Male Repro Pot (Pharm on last pages)
A female athlete is using high doses of anabolic steroids to enhance her performance. When a female use anabolic steroids at high doses, what result may she have?
a. Masculinization
A woman who has been prescribed high doses of anabolic steroids should be instructed on which effects?
a. Masculinization
Which term refers to the surgical removal of one or both testes?
a. Orchiectomy
A client has experienced occasional urinary incontinence in the weeks since his prostatectomy. In order to promote continence, the nurse should encourage which of the following?
a. Pelvic floor exercises
When educating a client prescribed testosterone transdermal patch therapy, the nurse will provide what information regarding patch placement?
a. Place the patches on the back, abdomen, upper arms, or thighs.
An uncircumcised 78-year-old male has presented at the clinic complaining that he cannot retract his foreskin over his glans. On examination, it is noted that the foreskin is very constricted. The nurse should recognize the presence of what health problem?
c. Phimosis
A patient is suspected to have prostate cancer related to observed clinical symptoms. What definitive test can the nurse assist with to confirm a diagnosis of prostate cancer?
c. Prostate biopsy
The nurse is preparing to apply testosterone gel (Androgel) to a male client who has a low testosterone level. What is the nurse's top priority action before administering this medication?
c. Put on gloves.
A client has been diagnosed with an enlarged prostate. What information should the nurse explain to the client about the effects of an enlarged prostate?
c. Retention of urine
A 66-year-old man has made an appointment with his primary care provider to discuss his recent erectile dysfunction (ED) and has requested a prescription for tadalafil (Cialis) based on television commercials he has seen. What characteristic of this patient would most likely contraindicate the use of tadalafil for his ED?
c. The patient has unstable angina and uses a nitroglycerin patch
Which is inconsistent with digital rectal examination (DRE)?
d. Can reveal a hydrocele
A nurse is caring for an adolescent with hypogonadism who has been prescribed fluoxymesterone (Androxy) for replacement. What adverse effect of this drug will the nurse alert the client to that could cause self-esteem concerns?
a. Acne
A client is being seen by an urologist for perineal pain, low back pain, fever lasting 5 days, and painful urination. The physician confirms a diagnosis of prostatitis and orders treatment. During client education, which recommendation does the nurse make?
a. All options are correct.
A client with a history of hypertension and heart disease is being seen by the urologist because of erectile dysfunction. What would be the most likely cause of the client's erectile dysfunction?
a. All options are correct.
What is included in the home care instructions for a client with epididymitis and orchitis?
a. All options are correct.
After teaching a client who is prescribed sildenafil about using the drug, the nurse determines that the teaching was successful when the client states:
a. "I need to take the pill about an hour before any sexual stimulation."
A male client has been prescribed testosterone for cryptorchidism. Which statement indicates that the client teaching was effective?
a. "My body hair will increase."
A 50-year-old is diagnosed with stage II prostate cancer. The client is upset and verbalizes that he would rather die than have any surgery. Which is the best response by the nurse?
a. "What concerns you most about having surgery?"
A client who is scheduled for a vasectomy tells the nurse, "My partner and I will never have to worry about contraception ever again." Which response by the nurse would be most appropriate?
b. "You still need to use a reliable method until the physician checks your semen."
Mark, age 42, is prescribed sildenafil for the treatment of pulmonary hypertension. The nurse caring for Mark would explain that sildenafil works by what mechanism?
b. Causing vasodilation in the pulmonary vascular bed
A client is taking androgens and warfarin (Coumadin). What effect will these two medications have on the client's coagulation?
b. Coagulation will be decreased.
A patient is planning to use a negative-pressure (vacuum) device to maintain and sustain an erection. What should the nurse caution the patient about with the use of this device?
b. Do not leave the constricting band in place for longer than 1 hour to avoid penile injury.
A nurse is reviewing the history of a client who is experiencing difficulty sustaining an erection. Which of the following might the nurse suspect as a possible contributing factor?
b. Hypertension
A client has returned to the floor from the PACU after undergoing a suprapubic prostatectomy. The nurse notes significant urine leakage around the suprapubic tube. What is the nurse's most appropriate action?
b. Inform the urologist of this finding.
The nurse is preparing a discharge teaching plan for a client who has had a prostatectomy. Which of the following would be appropriate to include?
b. Performing perineal exercises frequently throughout the day
During a physical examination, the nurse inspects the external genitalia of a male client. Which of the following would the nurse identify as an abnormality?
b. Skin lesions
A patient is having a DRE in the physician's office and the nurse is to assist in the examination. What can the nurse instruct the client to do to decrease the discomfort from the exam?
b. Take a deep breath and exhale when the physician inserts a gloved finger into the rectum.
A male adolescent is prescribed testosterone. In order to help the client deal with the added social stress that the medication may cause, the nurse should discuss which possible adverse effect?
b. The development of acne
A 35-year-old father of three tells the nurse that he wants information on a vasectomy. What would the nurse tell him about ejaculate after a vasectomy?
b. There is no noticeable decrease in the amount of ejaculate even though it contains no sperm.
The nurse is providing care to a client who has had a transurethral resection of the prostate. The client has a three-way catheter drainage system in place for continuous bladder irrigation. The nurse anticipates that the catheter may be removed when the urine appears as which of the following?
c. Light yellow and clear
Following morning hygiene of an elderly client, the nurse is unable to replace the retracted foreskin of the penis. Which is the most likely outcome?
c. Painful swelling
A 66-year-old man has made an appointment with his primary care provider to discuss his recent erectile dysfunction (ED) and has requested a prescription for tadalafil (Cialis) based on television commercials he has seen. What characteristic of this client would contraindicate the use of tadalafil for his ED?
c. has unstable angina and uses a nitroglycerin patch
A client is scheduled for a transurethral rescection of the prostate (TURP). Which statement demonstrates that the expected outcome of "client demonstrates understanding of the surgical procedure and aftercare" has been met?
d. "The surgeon is going to insert a scope through my urethra to remove a portion of the gland."
Which of the following should nurses teach all men, especially those who have had cryptorchidism?
d. How to perform a testicular self-examination
A client underwent a transurethral resection of the prostate gland 24 hours ago and is on continuous bladder irrigation. Which nursing intervention is appropriate?
d. Use sterile technique when irrigating the catheter
A client is undergoing a diagnostic workup for suspected testicular cancer. When obtaining the client's history, the nurse checks for known risk factors for this type of cancer. Testicular cancer has been linked to:
d. cryptorchidism.
Which of the following may result if prostate cancer invades the urethra or bladder?
a. Hematuria
22. Which of the following would a nurse include in a teaching plan for a client with benign prostatic hyperplasia who is not yet a candidate for surgery?
a. Maintaining optimal bladder emptying
A 65-year-old man complains to his health care provider that, when he urinates, he has to start and stop several times over a period of minutes in order to fully empty his bladder. The nurse is aware that this is not uncommon in men over the age of 60. This "double voiding" is directly related to which of the following?
a. Hyperplasia of the prostate gland
A nurse is providing care for a client who has recently been admitted to the postsurgical unit from PACU following a transurethral resection of the prostate. The nurse is aware of the nursing diagnosis of Risk for Imbalanced Fluid Volume. In order to assess for this risk, the nurse should prioritize what action?
a. Closely monitoring the input and output of the bladder irrigation system
Which term refers to a failure of one or both or both of the testes to descend into the scrotum?
a. Cryptorchidism
Which of the following would the nurse expect to be done to assess the size of the prostate?
a. Digital rectal examination
A patient experiences hypotension, lethargy, and muscle spasms while receiving bladder irrigations after a transurethral resection of the prostate (TURP). What is the first action the nurse should take?
a. Discontinue the irrigations.
The nurse receives a call from a male client who takes finasteride (Proscar) for treatment of BPH, and tells the nurse that his wife may be pregnant. What does the nurse expect the health care provider to do?
a. Discontinue the medication.
A 29-year-old client has just been told that he has testicular cancer and needs to have surgery. During a presurgical appointment, the client admits to feeling devastated that he requires surgery, stating that it will leave him "emasculated" and "a shell of a man." The nurse should identify what nursing diagnosis when planning the client's subsequent care?
a. Disturbed Body Image Related to Effects of Surgery
Which of the following recommendations would a nurse advocate during infancy and childhood to help reduce potential adult complications such as orchitis?
a. Ensure immunizations against infectious diseases such as mumps.
A nurse is teaching a 53-year-old man about prostate cancer, given the fact that he has a family history of the disease. What information should the nurse provide to best facilitate the early identification of prostate cancer?
a. Have a digital rectal examination and prostate-specific antigen (PSA) test done as recommended.
Which component of client teaching helps the nurse assist a client following treatment for cancer of the prostate gland to manage and minimize the possibility of a recurrence of the primary cancer or metastasis?
a. Have regular prostate-specific antigen (PSA) levels tested and repeat lymph node biopsies.
As a grade school nurse, you speak to the sixth grade boys regarding their physical maturation and body changes during puberty. In your client education sessions, you discuss male anatomy and the appropriate titles and functions of each structure. Which structure is involved in keeping the testes at the necessary degrees cooler to facilitate sperm production?
a. Scrotum
A client expresses concerns about future reproduction after a surgery to correct the cancer of the testes. For this client, treatment proceeded without first collecting and storing sperm. Which alternative should the nurse suggest to the client?
a. Suggest donor insemination or adoption
Which should be included as part of the home care instructions for a client with epididymitis and orchitis?
a. Take prescribed antibiotics.
A patient comes to the emergency department and tells the nurse, "I took a pill to help me perform and then passed out." The nurse is assessing the patient and finds a nitroglycerin patch on his back. What is the first intervention the nurse must perform?
a. Take the patient's blood pressure.
When instructing clients at a prenatal class, the nurse is most correct to state which medical name as being removed during circumcision?
a. The prepuce
Which instructions regarding future sexual activity should a nurse give a client with a vasectomy?
a. Use a reliable method of contraception until the physician ensures that sperm no longer are present.
A 52-year-old male with type 2 diabetes is using an anabolic steroid for treatment of hormonal deficiency. He is taking the sulfonylurea glyburide (DiaBeta) to treat his diabetes. The nurse caring for this client would closely monitor his:
a. blood glucose level.
A client has an edematous glans penis, pain, and an extremely constricted foreskin. What treatment would the physician likely prescribe?
a. circumcision
A client asks the nurse what PSA is. The nurse should reply that it stands for:
a. prostate-specific antigen, which is used to screen for prostate cancer.
Which of the following is the only definitive test that can determine if cancer of the testis is present?
b. Tissue biopsy
Testicular cancer risk is highest for adolescents and men younger than age 35. To specifically address testicular cancer risk, a nurse should modify client teaching for male clients to include:
b. testicular self-examination.
A client comes to the clinic reporting urinary symptoms. Which statement would most likely alert the nurse to suspect benign prostatic hyperplasia (BPH)?
c. "I've had trouble getting started when I urinate, often straining to do so."
A client with erectile dysfunction is prescribed sildenafil (Viagra). Which of the following would the nurse include in the teaching plan for this client?
c. "You may experience headache and some flushing with this drug."
The nurse is educating a patient about performing testicular self-examination (TSE). The nurse informs the patient that the best time to perform the exam is when?
c. After a warm bath or shower
The nurse is describing various terms related to the male reproductive system. Which term would the nurse use to describe the discharge of semen from the penis?
c. Ejaculation
A client with a normal prostate-specific antigen (PSA) level is reporting painful urination and the presence of blood in urine and semen. The nurse understands that the best option for management of this client includes which of the following?
c. Further evaluation
Which statement is accurate regarding sildenafil?
c. Its side effects include headache, flushing, and dizziness.
