Ch. 53
A client who comes to the clinic complaining of perineal pain, dysuria and fever is diagnosed with prostatitis. The nurse understands that which of the following organisms would be the most likely cause?
Escherichia coli
After teaching about self-care measures to a client who has been diagnosed with prostatitis, the nurse determines that the teaching was successful when the client states which of the following?
"I should avoid fluids like coffee and tea."
Bright red bleeding following prostate surgery indicates which of the following?
Arterial bleed
A client is undergoing treatment for prostate cancer. He has chemotherapy sessions regularly. However, of late he is showing symptoms of food allergy and loss of appetite. He has lost considerable weight as a result. Which is an appropriate nursing task in this situation?
Ask the client to keep a diet diary.
A nurse is working in an oncology treatment center. Which clinical manifestation when reported by a client would the nurse know may be related to metastasis from prostate cancer?
Constant hip aching and discomfort
After teaching a group of students about structural abnormalities of the reproductive system, the instructor determines that the teaching was successful when the students identify which of the following as an example?
Cryptorchidism
Which term refers to a failure of one or both or both of the testes to descend into the scrotum?
Cryptorchidism
Which age-related change affects the reproductive system?
Decreased plasma testosterone levels
A patient is planning to use a negative-pressure (vacuum) device to maintain and sustain an erection. What should the nurse caution the patient about with the use of this device?
Do not leave the constricting band in place for longer than 1 hour to avoid penile injury.
After teaching a group of students about erectile dysfunction, the instructor determines that the teaching was successful when the students identify which of the following as true?
Erectile dysfunction may be due to testosterone insufficiency.
Which of the following is the most common organism implicated in prostatitis?
Escherichia coli
A patient comes to the clinic with complaints of inability to sustain an erection and is prescribed a PDE-5 inhibitor, sildenafil (Viagra). What medication should the nurse caution the patient about taking with this medication?
Isosorbide (Isordil)
Which of the following nursing assessment findings would be most significant in determining sterility in a client?
Mumps at age 15 years
A 59-year-old client has opted for hormonal androgen deprivation therapy (ADT) to treat prostate cancer. Which surgical procedures is the client most likely to undergo?
Orchiectomy
Which is an age-related change affecting the reproductive system?
Plasma testosterone levels decrease.
A nurse is teaching a client about a circumcision. Which external reproductive structure is removed by circumcision?
Prepuce
A patient is suspected to have prostate cancer related to observed clinical symptoms. What definitive test can the nurse assist with to confirm a diagnosis of prostate cancer?
Prostate biopsy
A patient is scheduled for a transurethral resection (TUR). The nurse is aware that a disadvantage of this surgical approach is:
Recurrent urethral obstruction.
Consuming a diet high in which of the following has been found to increase the risk for prostate cancer?
Red meats
The physician orders an alpha-adrenergic blocker for a client with benign prostatic hyperplasia. The nurse understands that this drug acts to achieve which of the following?
Relieve urinary symptoms
Which of the following herbal remedies is used to treat symptoms of benign prostatic hypertrophy (BPH)?
Saw palmetto
Following a vasectomy, which is the most important instruction to provide to the client?
Take a day or two to rest and recuperate from the procedure.
Which should be included as part of the home care instructions for a client with epididymitis and orchitis?
Take prescribed antibiotics
Students preparing for a test are reviewing the structure and function of the reproductive system. They demonstrate understanding of the material when they identify which of the following as the site of spermatogenesis?
Testes
Which structure is involved in keeping the testes at the necessary temperature to ensure sperm production?
scrotum
A client who is diagnosed with stage II prostate cancer asks the nurse if a transurethral resection of the prostate (TURP) can be done for this disorder. Which is the best response by the nurse?
"A TURP is a removal of only a portion of the prostate gland."
Nursing students are reviewing information about the reproductive system and normal age-related changes. They demonstrate understanding of the topic when they identify which of the following as occurring?
Plasma testosterone levels decrease.
A client is receiving leuprolide as part of his treatment for prostate cancer. The nurse would be alert for which of the following as a possible adverse effect?
Gynecomastia
Which treatment involves implantation of interstitial radioactive seeds under anesthesia to treat prostate cancer?
Brachytherapy
The nurse is teaching a young adult client how to perform testicular self-examination (TSE). The nurse determines that the client has understood the instructions when they state which of the following?
"The best time to do it is once a month after I take my warm morning shower."
A client is scheduled for a transurethral resection of the prostate (TURP). Which statement demonstrates that the expected outcome of "client demonstrates understanding of the surgical procedure and aftercare" has been met?
"The surgeon is going to insert a scope through my urethra to remove a portion of the gland."
A client is having prostate-specific antigen (PSA) testing done. Which result would the nurse identify as abnormal?
4.6 nanograms/milliliter
The nurse is teaching a client about erectile dysfunction medications. The nurse should include that sildenafil is taken how many minutes before intercourse to be effective?
60
A client is ordered continuous bladder irrigation at a rate of 60 gtt/minute. The nurse hangs a 2 L bag of sterile solution with tubing on a three-legged IV pole. She then attaches the tubing to the client's three-way urinary catheter, adjusts the flow rate, and leaves the room. Which important procedural step did the nurse fail to follow?
Evaluating patency of the drainage lumen
The nurse is preparing a presentation for a local community group about prostate cancer and possible dietary risk factors. Which of the following would the nurse most likely include?
High-fat diet
Which of the following should nurses teach all men, especially those who have had cryptorchidism?
How to perform a testicular self-examination
The nurse is obtaining a health history from a 58-year-old client stating that he is having difficulty obtaining an erection during sexual activity. The client asks how an "erectile medication" works and if there are any side effects to the medication. The nurse explains the action of the medication and directions for use and warns of which side effect related to the client's history?
Hypotension with nitrate use
A client is to undergo a TURP for BPH. Which statement is accurate with regard to a TURP?
It is done on an outpatient basis.
A health care provider prescribed a luteinizing hormone-releasing hormone (LHRH) agonist to suppress testicular androgen and treat prostate cancer. Which medication is the primary drug of choice?
Lupron
The nurse is preparing a presentation for an older adult group of clients at a senior center. Which of the following would the nurse expect to include when describing the effects of aging on the reproductive system?
Men retain the ability to fertilize ova irrespective of age.
The nurse is reviewing the history of a client with erectile dysfunction. Which of the following would the nurse least likely identify as contributing to the client's condition?
New onset of anemia being treated with iron supplements
Which term refers to the surgical removal of one or both testes?
Orchiectomy
Following morning hygiene of an older adult client, the nurse is unable to replace the retracted foreskin of the penis. Which is the most likely outcome?
Painful swelling
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
The client states to the nurse that he is very anxious about having prostate cancer ever since his prostate-specific antigen (PSA) test came back elevated. The client asks, "Which diagnostic test produces definitive results if cancer is present?" The nurse is most correct to state which of the following?
Tissue biopsy
Which is the most common type of prostate surgery?
Transurethral resection of the prostate
Following a vasectomy, which is the most important instruction to provide to the client?
Use another form of birth control until further notice.
A client diagnosed with prostate cancer is to receive brachytherapy. Which of the following would the nurse include when discussing this therapy with the client?
Use of radioactive seeds implanted into the prostate
A client comes to the outpatient clinic for information on a vasectomy. Which instruction should be included by the nurse?
Vasectomies should be considered a permanent means of birth control.
A nurse is obtaining a male client's health history before performing a physical examination. Which information would most likely not be obtained?
age of first ejaculate
A client has an edematous glans penis, pain, and an extremely constricted foreskin. What treatment would the physician likely prescribe?
circumcision
A triple-lumen indwelling urinary catheter is inserted for continuous bladder irrigation following a transurethral resection of the prostate. In addition to balloon inflation, the functions of the three lumens include:
continuous inflow and outflow of irrigation solution.
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 a penile implant is to be informed about the possible complications after discharge. Which complication occurs due to a midsized implant, pressure, or friction of the implanted cylinders?
erosion of penile or urethral tissue
A urologist suspects that a client might have prostate cancer. Which test would be used to make a diagnosis of cancer?
prostate-specific antigen
Testicular cancer risk is highest for clients younger than age 35. To specifically address testicular cancer risk, a nurse should modify client teaching for clients to include:
testicular self-examination.
The nurse is obtaining a medication history from a client who is reporting erectile dysfunction. Which medication would the nurse identify as being least likely to contribute to the client's condition?
Ibuprofen
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.
