ATI Male Reproductive System Practice Questions

A nurse is caring for a client who is postoperative following a transurethral resection of the prostate (TURP). The nurse should plan to administer the client's PRN bethanechol when client reports what manifestation?

An inability to void Rationale: Bethanechol is a cholinergic medication that stimulates the parasympathetic nervous system, thus improving the tone and motility of the smooth muscles of the urinary tract enough to initiate urination.

A nurse is caring for a client who is 5 hr postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. What action should the nurse take first?

Check the tubing for kinks Rationale: When providing client care, the nurse should first use the least restrictive intervention; therefore, the nurse should check the catheter tubing for kinks. The nurse must ensure constant flow of the bladder irrigant into the catheter and outward drainage from the catheter to prevent clotting, which could occlude the catheter lumen.

A nurse is caring for a client who has benign prostatic hyperplasia (BPH). What medications should the nurse plan to administer?

Finasteride Rationale: Finasteride, a 6-alpha-reductase inhibitor, is used in the treatment of BPH to prevent the conversion of testosterone and to decrease prostate size.

A nurse is caring for a client who has benign prostatic hyperplasia (BPH). The nurse should expect what assessment finding?

Difficulty starting the flow of urine. Rationale: Hesitancy or difficulty starting the flow of urine is an expected finding of BPH.

A nurse is provide an education program about dietary interventions to reduce the risk for prostate cancer. What information should the nurse include?

Increase fatty fish in the diet. Rationale: The client should increase intake of fish and increase omega-3 fatty acids to reduce the risk for prostate cancer.

A nurse in a provider's clinic is caring for a client who reports erectile dysfunction and requests a prescription for sildenafil. What medications currently prescribed for the client is a contraindication to taking sildenafil?

Isosorbide Rationale: Clients who are on nitrates including isosorbide and nitroglycerin preparations cannot take sildenafil, because of the serious medication interaction. There is a possibility of sudden death due to hypotension.

A nurse is caring for a client who has prostate cancer. The nurse should expect the provider to prescribe what medication for the client?

Leuprolide Rationale: Leuprolide treats cancer of the prostate hormonally. It antagonizes the androgens that androgen-dependent neoplasms require.

A nurse is caring for a client who is 2 hr postoperative following a transurethral resection of the prostate (TURP) gland. What assessment should the nurse view to be an indication of a postoperative complication?

Output of burgundy colored urine Rationale: Output of burgundy colored urine may indicate venous bleeding, a potential complication following a TURP. Should this occur, the nurse should inform the provider and anticipate an order for increased CBI rate or manual irrigation of the center.

A nurse is evaluating client's laboratory results. The nurse should recognize that an increase in the client's prostate specific antigen (PSA) laboratory value is indicative of what diagnosis?

Prostatic Cancer Rationale: An increased PSA level is indicative of a prostate cancer diagnosis, as well as other prostate problems.

A nurse is caring for a client who is 1 day postoperative following a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation in place. What actions should the nurse take? (SATA)

Use sterile technique when preparing the irrigation solution. Ensure the drainage tubing is patent and without obstruction. Notify the surgeon if the urine is bright red in appearance or has large clots.