The Point Chapter 23

Francis is a middle-aged man who noted right sided lower abdominal pain after straining with yardwork. Which of the following findings would make a hernia a more likely diagnosis? Absence of symmetry of the inguinal areas with straining Absence of bowel sounds in the scrotum Absence of pain with straining Absence of a varicocele

Absence of symmetry of the inguinal areas with straining

Which of the following groups has the highest incidence of prostate cancer? Native American men Asian American men Caucasian men African American men

African American men

A client has undergone a digital rectal examination. This assessment will allow the clinician to diagnose which of the following? Urinary incontinence ED Testicular cancer BPH

BPH

A nurse examining a client's external genitalia notices that his scrotum and testes draw up and he shivers. This phenomenon is known as which of the following? Cremasteric reflex Patellar reflex Vasovagal reflex Rooting reflex

Cremasteric reflex

A client is concerned about his risk for developing testicular cancer. Which of the following should the nurse mention as a risk factor for this type of cancer? Cryptorchidism Being uncircumcised Sedentary lifestyle Smoking

Cryptorchidism

When examining a newborn male infant, the nurse notes that neither testicle is descended. How would the nurse document this finding? Cryptorchidism Varicocele Orchitis Epididymitis

Cryptorchidism

A nurse examines the external genitalia of a client and observes that the scrotum is enlarged, reddened, and swollen. On palpation, the epididymis is tender and the client complains of sudden pain. How should the nurse document this condition? Epididymitis Hydrocele Orchitis Cryptorchidism

Epididymitis

During a client's genitourinary exam, the nurse notes that the client's scrotum is enlarged and easily transilluminates. What should the nurse suspect? Hernia Tumor Hydrocele Varicocele

Hydrocele

Which of the following is a sign or symptom of benign prostatic hypertrophy (BPH)? Fever Weight loss Bone pain Nocturia

Nocturia

While assessing the scrotum of an adult client, the nurse notes thin and rugated scrotal skin with little hair dispersion. The nurse interprets this finding as which of the following? Gonorrhea Effects of chemotherapy Normal findings Reiter's syndrome

Normal findings

When performing the physical assessment of a client, the nurse notes the presence of a small cyst that contains hair, which is located midline in the sacrococcygeal area and has a palpable sinus tract. How should the nurse document this finding? Pilonidal cyst External hemorrhoid Anal fissure Perianal abscess

Pilonidal cyst

Which of the following would a nurse suspect when finding a dimpled area covered by a small tuft of hair located on the lower sacrum? Hemorrhoids Anorectal fistula Pilonidal cyst Perianal abscess

Pilonidal cyst

A nurse is a preparing to assess a male client's anus and rectum. How should the nurse best prepare the client for this assessment? Ask the client if he is feeling anxious or fearful about the exam. Assist the client into the supine position. Position the client in a left side-lying position. Administer a dose of analgesia 15 minutes before the exam.

Position the client in a left side-lying position

On palpation of a client's prostate, a nurse detects hard, fixed, and irregular nodules on the prostate. Which condition should the nurse most suspect in this client? Benign prostatic hypertrophy Hydrocele Prostate cancer Acute prostatitis

Prostate cancer

A male client reports hesitancy when urinating. The nurse would further assess this client for which of the following? Prostate enlargement Scrotal hernia Testicular tumor Sexually transmitted infection

Prostate enlargement

During DRE, a 46-year-old client cries out in pain as the nurse palpates his swollen, firm prostate. Which of the following problems should the nurse first suspect? Prostate cancer Prostatitis Benign prostatic hyperplasia Rectal cancer

Prostatitis

A nurse prepares a male client for a physical assessment of the external genitalia. Which instruction is appropriate for the nurse to give the client before the examination? Reassure him that it is not unusual to have an erection during the examination Explain that he may need to lie supine Ask the client to not empty the bladder before the examination Request that the client avoid talking

Reassure him that it is not unusual to have an erection during the examination

An adult client has sought care because he has a two-day history of stool that is "black like road tar." How should the nurse best respond to this aspect of the client's history? Refer the client for treatment of a possible gastrointestinal bleed. Refer the client to a dietitian for treatment of a possible vitamin deficiency. Encourage the client to increase his intake of fluids and soluble fiber. Tell the client to use an over-the-counter laxative for the next 2 to 3 days.

Refer the client for treatment of a possible gastrointestinal bleed

The client received in the ICU was shot in the lower abdomen, suffered bladder trauma, and now has a urinary catheter. With these risk factors, what would be an appropriate nursing diagnosis for this client? Ineffective sexuality pattern Risk for infection Risk for urge incontinence Risk for urinary retention

Risk for infection

Which finding should a nurse expect to observe when inspecting the external genitalia of an elderly male client? Smaller testicles Hardness along the ventral surface of the penis Enlarged glans penis and scrotum Smaller penis with lower hanging testicles

Smaller penis with lower hanging testicles

During a class, a student asks the instructor, "What does the anal canal contain?" Which of the following would the instructor include in the response? Hair Dentate line Sebaceous glands Somatic sensory nerves

Somatic sensory nerves

After positioning a 34-year-old client for examination of the anal region, the nurse notes a small opening above the gluteal crease that contains a tuft of hair. How should the nurse interpret this assessment finding? A pilonidal cyst appears to be a sinus but is in fact superficial. The pilonidal cyst is a particular form of scarring that results from sacral pressure. The pilonidal cyst and sinus are usually benign, but can occasionally become infected or develop further sinuses. The cyst and sinus confirm an infectious process that necessitates antibiotic coverage.

The pilonidal cyst and sinus are usually benign, but can occasionally become infected or develop further sinuses

A client is being evaluated for upper gastrointestinal bleeding. The nurse would expect to observe stool that is which color? Red Clay Black Yellow

black

The nurse suspects that a male client may have a hernia. The nurse should further assess the client for bruising at the site. bowel sounds at the bulge. urinary tract infection. cysts at the spermatic cord.

bowel sounds at the bulge

The nurse has assessed a male client and determines that one of the testes is absent. The nurse should explain to the client that this condition is termed orchitis. hematocele. hypospadias. cryptorchidism.

cryptorchidism

While reviewing the medical record before examining a male clinic client, the nurse notes that the urinary meatus is located on the top of the glans of the penis. The nurse understands the correct term for this congenital defect is hypospadias varicocele hydrocele epispadias

epispadias

The rectum is lined with folds of mucosa, and each fold contains a network of arteries, veins, and visceral nerves. When these veins undergo chronic pressure, the result may be hemorrhoids. polyps. tumors. fissures.

hemorrhoids.

The inguinal canal in a male client is located anteriorly above the symphysis pubis. posterior to the superior iliac ring. just above and parallel to the inguinal ligament. anterior to the external inguinal ring.

just above and parallel to the inguinal ligament

While transilluminating the scrotal contents in a male adult client, the nurse does not detect a red glow. The nurse should refer the client to a physician for possible varicocele. hydrocele. orchitis. spermatocele.

varicocele

A nurse is palpating the prostate of a client and finds it to be swollen, tender, firm, and warm to the touch. Which condition should the nurse most suspect? Hydrocele Benign prostatic hypertrophy Acute prostatitis Prostate cancer

Acute prostatitis

Which of the following would the nurse expect to be done to assess the size of the prostate? Bladder percussion Transillumination Pelvic examination Digital rectal examination

Digital rectal examination

A nurse is planning to palpate for a urethral discharge in a male client. Which technique would be best for the nurse to use? Observe the glans of the penis for signs of abnormal discharge. Gently squeeze the glans between the thumb and index finger. Have the client hold the penis while the examiner looks for discharge. Inspect the scrotal skin while holding the penis aside.

Gently squeeze the glans between the thumb and index finger

A 68-year-old man comes to the clinic reporting that he is having difficulty obtaining an erection. When reviewing the client's history what might the nurse note that contributes to impotence? Lack of exercise History of hypertension Past history of infection Use of multivitamins

History of hypertension

An adolescent present at the free clinic with a collection of fluid in the tunica vaginalis of the testes. The nurse knows that the term that defines this condition is what? Orchitis Prostatism Cryptorchidism Hydrocele

Hydrocele

An adolescent present at the free clinic with a collection of fluid in the tunica vaginalis of the testes. The nurse knows that the term that defines this condition is what? Prostatism Cryptorchidism Hydrocele Orchitis

Hydrocele

Inspection of a client's penis reveals that the urethral meatus is located on the ventral side of the penis. The nurse documents this finding as which of the following? Epispadias Phimosis Paraphimosis Hypospadias

Hypospadias

Upon inspection and palpation of the scrotum, the nurse discovers a mass. The nurse finds that the mass cannot be pushed back into the abdomen. The nurse should document this finding as which type of hernia? Scrotal Strangulated Incarcerated Femoral

Incarcerated

A client presents to the health care clinic with reports of clay-colored stool. The nurse recognizes that this finding is most likely a result of which of the following? Increased fat content Gastrointestinal bleeding Lack of bile pigment Cancer of the colon

Lack of bile pigment

When palpating the prostate, the nurse detects a nontender, rubbery prostate with lateral lobes that are 2.5 cm and heart-shaped. The nurse would interpret this finding as indicating which of the following? Prostatitis Normal prostate Cancer Benign hypertrophy

Normal prostate

Palpation of a male client's urethra produces a yellowish-white discharge. What is the nurse's best action? Ask the client to void and then repeat palpation of the client's urethra. Obtain a sample of the discharge for culture. Palpate the client's scrotum and testes for the presence of fluid. Obtain a urine sample for culture and sensitivity testing.

Obtain a sample of the discharge for culture

A nurse prepares a male client for a physical assessment of the external genitalia. Which instruction is appropriate for the nurse to inform the client of before the examination? Ask the client to avoid emptying the bladder Request that the client avoid talking Explain that he may need to lie supine Reassure him that it is not unusual to have an erection

Reassure him that it is not unusual to have an erection

A nurse is beginning the physical exam of a male client's genitals. The nurse is sitting on a stool in front of the client. Which position would be best to place the client in? Sitting Kneeling Standing Lying supine

Standing

An uncircumcised male client has just come to the recovery room following a 4-hour back surgery. Before surgery a urinary catheter was placed. During the postoperative assessment, the recovery nurse discovers that the client has developed paraphimosis. What might have happened to the client to cause this? The client is having a reaction to an anesthesia agent he received during surgery The foreskin was not pulled back over the head of the penis after catheter placement The client is having an anatomical reaction to being face down on a pillow for 4 hours The catheter was too taut for too long and has damaged the urethra

The foreskin was not pulled back over the head of the penis after catheter placement

A 17-year-old male client expresses concern about feeling lumps on his testicles. What response by the nurse would best address the client's concerns? "Do you think you have malformed testicles?" "The normal testicle contains internal structures that cause lumps on the surface." "Lumpy testicles are not going to cause a problem with sexual performance." "Don't worry, that is the way normal testicles feel."

The normal testicle contains internal structures that cause lumps on the surface.