Med-surg Ch. 72, Care of Patients with Male Reproductive Problems

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?

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

The nurse is teaching a patient with benign prostatic hyperplasia (BPH) about ways to avoid loss of bladder muscle tone. What instructions does the nurse provide? Select all that apply.

"Avoid the intake of alcohol and caffeine." "Empty your bladder as soon as you feel the urge." "Avoid drinking large amounts of fluids in a short amount of time."

The nurse is teaching a patient about taking tadalafil (Cialis) for erectile dysfunction. Which statement by the patient indicates a need for further teaching?

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

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.

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

When teaching a group of men about preventing chronic bacterial prostatitis, which statement should the nurse make?

"Prostatitis is more common in older men."

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?

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

A patient is diagnosed with benign prostatic hyperplasia (BPH). When discussing the diagnosis with the patient, the nurse would likely make which statement?

"The exact cause of BPH is unclear."

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?

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

What is first-line drug therapy for benign prostatic hypertrophy (BPH)?

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

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.

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

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?

Aminocaproic acid

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.

Antispasmodic drugs Monitoring for anemia

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?

Assess for excessive bleeding.

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.

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

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.

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

Which symptoms are most likely to occur with benign enlargement of the prostate? Select all that apply.

Bladder calculi Urinary tract infections Increased residual urine Chronic urinary retention Overflow urinary incontinence

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?

Blood pressure in different positions

What preoperative teaching does the nurse provide to a patient who is to undergo a transurethral resection of the prostate (TURP)?

Epidural or spinal anesthesia will be administered to the patient.

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.

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

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?

Irrigate the catheter with normal saline.

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?

It asks the patient about the severity of urinary symptoms.

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?

Kegel exercises

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.

Monitor the patient closely for signs of infection. Assess the patient's pain every 2 to 4 hours and intervene as needed to control pain. 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.

Nocturia Sexual dysfunction Post-void incontinence

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.

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

Which are risk factors for development of benign prostatic hyperplasia (BPH)? Select all that apply.

Obesity Diabetes Decreased physical activity Use of testosterone and other androgen supplements

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?

Orthostatic hypotension is a side effect of this treatment.

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?

Penile implants

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?

Percussion

When planning care for a patient who is Jewish, which spiritual leader should the nurse include as a potential health care resource?

Rabbi

Which are symptoms that indicate a patient is experiencing radiation proctitis? Select all that apply.

Rectal urgency Rectal cramping Passing mucus and blood

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?

Saw palmetto extract

Which method is a common complementary and alternative therapy for benign prostatic hyperplasia (BPH)?

Serenoa repens

A patient is scheduled for a transurethral resection of the prostate (TURP) for benign prostatic hyperplasia. What preoperative information must the patient understand?

Sexual function is not usually affected with TURP.

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?

The patient has an infection.

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?

The patient must void before the physical examination.

The nurse is caring for a patient after a transurethral resection of the prostate. What action does the nurse take?

Use normal saline solution for bladder irrigant.