PrepU Med surg assignment 19
Which of the following involves implantation of interstitial radioactive seeds under anesthesia to treat prostate cancer?
Brachytherapy
Which of the following should be included as part of the home care instructions for a patient with epididymitis and orchitis?
Take prescribed antibiotics.
A nurse is teaching a male client to perform monthly testicular self-examinations. Which point is appropriate to make?
Testicular cancer is a highly curable type of cancer.
The nurse is demonstrating the technique for performing a testicular self examination (TSE) to a group of men for a company health fair. One of the men asks the nurse at what age a man should begin performing TSE. What is the best answer by the nurse?
"It should begin in adolescence."
A client comes to the clinic reporting urinary symptoms. Which statement would most likely alert the nurse to suspect benign prostatic hyperplasia (BPH)?
"I've had trouble getting started when I urinate, often straining to do so."
Which of the following patients is most likely to develop prostate cancer according to a nurse working at a health screening at the local mall?
A 56-year-old African American man
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?
After a warm bath or shower
What should a male client older than age 50 do to help ensure early identification of prostate cancer?
Have a digital rectal examination and prostate-specific antigen (PSA) test done yearly.
An adolescent is identified as having a collection of fluid in the tunica vaginalis of his testes. The nurse knows that this adolescent will receive what medical diagnosis?
Hydrocele
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?
Hyperplasia of the prostate gland
A public health nurse has been asked to provide a health promotion session for men at a wellness center. What should the nurse inform the participants about testicular cancer?
It is highly responsive to treatment.
A man comes to the clinic complaining that he is having difficulty obtaining an erection. When reviewing the patient's history, what might the nurse note that contributes to erectile dysfunction?
The patient has a history of hypertension.
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?
Performing perineal exercises frequently throughout the day
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?
Phimosis
A nurse practitioner is assessing a 55-year-old male patient who is complaining of perineal discomfort, burning, urgency, and frequency with urination. The patient states that he has pain with ejaculation. The nurse knows that the patient is exhibiting symptoms of what?
Prostatitis
A 73-year-old client has been diagnosed with epididymitis after examination and diagnostic tests ordered by a physician with the urology group where you practice nursing. What treatment would you expect the physician to order? Choose all correct options.
Scrotal elevation Comfort measures
A 29-year-old client awoke with sudden, severe testicular pain with edema. He arrives at the ED where you practice nursing, unable to walk and nauseated. After examination, the ED physician discusses treatment options for the condition causing the client's pain. What would you expect the physician to order?
Surgery
Which of the following is the most common type of prostate surgery?
TURP
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?
Take a deep breath and exhale when the physician inserts a gloved finger into the rectum.
Which of the following is not a definition of erectile dysfunction?
The inability to achieve an erection after sexual activity
When developing an educational program for a group of adolescents about sexually transmitted infections (STIs), what should the nurse inform the group about the single greatest risk factor for contracting an STI?
The number of sexual partners
Which of the following is the only definitive test that can determine if cancer of the testis is present?
Tissue biopsy
Which of the following instructions regarding future sexual activity should a nurse give a client with a vasectomy?
Use a reliable method of contraception until the physician ensures that sperm no longer are present
Which of the following instructions regarding future sexual activity should a nurse give a patient with a vasectomy?
Use a reliable method of contraception until the physician ensures that sperm no longer are present
What does the nurse tell the patient is the best way to decrease the risk of developing penile cancer?
Use good genital hygiene.
A client underwent a transurethral resection of the prostate gland 24 hours ago and is on continuous bladder irrigation. Which nursing intervention is appropriate?
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:
cryptorchidism.
A client with erectile dysfunction is prescribed sildenafil (Viagra). Which of the following would the nurse include in the teaching plan for this client?
"You may experience headache and some flushing with this drug."
A 51-year-old client is being seen by an urologist for perineal pain, low back pain, fever lasting 5 days, and painful urination. The physician renders a diagnosis of prostatitis and orders treatment. During your client education session, what recommendations do you make as the client's nurse?
All options are correct
Which of the following form a part of home care instructions for a client with epididymitis and orchitis?
All options are correct
A nurse is caring for a client who is receiving chemotherapy to treat testicular cancer. The nurse should anticipate administering:
Cisplatin
Which of the following is accurate regarding sildenafil (Viagra)?
Its side effects include headache, flushing, and dizziness.
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?
Light yellow and clear
Which of the following cancers rank second as the cause of death in American men?
Prostate
Chance Henderson, a nine-month-old male, is being seen in the urology office where you practice nursing. Chance demonstrates cryptorchidism and the surgeon and his parents are developing a treatment strategy. Is there a less evasive treatment than surgery - if so, what is it?
hCG injections
A 29-year-old patient has just been told that he has testicular cancer and needs to have surgery. During a presurgical appointment, the patient 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 patient's subsequent care?
Disturbed Body Image Related to Effects of Surgery
