CH26-PU

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?

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

What ethnic group has a significantly higher incidence of prostate cancer

African American

Before beginning the examination of the genitalia of an adult male client, the nurse should

Ask the client to empty his bladder.

When assessing a client during the physical examination of the genitalia, the nurse palpates the scrotal contents. Which finding should the nurse recognize as an indication that an infection or cysts are present?

Beaded or thickened cord

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

The scrotum is underdeveloped and the testis are unpalpable

Cryptochidism

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

A nurse examines the external genitalia of a client and observes that the scrotum is underdeveloped and the testis cannot be palpated. How should the nurse document this condition?

cryptorchidism

A client reports the new onset of mucous in the stool. How should the nurse document this in the client's history?

steatorrhea

Which client would the nurse identify as being at highest risk for the development of testicular cancer?

A 25-year-old man with a history of cryptorchidism.

Which client should a nurse recognize has the highest risk to develop prostate cancer?

A 65 year old caucasian male whose father had prostate cancer at age 55

A 60-year-old coach comes to the clinic complaining of difficulty starting to urinate for the last several months. He believes the problem is steadily getting worse. When asked he says he has a very weak stream, and it feels like it takes 10 minutes to empty his bladder. He also has the urge to go to the bathroom more often than he used to. He denies any blood or sediment in his urine and any pain with urination. He has had no fever, weight gain, weight loss, or night sweats. His medical history includes type 2 diabetes and high blood pressure treated with medications. He does not smoke but drinks a six pack of beer weekly. He has been married for 35 years. His mother died of a myocardial infarction in her 70s, and the client's father is currently in his 80s with high blood pressure and arthritis. Examination reveals a mildly obese alert and cooperative man. His blood pressure is 130/70 with a heart rate of 80. He is afebrile, and his cardiac, lung, and abdominal examinations are normal. Visualization of the anus shows no inflammation, masses, or fissures. Digital rectal examination reveals a smooth, enlarged prostate. No discrete masses are felt. There is no blood on the glove. An analysis of the urine shows no red blood cells, white blood cells, or bacteria. What disorder of the anus, rectum, or prostate is most likely?

Benign prostatic hyperplasia

A 72-year-old male presents at a local clinic and states: "I have to urinate all the time, and I never feel like my bladder is emptied. It really bothers me at night." What condition might the nurse suspect related to this chief complaint?

Benign prostatic hyperplasia

An adolescent male client is diagnosed with testicular torsion. The nurse should prepare the client for which treatment

Emergency surgery

A male in college presents to the health clinic with complaints of fever, malaise, and swelling of the sides of the neck. A blood test confirms the presence of mumps. The nurse should educate the client to report which changes of his genitalia to the health care provider?

Feelings of heaviness and pain in the scrotum

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 the nurse teach all men, especially those who have had cryptorchidism

How to perform a testicular self exam

Which of the following is a sign or symptom of benign prostatic hypertrophy (BPH)?

Nocturia

A nurse recognizes that which finding is normal upon palpation of the prostate?

Nontender and rubbery

During palpation of the male genitalia, which of the following is an expected finding?

Palpable spermatic cord

A client comes to the emergency department complaining of sudden sharp testicular pain. Further examination reveals torsion of the spermatic cord. Which of the following would the nurse expect to do next?

Prepare the client for emergency surgery

A nurse is assisting a healthcare provider perform a digital rectal examination of a 65 year old african american client. This test, along with the PSA blood test is used for early detection of what disease.

Prostate cancer

A nurse prepares a male client for a physical assessment of the external genitalia. What instruction would be appropriate for the nurse to give before examination?

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

An adult male client comes to the clinic complaining of awakening at night to void and voiding more than once in a 2-hour time period. The client has a history of bladder irritation. What would be an appropriate nursing diagnosis for this client?

Risk for urge incontinence

When assessing for inguinal hernia, the nurse asks the client to assume what position

Standing, facing the examiner

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

A 23 year old male comes to the clinic complaining of sudden and severe pain in his scrotum. The nurse would suspect what?

Torsion of the spermatic cord

A 45-year-old male client tells the nurse that he has had problems in having an erection for the last couple of weeks but is "doing better now." The nurse should explain to the client that

Transient periods of erectile dysfunction are common

A patient has undergone a digital rectal examination. This assessment will allow the clinician to diagnose which of the following?

bph

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

cryptorchidism.

Which of the following would the nurse expect to be done to assess the size of the prostate?

digital rectal exam

While reviewing the medical record before examining a male clinic patient, 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

epispadias

A client presents to the health care clinic with reports of black stool. The client denies the ingestion of iron supplements or taking Pepto-Bismol. The nurse recognizes that the black stools could be an indication of what disease process?

gastrointestinal bleeding

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.

A male client has a distinctive bulge in the right inguinal area when standing. What should the nurse suspect is occurring with this client?

hernia

While assessing an adult male client, the nurse detects pimple-like lesions on the client's glans. The nurse explains the need for a referral to the client. The nurse determines that the client has understood the instructions when the client says he may have

herpes infection

A 68-year-old man comes to the clinic reporting that he is having difficulty obtaining an erection. When reviewing the patient's history what might the nurse note that contributes to impotence?

history of hypertension

Which of the following unexpected findings of the testes is most likely to result in painful palpation of the testes?

orchitis

An uncircumcised, 78 year-old male has presented at the clinic complaining that he cannot retract his foreskin over his glans. On examination it is noted that the foreskin is very constricted. What is this condition called?

phimosis

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

A nurse observes that the mucosa of the rectum and the rectal wall of a female client protrudes out through the anal opening. It appears as a red, doughnut-like mass with radiating folds. How should the nurse document this condition of the rectum?

prolapse

A nurse is assisting a healthcare provider perform a digital rectal examination of a 65-year-old African American client. This test, along with the PSA blood test is used as an early detection of what disease?

prostate cancer

The client tells the nurse that he has little or no interest in sex. He says he is concerned and he knows his wife is unhappy with his lack of libido. What can the nurse tell the client often causes lack of libido?

side effects of medications

A patient presents at the clinic with severe scrotal pain. What is the presumptive diagnosis?

testicular torsion