CH 43 PREP U

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.

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."

A client informs the nurse that he has been having difficulty sustaining an erection. Which statement made by the client demonstrates to the nurse that the client understands what a contributing factor to his erectile dysfunction is?

"I should stop smoking cigarettes. I have been smoking for 20 years."

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 nurse is reinforcing information given to the client who is asking about screening for prostrate cancer. Which of these will be nurse teach the client about the prostate-specific antigen (PSA) test?

An elevated score on a PSA test does not necessarily indicate the presence of cancer.

Based on the group that statistically has the greatest risk, the health care provider should assess which ethnic group for prostate cancer?

Black

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

A client complains of not being able to experience satisfactory sexual intercourse. The nurse knows that erectile dysfunction is now recognized as a marker for:

Cardiovascular disease

The gerontology nurse recognizes that aging male clients may enter a stage referred to as andropause. Which of these does the nurse recognize as characteristic of this stage?

Decline in sexual function

Erectile dysfunction is the inability to achieve and maintain an erection sufficient to permit satisfactory sexual intercourse. The nurse knows that there may be many causes of erectile dysfunction, and a psychogenic cause would include which of the following?

Depression

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

The nurse in the urology clinic is reviewing the chart of a client with erectile dysfunction. Which factor in the client's history does the nurse recognize is a hormone-based condition that may contribute to erectile dysfunction?

Hypogonadism

A client has developed priapism. For which outcome is this client at risk?

Impotence

Cryptorchidism, or undescended testes, is associated with which complication?

Infertility

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

Loss of testicular perfusion

Which statements regarding prostate cancer are true? Select all that apply.

Prognosis has improved because of PSA diagnostic screenings. Black males are at highest risk for developing the disease. Age is a risk factor of this cancer. Explanation:

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.

Which complication is associated with prostatic hyperplasia?

Urine retention

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.

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.

The nurse on the urology unit teaches the nursing student that which test assists in detecting a recurrence of prostate cancer after prostatectomy?

PSA level