Learning Quiz | Male Genitourinary System

The healthcare provider on the urology unit teaches the nursing student that which test assists in detecting a recurrence of prostate cancer after prostatectomy?

PSA level

When caring for the client with acute bacterial prostatitis, the healthcare provider plans for which intervention?

Antibiotics Acute prostatitis usually responds to appropriate anti-microbial therapy based on the sensitivity of the causative agents in the urethral discharge.

A client is admitted with secondary orchitis. Which assessment question is most relevant?

"Have you ever had mumps?"

A client informs the healthcare provider that he has been having difficulty sustaining an erection. Which statement made by the client demonstrates to the healthcare provider that the client understands what a contributing factor to his erectile dysfunction is?

"I should stop smoking cigarettes. I have been smoking for 20 years." Cigarette smoking can induce vasoconstriction and penile venous leakage because of its effects on cavernous smooth muscle and can double the risk of erectile dysfunction. Alcohol in small amounts may increase libido and improve erection. In large amounts, it can cause central sedation, decreased libido, and transient erectile dysfunction. Warm showers and having three sex partners in 5 years are not risk factors for erectile dysfunction.Which complication is associated with prostatic hyperplasia?

The parents of a baby born with hypospadias ask the healthcare provider if the baby can be circumcised. Which response by the healthcare provider is most accurate?

"The circumcision will not be done now; the foreskin is needed for surgical repair." Surgery is the treatment of choice for hypospadias. Circumcision is avoided because the foreskin is used for surgical repair. Factors that influence the timing of surgical repair include anesthetic risk, penile size, and the psychological effects of the surgery on the child.

The healthcare provider in the urology office recognizes screening men at risk for prostate cancer includes which diagnostic measures?

Blood level of prostate-specific antigen (PSA) and digital rectal exam

Which risk factor is associated with erectile dysfunction (ED) and considered preventable?

Cigarette smoking

Erectile dysfunction is the inability to achieve and maintain an erection sufficient to permit satisfactory sexual intercourse. The healthcare provider knows that there may be many causes of erectile dysfunction, and a psychogenic cause would include which of the following?

Depression Erectile dysfunction is defined as the inability to achieve and maintain an erection sufficient to permit satisfactory sexual intercourse. Psychogenic causes of erectile dysfunction include performance anxiety, a strained relationship with a sexual partner, depression, and overt psychotic disorders. Neurogenic disorders such as Parkinson disease, stroke, and cerebral trauma often contribute to erectile dysfunction by decreasing libido or preventing the initiation of erection. Hormonal causes of erectile dysfunction include a decrease in androgen levels because of both primary and secondary hypogonadism. Common risk factors for generalized penile arterial insufficiency include hypertension, hyperlipidemia, cigarette smoking, diabetes mellitus, and pelvic irradiation.

Which of these complications does the healthcare provider recognize may occur after illness with parotitis (mumps) in young men?

Orchitis with residual sterility

The healthcare provider is assigned to care for newborns and assesses a newborn male, 12 hours old. The newborn has right cryptorchidism as documented in the doctor's progress notes and noted by the healthcare provider. Which of the following would the healthcare provider assess for this disorder?

Scrotum Cryptorchidism, or undescended testes, occurs when one or both of the testicles fail to move down into the scrotal sac. The condition is usually unilateral, but it may be bilateral in 30% of cases. The undescended testes may remain in the lower abdomen, at a point of descent in the inguinal canal, or in the upper scrotum

A 14-year-old boy has been brought to the emergency department by his mother in excruciating pain that is radiating from his scrotum to his inguinal area. The boy's heart rate is 122 beats per minute and he has vomited twice before arrival at the hospital. Examination reveals that his scrotum is reddened and slightly swollen and the testes are firm to touch and tender, with extensive cremaster muscle contraction noted. What is the boy's most likely diagnosis?

Testicular torsion The combination of the boy's age, signs, and symptoms is indicative of testicular torsion. Epididymitis normally lacks cremaster muscle involvement and hydrocele is marked by massive distention of the scrotum. Varicocele is often asymptomatic or marked by heaviness in the scrotum.

Which complication is associated with prostatic hyperplasia?

Urine retention Benign prostatic hyperplasia (BPH) is a common disorder in men older than 40; because the prostate encircles the urethra, BPH exerts its effect through obstruction of urinary outflow from the bladder. Hypospadias is a congenital condition in which the termination of the urethra is on the ventral surface of the penis. Scrotal edema is often the result of testicular disease or inflammation rather than prostate enlargement. Often the first sign of testicular cancer is a slight enlargement of the testicle that may be accompanied by some degree of discomfort.

While teaching a health class to junior and senior male high school students, the school nurse educates them that the first sign of testicular cancer is

enlargement of the testicle. Cryptorchidism, or undescended testes, occurs when one or both of the testicles fail to move down into the scrotal sac. The condition is usually unilateral, but it may be bilateral in 30% of cases. The undescended testes may remain in the lower abdomen, at a point of descent in the inguinal canal, or in the upper scrotumgns leading to a metastatic lesion. It is normal for one testicle to hang lower than the other

A client is admitted with a prolonged and painful erection that has lasted longer than 4 hours. The healthcare provider knows that this is a true urologic emergency, and that the cause is:

impaired blood flow in the corpora cavernosa of the penis Priapism is an involuntary, prolonged (>4 hours), abnormal, and painful erection that continues beyond, or is unrelated to, sexual stimulation. Priapism is a true urologic emergency because the prolonged erection can result in ischemia and fibrosis of the erectile tissue with significant risk of subsequent impotence. Priapism is caused by impaired blood flow in the corpora cavernosa of the penis.

The healthcare provider 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:

promotes increase in blood flow to the corpora cavernosa. Erection involves increased inflow of blood into the corpora cavernosa of the penis; the blood then becomes trapped. These drugs act by facilitating corporal smooth muscle relaxation in response to sexual stimulation, which permits increased flow of blood into the penis.

Which treatment intervention is recommended for infants who have a severe case of hypospadias?

surgical repair