Chapter 54: Male Reproductive and Genital Problems

The nurse is explaining to a patient about the use of laparoscopic techniques when performing a prostatectomy. Which advantages should the nurse include? Select all that apply. A. Less pain B. Less bleeding C. Faster recovery D. Short hospital stay E. Less risk of infection

A. Less pain B. Less bleeding C. Faster recovery

The nurse is assessing a patient with stage II prostate cancer. Which findings would the nurse expect to note? Select all that apply. A. PSA level is 10-20. B. Gleason score is 2. C. Tumor is seen by imaging. D. Tumor is confined to prostate. E. Cancer has spread to seminal vesicles.

A. PSA level is 10-20. C. Tumor is seen by imaging. D. Tumor is confined to prostate.

A patient is taking several medications and informs the nurse of having dyspepsia, flushing, nasal congestion, and erections lasting more than four hours. Which medication does the nurse recognize may be the cause of these side effects? A. Sildenafil B. Cypionate C. Enanthate D. Alprostadil

A. Sildenafil

A male patient informs the nurse that he has been treated for benign prostatic hyperplasia (BPH) and is experiencing erectile dysfunction. About what medication does the nurse educate the patient that has been prescribed by the primary health care provider? A. Tadalafil B. Papaverine C. Dutasteride D. Abiraterone

A. Tadalafil

A patient reports incontinence, nocturia, urgency, and intermittency and is also found to have excessive accumulation of dihydroxytestosterone (DHT) in the prostate cells. What medications does the nurse educate the patient about for treatment of this condition? Select all that apply. A. Terazosin B. Vardenafil C. Finasteride D. Papaverine E. Phentolamine

A. Terazosin C. Finasteride

A male patient is infertile after having mumps as a child. Which disorder should the nurse inform the patient might occur related to the infertility? A. Varicocele B. Prostate cancer C. Chronic prostatitis D. Erectile dysfunction

A. Varicocele

The nurse is providing care to a patient with a new diagnosis of benign prostatic hyperplasia. Which medication does the nurse anticipate educating the patient about that will facilitate urinary flow through the urethra by bringing about smooth muscle relaxation? A. Tadalafil B. Doxazosin C. Dutasteride D. Rye-grass pollen extract

B. Doxazosin

A patient is suspected to have benign prostatic hyperplasia (BPH). Which signs and symptoms reported by the patient correlates with BPH? Select all that apply. A. Anuria B. Dysuria C. Nocturia D. Incontinence E. Intermittency

B. Dysuria C. Nocturia D. Incontinence E. Intermittency

The nurse is caring for a patient suspected of having benign prostatic hyperplasia (BPH). For what diagnostic assessment should the nurse prepare the patient? A. Colonoscopy B. Serum sodium C. Prevoid residual D. Digital rectal examination

D. Digital rectal examination

A nurse is caring for a patient diagnosed with benign prostatic hyperplasia (BPH) following a transurethral resection of the prostate (TURP). Which nursing intervention will the nurse include in the plan of care? A. Restoring urinary drainage B. Administering prescribed prophylactic antibiotics C. Discussing concerns related to erectile dysfunction D. Irrigating the catheter manually if bladder spasms occur

D. Irrigating the catheter manually if bladder spasms occur

A patient informs the nurse that during an erection, his penis curves downward causing pain. What condition does the nurse suspect that this patient has? A. Orchitis B. Phimosis C. Hypospadias D. Peyronie's disease

D. Peyronie's disease

The nurse conducts a teaching session for a patient who is prescribed transurethral microwave thermotherapy (TUMT) for benign prostatic hyperplasia (BPH). Which patient statements indicate correct understanding of the information presented? Select all that apply. A. "I will be able to go home after my treatment." B. "Erectile dysfunction is rare with this treatment." C. "I may experience urinary incontinence as a result of this treatment." D. "This procedure has similar results to that of a transurethral resection of the prostate." E. "My doctor can see my prostate and the surrounding tissue with this treatment option."

A. "I will be able to go home after my treatment." B. "Erectile dysfunction is rare with this treatment."

The nurse is providing discharge instructions to a patient after having a vasectomy. What education should be provided in the discharge teaching? A. "You will want to use an alternative form of contraception for six weeks." B. "You may lose some secondary sexual characteristics after this surgery." C. "You may have erectile dysfunction for several months after this surgery." D. "You will be uncomfortable, but you may safely have sexual intercourse today."

A. "You will want to use an alternative form of contraception for six weeks."

When assessing a patient with benign prostatic hyperplasia (BPH), the nurse evaluates possible complications of urinary obstruction. Which are the most appropriate conditions that the nurse should consider? Select all that apply. A. Bladder calculi B. Cardiac disorders C. Digestive problems D. Urinary tract infection E. Acute urinary retention

A. Bladder calculi D. Urinary tract infection E. Acute urinary retention

When teaching patients with prostate cancer about brachytherapy, which information should the nurse include? Select all that apply. A. Brachytherapy is a one-time outpatient procedure. B. Brachytherapy can cause damage to the bladder and rectum. C. Brachytherapy is best suited for patients with early stage disease. D. Brachytherapy is advantageous because it preserves erectile function. E. Brachytherapy has side effects that include urinary irritative or obstructive problems.

A. Brachytherapy is a one-time outpatient procedure. C. Brachytherapy is best suited for patients with early stage disease. E. Brachytherapy has side effects that include urinary irritative or obstructive problems.

A patient is diagnosed with coronary artery disease and elevated serum triglyceride and cholesterol levels. The nurse finds that the patient is on androgen drug therapy. Which medications does the nurse suspect is the reason for the patient's condition? Select all that apply. A. Buserelin B. Cypionate C. Enanthate D. Vardenafil E. Leuprolide

A. Buserelin E. Leuprolide

A patient is suspected of having testicular cancer. Which diagnostic tests should the nurse prepare the patient for that will deliver confirmation of the diagnosis and detection of metastasis? Select all that apply. A. Chest x-ray B. Gastric endoscopy C. Ultrasound of the testes D. Pulmonary function tests E. CT-scan of abdomen and pelvis F. Blood tests to detect tumor markers

A. Chest x-ray C. Ultrasound of the testes E. CT-scan of abdomen and pelvis F. Blood tests to detect tumor markers

The nurse is educating a patient with testicular cancer regarding follow up-care.What should the nurse inform that patient about diagnostic testing that will be performed to detect signs of reoccurrence? Select all that apply. A. Chest x-ray B. Semen analysis C. Urine and stool examinations D. Regular physical examinations E. Assessment of human chorionic gonadotropin (hCG) and alpha-fetoprotein (AFP)

A. Chest x-ray D. Regular physical examinations E. Assessment of human chorionic gonadotropin (hCG) and alpha-fetoprotein (AFP)

The nurse is planning care for a patient who is prescribed an open prostatectomy for the treatment of benign prostatic hyperplasia (BPH). Which aspects should the nurse consider when planning care for this patient? Select all that apply. A. Comfort B. Infection C. Sexuality D. Perfusion E. Metabolism

A. Comfort B. Infection C. Sexuality D. Perfusion

Which dietary change should the nurse include in the plan of care for a patient who is diagnosed with benign prostatic hyperplasia (BPH)? A. Decreasing caffeine B. Increasing artificial sweeteners C. Encouraging fluid intake in the evening D. Encouraging the use of over-the-counter decongestants

A. Decreasing caffeine

A patient presents with a lump in the scrotum. Which findings would lead the nurse to suspect testicular cancer? Select all that apply. A. Feeling of heaviness B. Aching in lower abdomen C. Bloating in upper abdomen D. Feeling of nausea and vomiting E. Nontender and firm scrotal mass

A. Feeling of heaviness B. Aching in lower abdomen E. Nontender and firm scrotal mass

A patient is experiencing hot flashes, loss of libido, gynecomastia, and erectile dysfunction. What androgen deprivation therapy medication should the nurse educate the patient about? A. Goserelin B. Sildenafil C. Degarelix D. Abiraterone

A. Goserelin

When explaining transurethral needle ablation (TUNA) as a treatment option to a patient, which common disadvantages of the procedure should the nurse include? Select all that apply. A. Hematuria B. Urinary retention C. Retrograde ejaculation D. Irritative voiding symptoms E. Risk of erectile dysfunction

A. Hematuria B. Urinary retention D. Irritative voiding symptoms

A patient with prostate cancer is receiving drug therapy with androgen receptor blockers. Which side effects should the nurse inform the patient to expect? Select all that apply. A. Hot flushes B. Loss of libido C. Joint swelling D. Muscle discomfort E. Erectile dysfunction

A. Hot flushes B. Loss of libido E. Erectile dysfunction

The nurse is assessing a male patient with a large mass of the scrotum. Transillumination with a flashlight is used. What does the nurse suspect is occurring with this patient? A. Hydrocele B. Varicocele C. Hypospadias D. Testicular torsion

A. Hydrocele

The nurse is providing care for a patient diagnosed with benign prostatic hyperplasia (BPH) who prefers minimally invasive therapy. About which therapy will the nurse prepare to teach this patient? A. Laser prostatectomy B. Open prostatectomy C. Transurethral resection of the prostate (TURP) D. Transurethral incision of the prostate (TUIP)

A. Laser prostatectomy

When explaining treatment options for benign prostatic hyperplasia (PBH) to a patient, which options should the nurse inform the patient are minimally invasive therapy? Select all that apply. A. Laser prostatectomy B. Open prostatectomy C. Transurethral needle ablation (TUNA) D. Transurethral resection of the prostate (TURP) E. Transurethral microwave thermotherapy (TUMT)

A. Laser prostatectomy C. Transurethral needle ablation (TUNA) E. Transurethral microwave thermotherapy (TUMT)

A patient is discharged with an indwelling catheter in place following prostate cancer surgery. What instructions should the nurse include when teaching the patient about catheter care? Select all that apply. A. Maintain a high fluid intake. B. Report bladder spasms, fever, and hematuria. C. Attach the catheter to the waistband or pant leg. D. Clean the urethral meatus with soap and water once a day. E. Keep the collection bag higher than the bladder at all times.

A. Maintain a high fluid intake. B. Report bladder spasms, fever, and hematuria. D. Clean the urethral meatus with soap and water once a day.

The nurse is reviewing the medical reports of four patients. Which patient is receiving effective treatment? A. Patient A B. Patient B C. Patient C D. Patient D

A. Patient A

The nurse is performing an assessment for a patient diagnosed with varicocele. Which findings is the nurse likely to find in the patient? Select all that apply. A. Patient is infertile. B. Patient is a smoker. C. Patient has gastritis. D. Veins on left side of scrotum are dilated. E. On palpation, the scrotum feels wormlike.

A. Patient is infertile. D. Veins on left side of scrotum are dilated. E. On palpation, the scrotum feels wormlike.

The nurse is providing care to a patient with erectile dysfunction that has been taking pharmacologic therapy without success. Which highly invasive intervention with potential complication should the nurse discuss with the patient? A. Penile implant B. Erectogenic drug C. Intraurethral device D. Vacuum constriction device

A. Penile implant

A patient presents with mild symptoms of benign prostatic hyperplasia (BPH). What should the nurse teach the patient to help minimize the symptoms? Select all that apply. A. Restrict fluids in the evening. B. Use decongestants as needed. C. Decrease caffeine consumption. D. Implement a timed voiding schedule. E. Use artificial sweeteners in place of real sugar.

A. Restrict fluids in the evening. C. Decrease caffeine consumption. D. Implement a timed voiding schedule.

An older adult patient with a diagnosis of benign prostatic hyperplasia (BPH) has been scheduled for a contact laser technique. What does the nurse determine is the primary goal of this intervention? A. Resumption of normal urinary drainage B. Maintenance of normal sexual functioning C. Prevention of acute or chronic renal failure D. Prevention of fluid and electrolyte imbalances

A. Resumption of normal urinary drainage

The nurse provides immediate postoperative care for a patient who has undergone perineal prostatectomy. What should the nurse monitor that has the highest priority? A. Signs of infection B. Impaired physical mobility C. Problems with urinary control D. Reports of sexual dysfunction

A. Signs of infection

The nurse is educating a male patient with erectile dysfunction about surgical implants. Which information should the nurse include? Select all that apply. A. Surgical penile implants are associated with potential complications. B. Surgical penile implants are a noninvasive way to correct erectile dysfunction. C. Surgical penile implants have a pump that is inserted into the base of the penis. D. Surgical penile implants are usually indicated for men with severe erectile dysfunction. E. Surgical penile implants are associated with problems such as mechanical failure, infection, and erosions.

A. Surgical penile implants are associated with potential complications. D. Surgical penile implants are usually indicated for men with severe erectile dysfunction. E. Surgical penile implants are associated with problems such as mechanical failure, infection, and erosions.

When teaching a patient with testicular cancer about possible treatment options and their corresponding effects on sexual function, which should the nurse discuss with the patient? Select all that apply. A. Testicular cancer treatment involves high risk of infertility. B. Testicular cancer treatment can actually enhance fertility. C. Consider cryopreservation of sperm in a sperm bank before treatment. D. Sexual function will be as normal as before the treatment for all patients. E. Retroperitoneal lymph node dissection can result in ejaculatory dysfunction.

A. Testicular cancer treatment involves high risk of infertility. C. Consider cryopreservation of sperm in a sperm bank before treatment. E. Retroperitoneal lymph node dissection can result in ejaculatory dysfunction.

When teaching patients about the use of the drug sildenafil, which instructions should the nurse include in the teaching? Select all that apply. A. The drug should only be taken once a day. B. The drug is contraindicated in patients taking nitrates. C. The drug may cause an erection lasting more than four hours. D. The drug should be taken 30 to 60 minutes before sexual activity. E. The drug should be taken three to four hours before sexual activity.

A. The drug should only be taken once a day. B. The drug is contraindicated in patients taking nitrates. C. The drug may cause an erection lasting more than four hours. D. The drug should be taken 30 to 60 minutes before sexual activity.

When teaching a patient about testicular self-examination, which findings should the nurse identify as normal findings? Select all that apply. A. The testes are pain free. B. The testis feels round and smooth. C. One testis may be larger than the other. D. The testis feels lumpy and has irregularities. E. Spermatic cord is firm, smooth, and goes up toward the groin.

A. The testes are pain free. B. The testis feels round and smooth. C. One testis may be larger than the other. E. Spermatic cord is firm, smooth, and goes up toward the groin.

A male patient reports loss of libido, fatigue, and mood swings, and is diagnosed with andropause. What are the important points for the nurse to note when considering testosterone replacement therapy for this patient? Select all that apply. A. The therapy can worsen sleep apnea. B. Oral testosterone replacement therapy is preferred. C. The treatment can lower high-density lipoprotein (HDL) cholesterol. D. The therapy is indicated for patients with testosterone levels above 800 ng/dL. E. The treatment is contraindicated for a patient with benign prostatic enlargement (BPH).

A. The therapy can worsen sleep apnea. C. The treatment can lower high-density lipoprotein (HDL) cholesterol. E. The treatment is contraindicated for a patient with benign prostatic enlargement (BPH).

A patient reports feeling a painless lump in the scrotum with swelling and a feeling of heaviness and dull pain in the lower abdomen. Which diagnostic study does the nurse prepare the patient for to diagnose the problem? A. Ultrasound B. Vascular study C. Digital rectal examination D. Computed tomography (CT)

A. Ultrasound

The nurse is teaching a group of male college-age students about testicular selfexamination. Which actions should the nurse perform when teaching about the test? Select all that apply. A. Use teaching aids such as videotapes or illustrations. B. Encourage elderly males with testicular pain to perform the test. C. Advise middle-aged males to perform the test once every two years. D. Advise every male starting at puberty to perform the test every month. E. Encourage males with history of an undescended testis to perform the test.

A. Use teaching aids such as videotapes or illustrations. D. Advise every male starting at puberty to perform the test every month. E. Encourage males with history of an undescended testis to perform the test.

The nurse is teaching measures to be followed by a patient who has acute bacterial prostatitis. During the follow-up visit, the nurse finds that the patient's condition has improved. What did the patient likely do in order for the condition to have improved? Select all that apply. A. Drinking citrus juice B. Drinking plenty of fluids C. Doing prostate massage D. Performing Kegel exercises E. Taking doxycycline regularly

B. Drinking plenty of fluids C. Doing prostate massage E. Taking doxycycline regularly

The nurse is educating a patient regarding the treatment of erectile dysfunction (ED). What should the nurse be sure to include when discussing this with the patient? Select all that apply. A. Side effects like constipation and weight loss can occur. B. Side effects like headache, dyspepsia, and flushing can occur. C. Rare side effects like confusion and redness of eyes can occur. D. Rare side effects like visual disturbances and hearing loss can occur. E. Patients should immediately seek medical attention in case of priapism.

B. Side effects like headache, dyspepsia, and flushing can occur. D. Rare side effects like visual disturbances and hearing loss can occur. E. Patients should immediately seek medical attention in case of priapism.

The treatment plan for a patient diagnosed with benign prostatic hyperplasia (BPH) includes taking finasteride. When teaching the patient about this drug, which instructions should the nurse include as essential information? Select all that apply. A. The drug should be taken for a short time. B. The drug takes about six months to be effective. C. The drug can be taken intermittently with good results. D. Serum PSA levels are decreased during this drug therapy. E. The drug should be taken continuously to maintain results.

B. The drug takes about six months to be effective. D. Serum PSA levels are decreased during this drug therapy. E. The drug should be taken continuously to maintain results.

When explaining to a patient about the advantages of contact laser techniques over transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH), what information should the nurse include? Select all that apply. A. There is no need for a catheter after the surgery. B. The laser cauterizes blood vessels, so bleeding is minimal. C. The contact laser techniques lead to shorter recovery times. D. The contact laser technique can be performed on patients taking anticoagulants. E. The laser does not directly touch the prostate, so there is less tissue damage.

B. The laser cauterizes blood vessels, so bleeding is minimal. C. The contact laser techniques lead to shorter recovery times. D. The contact laser technique can be performed on patients taking anticoagulants.

The nurse is administering a primary screening for a patient with erectile dysfunction (ED). Which assessments would be included? Select all that apply. A. PSA test B. Abdominal scan C. Self-administered assessment D. Treatment-related questionnaire E. Sexual, health, and psychosocial history

C. Self-administered assessment D. Treatment-related questionnaire E. Sexual, health, and psychosocial history

The patient has a low-grade carcinoma on the left lateral aspect of the prostate gland and has been monitored for five years. Six months ago his last prostate-specific antigen (PSA) level was 5 ng/mL. Which manifestations reviewed by the nurse indicate that the prostate cancer may be growing and he needs a change in his care? Select all that apply. A. Casts in his urine B. Presence of α-fetoprotein C. Serum PSA level 10 ng/mL D. Onset of erectile dysfunction E. Nodularity of the prostate gland

C. Serum PSA level 10 ng/mL E. Nodularity of the prostate gland

A male patient has human immunodeficiency virus (HIV) infection. When educating the patient regarding risk factors for the development of opportunistic diseases, what should the nurse include in the education? A. Varicocele B. Prostate cancer C. Testicular cancer D. Benign prostatic hyperplasia (BPH)

C. Testicular cancer

The nurse observes that a male child has the urethral meatus on the ventral surface of the penis. What condition does the nurse document this child has? A. The child has orchitis. B. The child has epididymitis. C. The child has hypospadias. D. The child has cryptorchidism.

C. The child has hypospadias.

A patient is one day postoperative following a transurethral resection of the prostate (TURP). Which event is not an expected finding in the care of this patient? A. The patient reports fatigue and claims to have minimal appetite. B. The patient requires two tablets of acetaminophen #3 during the night. C. The patient has continuous bladder irrigation (CBI) infusing, but output has decreased. D. The patient has expressed anxiety about his planned discharge home the following day.

C. The patient has continuous bladder irrigation (CBI) infusing, but output has decreased.

To accurately monitor progression of the symptom of decreased urinary stream, the nurse should encourage the patient to have which primary screening measure on a regular basis? A. Transurethral resection of the prostate B. Urinalysis with urine culture and sensitivity C. Prostate specific antigen (PSA) monitoring D. Digital rectal examination

D. Digital rectal examination

A patient has been diagnosed with benign prostatic hyperplasia (BPH). About which medication will the nurse educate the patient that will help reduce the size of the prostate gland? A. Goserelin B. Degarelix C. Acetonide D. Dutasteride

D. Dutasteride

Which task can the nurse delegate to unlicensed assistive personnel (UAP) in the care of a patient who recently has undergone prostatectomy? A. Assessing the patient's incision B. Irrigating the patient's Foley catheter C. Assessing the patient's pain and selecting analgesia D. Performing cleansing of the meatus and perineal region

D. Performing cleansing of the meatus and perineal region

The nurse is assessing a male patient and suspects paraphimosis. What physical finding causes the nurse to determine this? A. Curved or crooked penis B. Inflammation of the testis C. Abnormal prolonged erection of the penis D. Permanent retracted position of the foreskin behind the penis

D. Permanent retracted position of the foreskin behind the penis

The nurse is caring for a patient with benign prostatic hyperplasia. What education should the nurse provide when discussing complications of this disorder if left untreated? A. Urinary calculi B. Bladder cancer C. Prostate cancer D. Renal insufficiency

D. Renal insufficiency

A male patient reports fever, dysuria, and cloudy urine. What additional information may indicate that these manifestations may be something other than a urinary tract infection (UTI)? A. A very tender prostate gland B. Reports of chills and rectal pain C. Reports of urgency and frequency D. Escherichia coli bacteria in the urine

A. A very tender prostate gland

A patient is discussing a potential surgery for prostate cancer and asks the nurse the benefit of the robot-assisted radical prostatectomy versus the traditional approach. What is the best response by the nurse? Select all that apply. A. The robot improves recovery time after procedure. B. The robot has increased precision during procedure. C. The robot has less positive outcomes after procedure. D. The robot allows better visualization during procedure. E. The robot causes an increased length of bed rest after procedure

A. The robot improves recovery time after procedure. B. The robot has increased precision during procedure. D. The robot allows better visualization during procedure.

The nurse is educating a patient with benign prostatic hyperplasia (BPH) regarding the medication he is prescribed. Which statement made by the patient indicates the need for further teaching about the medication? A. "Alpha-blockers improve urine flow." B. "Alpha-blockers reduce the size of the prostate." C. "Tamsulosin is a typical example of alphablocker." D. "Alpha-blockers are commonly used in the treatment of hypertension."

B. "Alpha-blockers reduce the size of the prostate."

The nurse is conducting a health history for a male patient. Which information does the nurse identify as increasing the patient's risk for benign prostatic hyperplasia (BPH)? A. A history of hyperthyroidism B. A father with a history of BPH C. A body mass index (BMI) of 28 D. Physical activity for 30 minutes at least five days a week

B. A father with a history of BPH

A male patient reports nocturia, pain in the suprapubic area, incontinence, and urinary frequency and is found to have bacteria and white blood cells in the urine. What does the nurse determine predisposing factors are in this patient? Select all that apply. A. Orchitis B. Obesity C. Hypertension D. Atherosclerosis E. Erectile dysfunction

B. Obesity E. Erectile dysfunction

A patient will undergo laser prostatectomy for the treatment of benign prostatic hyperplasia (BPH). Which technique will the nurse discuss when educating the patient? A. Open prostatectomy B. Photovaporization of the prostate (PVP) C. Transurethral incision of the prostate (TUIP) D. Transurethral electrovaporization of the prostate (TUVP)

B. Photovaporization of the prostate (PVP)

A nurse is caring for a patient who has benign prostatic hyperplasia (BPH) and erectile dysfunction. Which drug does the nurse expect the healthcare provider to prescribe? A. Prazosin B. Tadalafil C. Silodosin D. Finasteride

B. Tadalafil

The nurse is performing a testicular examination and notes that the scrotum feels wormlike when palpated. Based on this finding, which diagnosis does the nurse anticipate? A. Hydrocele B. Varicocele C. Epididymitis D. Spermatocele

B. Varicocele

A male patient is scheduled for transurethral resection of the prostate. Which question should the nurse ask to address the patient's concerns about sexual function after the surgery? A. "Are you worried about how this surgery will affect your sex life?" B. "This surgery may affect your sex life. Would you like to talk about this?" C. "What are your concerns about how this surgery will affect your sex life?" D. "Have you talked to your surgeon about how the surgery will affect your sex life?"

C. "What are your concerns about how this surgery will affect your sex life?"

The registered nurse (RN) is providing care to a patient who requires a bladder irrigation after a transurethral resection of the prostate (TURP) to treat benign prostatic hyperplasia (BPH). Which interventions should the nurse delegate to the licensed practical nurse (LPN) who is assigned to the patient's care team? Select all that apply. A. Assessing patency by measuring intake and output B. Implementing manual irrigation for bladder spasms C. Administering prescribed antispasmodics as needed D. Monitoring catheter drainage for increased blood or clots E. Increasing the flow of the solution to maintain a light pink color of the outflow

C. Administering prescribed antispasmodics as needed D. Monitoring catheter drainage for increased blood or clots E. Increasing the flow of the solution to maintain a light pink color of the outflow

A patient who underwent bladder surgery three hours ago is receiving a continuous bladder irrigation (CBI). The nurse should increase the rate of the CBI for what type of return? A. Slow B. Absent C. Dark red D. Yellow and cloudy

C. Dark red

To accurately monitor progression of a decreased urinary stream, the nurse should encourage the patient to have which primary screening measure done on a regular basis? A. Uroflowmetry B. Transrectal ultrasound C. Digital rectal examination (DRE) D. Prostate specific antigen (PSA) monitoring

C. Digital rectal examination (DRE)

The nurse is reviewing the medication administration record for a patient with benign prostatic hypertrophy. Which medication inhibits of the synthesis of dihydrotestosterone? A. Tadalafil B. Silodosin C. Finasteride D. Saw palmetto

C. Finasteride

Which side effect would the nurse discuss with a patient being treated for prostate cancer with leuprolide? A. Diarrhea B. Priapism C. Gynecomastia D. Elevated liver enzymes

C. Gynecomastia

A patient with benign prostatic hyperplasia (BPH) presents with obstructive symptoms. What instructions should the nurse give to this patient to relieve the symptoms? Select all that apply. A. Reduce fluid intake. B. Rapidly increase fluid intake. C. Maintain adequate fluid intake. D. Urinate every two to three hours. E. Urinate when experiencing the first urge to void.

C. Maintain adequate fluid intake. D. Urinate every two to three hours. E. Urinate when experiencing the first urge to void.

A patient is being treated with chemotherapy for testicular cancer. What side effects should the nurse monitor closely for? Select all that apply. A. Bone pain B. Septic shock C. Nerve damage D. Kidney damage E. Pulmonary toxicity

C. Nerve damage D. Kidney damage E. Pulmonary toxicity

A patient diagnosed with prostate cancer has enlarged prostate symmetry that is similar to that of benign prostatic hyperplasia (BPH). Which diagnostic test would the nurse review that is used to differentiate prostate cancer from BPH? A. Cystoscopy B. Uroflowmetry C. Transrectal ultrasound (TRUS) D. Prostatic acid phosphatase (PAP)

C. Transrectal ultrasound (TRUS)

The nurse is caring for a patient with prostate cancer and symptomatic bone metastases. Which treatment does the nurse prepare the patient for? A. Avanafil B. Carbachol C. Alprostadil D. Radium-223 dichloride

D. Radium-223 dichloride

When evaluating the criteria for open prostatectomy, which patients would the nurse identify as appropriate candidates? Select all that apply. A. Men with large prostates B. Men with low sperm counts C. Men with bladder damage D. Men without complicating factors E. Men with benign prostatic hyperplasia (BPH)

A. Men with large prostates C. Men with bladder damage E. Men with benign prostatic hyperplasia (BPH)

A patient with an acute inflammation of the testes is diagnosed with orchitis. When taking medical history, about which conditions should the nurse inquire to find the possible cause of orchitis? Select all that apply. A. Mumps B. Asthma C. Syphilis D. Sinusitis E. Tuberculosis

A. Mumps C. Syphilis E. Tuberculosis

The nurse is caring for a patient with acute prostatitis. Which interventions are appropriate for this patient? Select all that apply. A. Medicate for fever as needed. B. Restrict fluid intake. C. Encourage patient to walk. D. Encourage warm sitz baths. E. Administer prescribed antibiotics.

A. Medicate for fever as needed. D. Encourage warm sitz baths. E. Administer prescribed antibiotics.

A patient informs the nurse they are experiencing erectile dysfunction with difficulty in obtaining and sustaining an erection. What questions would be appropriate for the nurse to ask to obtain a history? Select all that apply. A. "Do you have diabetes?" B. "Are you under any major stress?" C. "Have you been diagnosed with arthritis?" D. "Are you taking medication for high blood pressure?" E. "Do you take nonsteroidal antiinflammatory drugs (NSAIDs)?"

A. "Do you have diabetes?" B. "Are you under any major stress?" D. "Are you taking medication for high blood pressure?"

The nurse educates a patient who has undergone prostate surgery about health promotion measures to be followed at home. Which statement made by the patient indicates the need for further teaching? A. "I am limiting fluid intake." B. "I am limiting citrus juices." C. "I am avoiding heavy lifting." D. "I am avoiding sexual intercourse."

A. "I am limiting fluid intake."

The nurse is performing an assessment of a patient at risk for benign prostatic hyperplasia (BPH). When taking the history, which conditions does the nurse determine are risk factors for this disorder? Select all that apply. A. Aging B. Vegetarian diet C. Physical inactivity D. Less fluid intake E. Alcohol consumption

A. Aging C. Physical inactivity E. Alcohol consumption

A nurse assesses a male patient who reports numerous urinary symptoms. Which early signs of benign prostatic hypertrophy does the nurse recognize? Select all that apply. A. Nocturia B. Urinary frequency C. Erectile dysfunction D. Overflow incontinence E. Reduced force of urinary stream F. Difficulty in starting the flow of urine

A. Nocturia B. Urinary frequency E. Reduced force of urinary stream F. Difficulty in starting the flow of urine

A patient arrives in the emergency department reporting severe scrotal pain, nausea, and vomiting that began one hour ago. For which diagnostic tests should the nurse prepare the patient? Select all that apply. A. Nuclear scan B. Doppler ultrasound C. Transrectal ultrasound D. Microscopic evaluation E. Magnetic resonance imaging

A. Nuclear scan B. Doppler ultrasound

A patient is experiencing dribbling, dysuria, nocturia, and hesitancy and has elevated levels of the prostatic isoenzyme, serum acid phosphatase. For what procedure should the nurse prepare this patient? A. Orchiectomy B. Open prostatectomy C. Transurethral incision of prostate (TURP) D. Transurethral resection of prostate (TUIP)

A. Orchiectomy

A patient informs the nurse they have a loss of libido, inability to sustain an erection, fatigue, and mood swings, and laboratory tests show that testosterone levels are 190 ng/dL. Which medications will the nurse educate the patient about that are beneficial to treat the patient's condition? Select all that apply. A. Testim B. Acetonide C. Androderm D. Dutasteride E. Abiraterone

A. Testim B. Acetonide C. Androderm

The nurse is performing an assessment of a patient with benign prostatic hyperplasia (BPH). Which finding is likely to be noted on palpation by digital rectal examination (DRE)? A. The prostate is symmetrical, movable, and hard. B. The prostate is asymmetrically enlarged and uneven. C. The prostate is symmetrically enlarged, firm, and smooth. D. The prostate is asymmetrically enlarged, movable, and hard.

C. The prostate is symmetrically enlarged, firm, and smooth.

A patient is diagnosed with benign prostatic hyperplasia and is scheduled for low-wave radiofrequency to heat the prostate. Which complication would the nurse monitor in the patient after the procedure? A. Infection B. Hematuria C. Hydrocele D. Retrograde ejaculation

B. Hematuria

A nurse is caring for a patient who has undergone radical prostatectomy. During the early postoperative period, the nurse should closely monitor the patient for what? A. Septicemia B. Hemorrhage C. Renal failure D. Respiratory distress

B. Hemorrhage

The nurse is conducting a health history interview for a patient diagnosed with benign prostatic hyperplasia (BPH). Which questions are appropriate while assessing the patient's cognitive-perceptual pattern? Select all that apply. A. "Do you experience nocturia?" B. "Do you have bladder discomfort?" C. "Do you experience urinary retention?" D. "Do you have a sensation of incomplete voiding?" E. "Do you experience anxiety about sexual dysfunction?"

B. "Do you have bladder discomfort?" D. "Do you have a sensation of incomplete voiding?"

A nurse planning a community health program on cancer awareness includes the need for testicular self-examination. What target age group would have the highest priority for this educational program? A. 5 to 12 years B. 15 to 35 years C. 30 to 45 years D. Older than 50 years

B. 15 to 35 years

The nurse is caring for a patient with orchitis. What treatment should the nurse anticipate educating this patient regarding? Select all that apply. A. Exercising B. Analgesic medication C. Maintaining a usual routine D. Antibiotic treatment if organism is known E. Bed rest with scrotum elevated on ice pack

B. Analgesic medication D. Antibiotic treatment if organism is known E. Bed rest with scrotum elevated on ice pack

Which part in the image causes testicular torsion? A. A: superficial inguinal ring B. B: testicular torsion C. C: indicates vas deferens D. D: tunica vaginalis

B. B: testicular torsion

A male patient states during the health history interview that he has no problems with urinary elimination except that the "stream is less than it used to be." The nurse should give the patient anticipatory guidance that what condition may be developing? A. A tumor of the prostate B. Benign prostatic hyperplasia C. Bladder atony because of age D. Age-related altered innervation of the bladder

B. Benign prostatic hyperplasia

The nurse is explaining treatment of testicular cancer to a patient. Which treatment options should the nurse suggest as a part of collaborative care? Select all that apply. A. No treatment at early stages B. Radical orchiectomy in early stages C. Retroperitoneal lymph node dissection D. Radiation therapy for patients with a seminoma E. Radiation therapy for patients with nonseminomas

B. Radical orchiectomy in early stages C. Retroperitoneal lymph node dissection D. Radiation therapy for patients with a seminoma

The nurse is preparing a male patient for therapy to treat castration-resistant prostate cancer. What therapy should the nurse educate the patient about? A. Cryotherapy B. Radiotherapy C. Chemotherapy D. Brachytherapy

B. Radiotherapy

The nurse is preparing education for a patient scheduled to begin radiation therapy and hormone manipulation for prostate cancer. What information is appropriate for the nurse to include? A. Constipation is usually a problem; a high-fiber diet is recommended. B. Sexual ability may be affected; discussion with the partner is recommended. C. An intense daily exercise program will help prevent urinary dysfunction and fatigue. D. Facial hair loss and a change in voice tone are expected side effects of hormone therapy.

B. Sexual ability may be affected; discussion with the partner is recommended.

The nurse is caring for a patient who is newly diagnosed with an enlarged prostate. Which test does the nurse expect the health care provider to order to differentiate benign prostate hypertrophy (BPH) from prostate cancer? A. Uroflowmetry B. Transrectal ultrasound C. White blood cell (WBC) count D. Prostate-specific antigen (PSA) test

B. Transrectal ultrasound

The nurse finds that a patient has nocturia, bladder pain, and an enlarged prostate. The laboratory findings reveal a serum creatinine level at 1.7 mg/dL, white blood cell count at 18,000 per microliter, and prostate-specific antigen levels at 6.0 ng/ mL. Which complication does the nurse expect in the patient? A. Hypospadias B. Peyronie's disease C. Benign prostatic hyperplasia D. Nonmetastatic prostate cancer

C. Benign prostatic hyperplasia

Which clinical manifestation associated with benign prostatic hyperplasia (BPH) should cause the nurse to assess the patient's sleep patterns? A. Dysuria B. Anxiety C. Nocturia D. Hesitancy

C. Nocturia

A patient reports an inability to attain erection, and the health care provider suspects a change in axial rigidity. For which diagnostic test will the nurse prepare the patient that is beneficial for diagnosis? A. Digital rectal examination B. Magnetic resonance imaging C. Nocturnal penile tumescence D. Duplex Doppler ultrasound study

C. Nocturnal penile tumescence

A patient who has cardiovascular disease has now developed erectile dysfunction. He is frustrated, because he cannot take erectogenic medications due to nitrate administration. What is a priority action by the nurse? A. Give the patient choices for penile implant surgery B. Recommend counseling for the patient and his partner C. Obtain a thorough sexual, health, and psychosocial history D. Assess levels of testosterone, prolactin, luteinizing hormone (LH), and thyroid hormones

C. Obtain a thorough sexual, health, and psychosocial history

While caring for a patient after a transurethral procedure, the nurse observes that the patient is showing signs of bladder spasms. Which medication does the nurse expect to be prescribed to the patient? A. Buserelin B. Triptorelin C. Oxybutynin D. Zoledronic acid

C. Oxybutynin

The nurse is providing care to a patient who reports a tightened penile foreskin. When assessing this patient, the nurse is unable to pull the foreskin forward from the retracted position. Based on these data, which diagnosis does the nurse anticipate? A. Priapism B. Phimosis C. Paraphimosis D. Peyronie's disease

C. Paraphimosis

A patient underwent prostate surgery for the treatment of benign prostatic hyperplasia (BPH). What instructions should the nurse tell a patient regarding the management of urinary incontinence after surgery? Select all that apply. A. Limit fluid intake. B. Drink citrus juices. C. Perform Kegel exercise. D. Avoid caffeine products. E. Avoid alcohol consumption.

C. Perform Kegel exercise. D. Avoid caffeine products. E. Avoid alcohol consumption.

An older adult patient reports urinary urgency. What diagnostic findings does the nurse correlate with benign prostatic hyperplasia (BPH)? Select all that apply. A. Negative urinalysis and culture B. Elevated serum creatinine levels C. Residual urine with postvoiding catheterization D. Enlarged prostate as observed on ultrasonography E. Vesicle neck obstruction as observed on cystoscopy

C. Residual urine with postvoiding catheterization D. Enlarged prostate as observed on ultrasonography E. Vesicle neck obstruction as observed on cystoscopy

A patient is advised to take finasteride for benign prostatic hyperplasia (BPH). Which important instructions should the nurse provide to the patient? Select all that apply. A. Finasteride should be taken intermittently. B. The treatment shows effects within minutes. C. The treatment takes about six months to be effective. D. These tablets should not be handled by pregnant women. E. There is an increased risk of orthostatic hypotension if used with erectile dysfunction drugs.

C. The treatment takes about six months to be effective. D. These tablets should not be handled by pregnant women. E. There is an increased risk of orthostatic hypotension if used with erectile dysfunction drugs.

A patient had an abnormal digital rectal exam (DRE) followed by an elevated prostate specific antigen (PSA). For what diagnostic study will the nurse prepare the patient after receiving these results? A. Cystoscopy B. Uroflowmetry C. Transrectal ultrasound (TRUS) D. Magnetic resonance imaging (MRI)

C. Transrectal ultrasound (TRUS)

The nurse is educating a patient about the effects of a vasectomy. Which effects should the nurse discuss to best inform the patient? Select all that apply. A. Vasectomy can affect the ability to ejaculate. B. Vasectomy can affect the production of hormones. C. Vasectomy does not affect the production of hormones. D. Psychological adjustment may be a problem after the surgery. E. Vasectomy does not affect the physiologic mechanisms related to erection or orgasm.

C. Vasectomy does not affect the production of hormones. D. Psychological adjustment may be a problem after the surgery. E. Vasectomy does not affect the physiologic mechanisms related to erection or orgasm.

An older adult patient has a new diagnosis of benign prostatic hyperplasia (BPH). The patient asks the nurse, "How did I even get BPH? I thought I was healthy." What is the best response by the nurse? A. "BPH can be caused by a lack of estrogen and too much testosterone in the blood." B. "BPH can be caused by exercising too much, which increases the amount of estrogen." C. "As you age, you produce a large amount of testosterone, which contributes to the enlarged prostate." D. "BPH can be caused by too much dihydrotestosterone (DHT) as you age, which causes the prostate to increase in size."

D. "BPH can be caused by too much dihydrotestosterone (DHT) as you age, which causes the prostate to increase in size."

The nurse is caring for a patient with severe symptoms of benign prostatic hyperplasia (BPH). What might be the American Urological Association (AUA) symptom score? A. 1 B. 7 C. 15 D. 25

D. 25

The nurse is educating the patient about transurethral microwave thermotherapy (TUMT) prior to the procedure. Which instruction is most appropriate for the nurse to include? A. This procedure is performed within 10 minutes. B. This procedure is performed in young patients. C. This procedure is appropriate for men with rectal problems. D. This procedure is not appropriate for men with rectal problems.

D. This procedure is not appropriate for men with rectal problems.

The nurse is preparing a patient for a cystoscopy in order to remove prostate tissue. What procedure does the nurse anticipate the healthcare provider will use to treat this patient? A. Laser prostatectomy B. Intraprostatic urethral stents C. Transurethral incision of prostate (TUIP) D. Transurethral resection of prostate (TURP)

D. Transurethral resection of prostate (TURP)

A pregnant nurse is preparing to administer finasteride to a patient diagnosed with benign prostatic hyperplasia (BPH). Which nursing action is most appropriate? A. Administer the medication as prescribed. B. Ask the charge nurse to administer the medication. C. Ask a family member to administer the medication. D. Use gloves while handling the medication for administration.

D. Use gloves while handling the medication for administration.

The nurse is educating a patient scheduled for a procedure to destroy or cut a portion of the prostate. About what procedure will the nurse educate the patient? A. Laser prostatectomy B. Intraprostatic urethral stents C. Transurethral needle ablation (TUNA) D. Transurethral microwave thermotherapy (TUMT)

A. Laser prostatectomy

The nurse is caring for a patient following transurethral resection of the prostate (TURP). Which actions should the nurse perform to maintain patient safety during the initial postoperative period? Select all that apply. A. Apply traction on the catheter. B. Remove the catheter and observe. C. Ask the patient to walk for prolonged periods. D. Relieve the pressure of the traction on a scheduled basis. E. Advise the patient to avoid straining during bowel movements.

A. Apply traction on the catheter. D. Relieve the pressure of the traction on a scheduled basis. E. Advise the patient to avoid straining during bowel movements.

A male patient presents with severe scrotal pain, tenderness, swelling, nausea, and vomiting. Urinary symptoms, fever, and white blood cells (WBCs) or bacteria in the urine are absent. Which findings in the patient would indicate a testicular torsion? Select all that apply. A. Scrotal pain reduces on elevation of the scrotum. B. Cremasteric reflex is absent on the side of the swelling. C. Cremasteric reflex is present on the side of the swelling. D. Scrotal pain does not reduce on elevation of the scrotum. E. Doppler ultrasound of the testes shows decreased blood flow.

B. Cremasteric reflex is absent on the side of the swelling. D. Scrotal pain does not reduce on elevation of the scrotum. E. Doppler ultrasound of the testes shows decreased blood flow.

The nurse is educating a patient about the treatment of prostate cancer to decrease the prostate specific antigen (PSA) levels. Which medication will the nurse discuss with the patient? A. Acetonide B. Finasteride C. Alprostadil D. Papaverine

B. Finasteride

Which interventions would the registered nurse provide when caring for a patient receiving continuous bladder irrigation (CBI) after invasive prostate surgery? Select all that apply. A. Record intake and output. B. Clean around catheter daily. C. Assess for bleeding and clots. D. Discontinue CBI and notify the primary health care provider if obstruction occurs. E. Provide care instructions for patients being discharged with an indwelling catheter.

C. Assess for bleeding and clots. D. Discontinue CBI and notify the primary health care provider if obstruction occurs. E. Provide care instructions for patients being discharged with an indwelling catheter.

When assessing a patient with benign prostatic hyperplasia (BPH), which diagnostic tests should the nurse anticipate preparing the patient for to rule out related conditions? Select all that apply. A. Hemoglobin levels B. Serum uric acid levels C. Serum creatinine levels D. Urine analysis with culture E. Prostate-specific antigen (PSA)

C. Serum creatinine levels D. Urine analysis with culture E. Prostate-specific antigen (PSA)

The nurse is planning care for a patient diagnosed with benign prostatic hyperplasia (BPH). Which diagnostic assessment does the nurse expect to be included in the plan of care as a method of active surveillance for this disease process? A. Serum creatinine B. Urinalysis with culture C. Transrectal ultrasound (TRUS) D. Annual prostate-specific antigen (PSA)

D. Annual prostate-specific antigen (PSA)

The nurse is educating a patient regarding erectile dysfunction. What risk factor should the nurse be sure to discuss with the patient? A. Orchitis B. Epididymitis C. Cryptorchidism D. Atherosclerosis

D. Atherosclerosis

The nurse is caring for a patient with benign prostatic hyperplasia (BPH). Which symptom indicates a partial obstruction may be present? A. Urgency B. Nocturia C. Incontinence D. Difficulty starting to urinate

D. Difficulty starting to urinate

A patient will undergo a transurethral resection of the prostate (TURP). What preoperative care should the nurse perform? Select all that apply. A. Treat any urinary infection with antibiotics. B. Restore urinary drainage and maintain fluid intake. C. Inform the patient that surgery may affect sexual function. D. Ensure that bladder irrigation is done before the surgery. E. Inform the patient that there will be no complications after surgery.

A. Treat any urinary infection with antibiotics. B. Restore urinary drainage and maintain fluid intake. C. Inform the patient that surgery may affect sexual function.

The nurse is providing care to a patient with benign prostatic hyperplasia. When planning the patient's care, which treatment technique does the nurse anticipate because it is the least invasive? A. Open prostatectomy B. Transurethral needle ablation C. Transurethral incision of the prostate D. Transurethral resection of the prostate

B. Transurethral needle ablation