia (BPH) is prescribed finasteride and doxazosin. What is the priority nursing assessment to perform following the first dose? A. Lab results B. Urinary output C. Blood pressure in different positions D. Abdominal assessment for pain, nausea, and vomiting

C. Blood pressure in different positions

Why is prostate cancer screening often emphasized to the African-American population in the United States? A. Clinical presentation is different. B. Metastasis of prostate cancer is higher. C. Prostate cancer occurs at an earlier age. D. Prostate-specific antigen (PSA) is not sensitive to prostate disease.

C. Prostate cancer occurs at an earlier age.

Which are symptoms that indicate a patient is experiencing radiation proctitis? Select all that apply. A. Heartburn B. Constipation C. Rectal urgency D. Rectal cramping E. Passing mucus and blood

C. Rectal urgency D. Rectal cramping E. Passing mucus and blood

What is included in the surgical management of a patient being treated for prostate cancer? Select all that apply. A. Brachytherapy B. Preoperative care C. Postoperative care D. Operative procedures E. Combination chemotherapy

B. Preoperative care C. Postoperative care D. Operative procedures

The health care provider is treating a patient who has prostate cancer. What questions must the health care provider ask the patient? Select all that apply. A. Family history B. Ask about the patient's nutritional habits C. Inquire about any medications that could affect voiding D. Ask if there has been any recent unexpected weight gain E. Obtain a sexual history of recent changes in desire or function F. Ask about any past history of insulin dependent diabetes mellitus

A. Family history B. Ask about the patient's nutritional habits C. Inquire about any medications that could affect voiding E. Obtain a sexual history of recent changes in desire or function

The issue that is often foremost in the minds of men who have been diagnosed with prostate cancer and must be addressed by the nurse is the alteration of which factor? A. Mobility after treatment B. Sexual function after treatment C. Comfort because of surgical pain D. Nutrition because of radiation side effects

B. Sexual function after treatment

The nurse is teaching a patient about taking tadalafil (Cialis) for erectile dysfunction. Which statement by the patient indicates a need for further teaching? A. "I must have sex within an hour after taking the drug." B. "The medicine might give me a headache or a stuffy nose." C. "I should avoid alcohol when on the drug or it might not work well." D. "The erection will feel natural and can be stimulated over a longer period of time."

A. "I must have sex within an hour after taking the drug."

A patient has undergone transurethral resection of the prostate (TURP) for benign prostatic hyperplasia. Upon discharge, the nurse should give the patient instructions about performing which type of exercises? A. Kegel exercises B. Isotonic exercises C. Strength exercises D. Aerobic exercises

A. Kegel exercises

A nurse is performing vitals on a patient who is recovering from a transurethral resection of the prostrate (TURP) and notices that arterial bleeding is occurring and the urinary drainage is bright red with numerous clots. What should the nurse do? Select all that apply. A. Remove the catheter B. Notify the surgeon immediately C. Order additional tests for the patient D. Note the drainage in the patient's chart E. Irrigate the catheter with normal saline solution

B. Notify the surgeon immediately D. Note the drainage in the patient's chart E. Irrigate the catheter with normal saline solution

The nurse is assessing a patient suspected of having prostate cancer. What risk factor is associated with the development of prostate cancer? A. Prolonged sexual activity B. Presence of BRCA2 gene mutations C. Increased intake of soy and its products D. Intake of foods high in omega-3 fatty acids

B. Presence of BRCA2 gene mutations

The nurse knows that which procedure involves an interventional radiologist threading a small vascular catheter into the prostate's arteries and injecting particles blocking some of the blood flow to shrink the prostate gland? A. Interstitial laser coagulation B. Prostate artery embolization C. Transurethral needle ablation D. Electrovaporization of the prostate

B. Prostate artery embolization

The nurse is reviewing the results of a patient's prostate specific antigen (PSA) test and notices an elevation in the findings. What may this finding represent? A. Prostatitis B. Prostate cancer C. Erectile dysfunction D. Benign prostatic hyperplasia

B. Prostate cancer

A patient with prostate cancer is being evaluated for metastasis. Which laboratory test indicates possible bone metastasis? A. Prostate specific antigen (PSA) B. Serum alkaline phosphatase C. Serum acid phosphatase D. Early prostate cancer antigen (EPCA-2)

B. Serum alkaline phosphatase

A patient is scheduled for a transurethral resection of the prostate (TURP) for benign prostatic hyperplasia. What preoperative information must the patient understand? A. Permanent incontinence occurs after TURP. B. Sexual function is not usually affected with TURP. C. Blood-tinged urine after the procedure must be reported. D. General anesthesia will be administered during the surgery.

B. Sexual function is not usually affected with TURP.

What is the major androgen found in the adult male? A. Estrogen B. Testosterone C. Progesterone D. Androstenedione

B. Testosterone

Which group of men are at the highest risk for prostate cancer? A. Asian American B. Latino American C. African American D. Caucasian American

C. African American

The nurse is assessing a patient for benign prostatic hyperplasia (BPH) using the International Prostate Symptoms Score (I-PSS). What statement most accurately describes the I-PSS system? A. It assesses the impact of BPH on sexual function. B. It is based on six questions concerning urinary symptoms. C. It asks the patient about the severity of urinary symptoms. D. It includes questions about the level of pain during urination.

C. It asks the patient about the severity of urinary symptoms.

Which assessment finding causes the nurse to suspect that a patient may have testicular cancer? A. Hematuria B. Penile discharge C. Painless testicular lump D. Sudden increase in libido

C. Painless testicular lump

What is the second most common type of cancer found in men in the world? A. Lung cancer B. Kidney cancer C. Prostate cancer D. Pancreatic cancer

C. Prostate cancer