Ch 43

A client is concerned about having mumps orchitis and asks the nurse about the symptoms. What is the nurse's best response?

Painful enlargement of the testes with fever 3 days after infection

A client is admitted with a prolonged and painful erection that has lasted longer than 4 hours. The nurse knows that this is a true urologic emergency, and that the cause is:

impaired blood flow in the corpora cavernosa of the penis.

During clinical skills lab, a student walks away from the "client" the student just catheterized. The faculty assesses the student's ability to clean up after the procedure and finds the student has not replaced the client's foreskin over the glans. Which problem will the faculty review with this student?

that tight foreskin can lead to ischemia at the penile tip

After seeking care due to recent history of testicular enlargement and scrotal pain, a 22-year-old college student has been diagnosed with testicular cancer. Which statement by the client indicates the need for further teaching?

"I can't shake this feeling like I've received a death sentence."

While working with a client with a fairly recent spinal cord injury, the partner asks about the couple's ability to maintain a sexual relationship. Which response by the nurse is most accurate?

"If the parasympathetic impulses can pass from the sacral segments of spinal cord through pelvic nerves, an erection should be possible."

The parents of a baby born with hypospadias ask the nurse if the baby can be circumcised. Which response by the nurse is most accurate?

"The circumcision will not be done now; the foreskin is needed for surgical repair."

A client has a new prescription for a phosphodiesterase-5 (PDE5) inhibitor. What teaching does the nurse include? Select all that apply.

-"If priapism develops, seek immediate medical attention to prevent complications." -"You should explore psychological therapy in addition to this medication." -"The medication results in vasodilation to increase blood flow to the penis."

The nurse is providing an education program to a group of men over the age of 18 years. An important topic the nurse is discussing relates to balanitis and its prevention. Which man does the nurse recognize is at high risk for this disorder? Select all that apply.

-A man with poor hygiene -A man that is immunosuppressed -A man with diabetes

Which client is at highest risk for developing acute bacterial prostatitis?

An older adult male diagnosed with frequent urinary tract infections testing positive for Gram-negative rods

When caring for the client with acute bacterial prostatitis, the nurse plans for which intervention?

Antibiotics

An adolescent male comes to the urgent care clinic. Upon assessment, the following is noted: history of circumcision, erythema of the glans, and prepuce with a malodorous discharge. Based on symptoms, the probable diagnosis would be:

Acute superficial balanoposthitis

Benign prostatic hyperplasia (BPH) and prostatic adenocarcinomas present differently. The nurse is aware of which difference?

BPH is commonly located in the periurethral zone of the prostate, while prostate cancers are commonly located in the peripheral zones of the prostate.

A male client reports frequent urination, difficulty starting to urinate, and dribbling after he has finished urinating. Which diagnosis correlates with this client's manifestations?

Benign prostatic hyperplasia (BPH)

The nurse in the urology office recognizes screening men at risk for prostate cancer includes which diagnostic measures?

Blood level of prostate-specific antigen (PSA) and digital rectal exam

The mother requests that a circumcision be performed on a newborn with hypospadias. Which information related to treatment of hypospadias should the nurse convey?

Circumcision is avoided as the foreskin will be used to repair the urinary opening.

Which assessment is most likely to reveal a potential exacerbation in a 70-year-old client's diagnosis of benign prostatic hyperplasia (BPH)?

Digital rectal examination

A client comes to the clinic and informs the nurse that he was playing soccer and was kicked in the scrotal area on the right side. The nurse observes that the scrotal skin on the right side is dark red. What should the nurse suspect this client may have?

Hematocele

The nurse is assessing a client with a collection of blood in the tunica vaginalis of the scrotum. How does the nurse correctly document this in the medical record?

Hematocele

The mother of a 5-year-old boy brings him into the clinic because there is a firm feeling and swelling around one of his testes. What would the suspected diagnosis be?

Hydrocele

The nurse is performing a newborn assessment on a 2-day-old male infant. Assessment reveals the presence of the urethral opening on the ventral side of the penis. The nurse would document this finding as being:

Hypospadias

If not treated urgently, testicular torsion can result in which complication?

Loss of testicular perfusion

A 52-year-old male diagnosed with erectile dysfunction (ED) asks the nurse what will be implemented as a first option for treatment. The best response would be:

Psychosexual counseling and PDE-5 inhibitor medications

The nurse is caring for a client with significant benign prostatic hyperplasia (BPH) and hydronephrosis who is fearful of having corrective surgery. Which information is important for the nurse to convey?

The obstruction is causing urine to flow backward and cause kidney dysfunction.

The pediatric nurse is teaching the parent of a newborn with hypospadias about the disorder. Which information does the nurse provide?

The opening of the urethra is found on the underside of the penis.

Which complication is associated with prostatic hyperplasia?

Urine retention

A client is suspected to have small varicoceles in his left scrotum. Which assessment technique may help accentuate small varicosities?

Valsalva maneuver

Which client is at greatest risk for developing balanoposthitis?

man who has an uncircumcised penis

The nurse in the urology unit is teaching about medication to treat erectile dysfunction. The mechanism of action of most of these medications is that the medication:

promotes increase in blood flow to the corpora cavernosa.