Male Reproductive
A 49 year old man is admitted with penile cancer. The nurse would expect to find which manifestations related to this condition?
Warlike growth on the penis, reddened lesions with plaques, ulcer on the glans under the prepuce
A nurse is caring for a client with a diagnosis of cancer of the prostate, which serum level should the nurse teach the client to have mentioned to follow the course of the disease
prostate specific antigen
Inflammation of the prostate can be the result of which conditions?
psychosexual problem, sexually transmitted disease, retrograde ejaculation
A client with cancer of the prostate requests the urinal at frequent intervals but either does not void or voids in very small amounts, what does the nurse conclude is most likely the causative factor
retention
The advanced practice nurse is performing a testicular exam on a young caucasian patient, the practioner finds a lump, which the patient reports is painless, this finding is considered the most common manifestation of which disease or disorder
testicular cancer
The advanced practice nurse is preparing to examine a patients prostate gland, before the exam what does the nurse tell the patient
the gland will be massaged to obtain a fluid sample for possible prostatitis
A nurse is caring for a client with an indwelling urinary catheter, what is the most important action for the nurse to implement when irrigating the bladder
use sterile equipment
Which medical conditions can be associated with priaprism
leukemia, sickle cell disease, diabetes mellitus, malignancies
A patient comes to the emergency department reporting fever, chills, dysuria, urethral discharge and a boggy, tender prostate. On exam there is urethral discharge which shows WBCs what does the nurse suspect in this patient
Acute bacterial prostatitis
You are caring for a 21 year old client who had a left orchiectomy for testicular cancer on the previous day, which nursing activity will you delegate to an LPN
Administering the prescribed PRN oxycodone to the client
A young patient has been diagnosed with testicular cancer, he and his wife have been trying to conceive a child for several months. What information does the nurse give the couple about sperm storage.
Arrangements for sperm storage should be made as soon as possible after diagnosis
A patient has undergone external beam radiation therapy for palliative treatment of prostate cancer, what suggestions does the nurse make to help the patient manage acute radiation cystitis
Avoid intake of coffee, colas and teas
A patient who has testicular cancer is likely to have which common problem
Azoospermia
Based on American cancer society recommendations, what does the nurse teach a patient about screening for prostate cancer
Beginning at age 30 all men should have an annual digital rectal examination
You are caring for a client who has just returned to the surgical unit after at TURP, which assessment finding will require the most immediate action
Catheter that is draining deep red blood
Which nursing action can best prevent infection from a urinary retention catheter
Cleansing around the meatus routinely
A client had a suprapubic prostatectomy, which type of tube can the nurse expect the client to have when he returns to his room from the PACU
Cystostomy
A client is admitted to the hospital with a tentative diagnosis of urinary retention related to BPH, there is secondary diagnosis of delirium related to Urosepsis, the health care provider prescribes the insertion of an indwelling urinary retention catheter, what nursing action is most important
Determine if any unsafe behavior pattern exist
The nurse is interviewing a patient to determine the presence of lower urinary tract symptoms associated with BPH. What does the nurse question the patient about?
Difficulty in starting and continuing urination, reduced force and size of the urinary stream, postvoid dribbling, nocturia, sensation of incomplete bladder emptying
The nurse is teaching a patient who had an open retroperitoneal lymph node dissection, what instructions does the nurse give to the patient
Do not drive for several weeks, notify surgeon if chills, fever or increasing tenderness or pain around the incision site occur, resume usual activities within 1 week after discharge except for lifting, perform monthly self testicular examinations, have a follow up diagnostic test 3 years after surgery
A patient is being treated for both BPH and hypertension, which alpha blocker does the nurse anticipate will be prescribed for the patient
Doxazosin
Which is most important for the nurse to do when providing care to a client who has had a transurethral resection of the prostate
Ensure patency of the indwelling catheter
A patient is prescribed LHRH agonist leuprolide for treatment of prostate tumor, what possible side effect of this medication does the nurse advise the patient about
Erectile dysfunction
During the first 24 hours after prostatectomy, what is the priority assessment in the nursing care plan
Hemorrhage
A patient reports having uncomfortable and unsettling episodes of hot flashes after receiving hormonal therapy for a prostate tumor. To alleviate this symptom which prescription medication does the nurse assist the patient in obtaining
Hormonal inhibitor drug such as megestrol (Megace)
The nurse is teaching a patient who had an open radical prostatectomy about how to manage the common potential long term complications, what does the nurse teach the atient
How to perform kegal perineal exercises
The nurse is preparing to assess an obese patient who reports subjective symptoms with BPH, which technique does the nurse use to perform the physical assessment
Instruct the patient to void and then use the bedside ultrasound bladder scanner
Which assessment tool is commonly used to ask patients about the effect of urinary symptoms on their quality of life?
International Prostate symptom score
The nurse notes bright red blood with numerous clots on a patient who has had a TURP, after notifying the surgeon what does the nurse do next
Irrigate the catheter with normal saline
What are common serum tumor markers that confirm a diagnosis of testicular cancer?
Lactate dehydrogenase (LDH), Alpha fetoprotein (AFP), Beta human chorionic gonadotropin (hCG)
An adult patient who had a prostatectomy earlier this morning has a catheter, what type of urinary drainage does the nurse expect to see in this patient?
Light pink with small clots
Yesterday a patient underwent surgical removal of a hydrocele with a drain inserted. He calls the clinic for advice because he is unable to remember the discharge instructions. The nurse advises him to come into the clinic if he experiences which signs or symptoms
Malodorous and purulent drainage
The day after a radical prostatectomy your client has blood clots in the urinary catheter and reports bladder spasms, the client says that his right calf is sore and that he feels short of breath, which action will you take first
Measure oxygen saturation using pulse oximetry
Which group of men are at higher risk for prostate cancer?
Men with a first degree relative with prostate cancer, African americans
A patient reports scrotal pain, edema, a heavy feeling in the testicles, dysuria and discharge from the penis. These clinical manifestations are common to which two disorders
Orchitis and Epididymitis
An older patient is scheduled for an annual physical including a PSA and digital rectal exam, how are these two tests scheduled for the patient
PSA is drawn before the rectal exam
The nurse is caring for a patient who had minimally invasive surgery for testicular cancer. The nurse is also caring for the patient who had an open radical retroperintoneal lymph node dissection for testicular cancer. The nurse anticipates that the second patient has more of a risk for which condition
Paralytic ileus
The nurse is teaching a patient diagnosed with erectile dysfunction about the common treatments and therapies. Which topics does the nurse include
Phosphodiesterace 5 (PDE-5) inhibitors, intraurethral applications, vacuum devices, penile injections
The nurse is reviewing the lab results from a patient being evaluated for LUTS, what does an elevated PSA level and serum acid phosphate level in this patient indicate
Prostate cancer
An older adult patients wife is very upset because her husband was just told he had prostate cancer, he feels find now but the doctor told him to watch and wait, why are we just watching, what are we watching for, what is the nurse best response
Prostate cancer is very slow growing you husband will be scheduled for regular DRE and PSA testing and i will make you a list of symptoms to watch for
The nurse is giving discharge instructions to a patient who had a TURP, what does the nurse include in the instructions
Reassurance that loss of control of urination or dribbling of urine is temporary
The nurse is giving instructions to the UAP about hygiene care for an older adult patient who is uncircumcised, what does the nurse instruct the UAP to do
Replace the foreskin over the penis after bathing
A patient had a transrectal ultrasound with a biopsy, after this procedure what does the nurse instruct the patient to do
Report fever/chills/bloody urine/difficulty voiding, avoid strenuous activity, expect a small amount of bleeding that makes the urine turn pink
The nurse is reviewing the lab results for a patient with metastasis of prostate cancer to the bone, which elevated level does the nurse expect to see?
Serum alkaline phosphatase
The nurse is caring for a middle age patient who had a total penectomy, which behavior by the patient is the strongest indicator that he needs referral for psychological assistance
Starting to plan a hunting trip in a remote area
A patient has had a TURP with a three way urinary catheter taped to the left thigh, which position does the nurse instruct the patient to maintain for the left leg
Straight
A nurse is caring for a client with a continuous bladder irrigation, which is the most important nursing action
Subtracting irrigant from output to determine urine volume
You obtain the following assessment data about your client who has had a TURP and has continuous bladder irrigation, which finding indicates the most immediate need for nursing intervention.
The client reports painful bladder spasms
Which type of surgery is used to treat BPH while leaving no incision
Transurethral resection
A patient has BPH, based on this medical diagnosis with what does the nurse prepare to assist the patient
Urinary stasis or retention
A patient has an enlarged prostate, which procedure is used to test for bladder obstruction
Urodynamic pressure flow study
The nurse teaches patients with benign prostatic hyperplasia to follow which instructions
avoid diuretics, antihistamines, caffeine, and drinking large amounts of fluid in a short time
What are common sites of metastasis for prostate cancer
bones of the pelvis, liver, lungs
The nurse is designing a teaching plan for a patient with an enlarged prostate and obstructive symptoms, what does the nurse teach the patient to avoid
diuretics
The nurse is caring for a patient who had an open radical prostatectomy, during the assessment the nurse notes that the penis and scrotum are swollen, what does the nurse do next
elevate the scrotum and penis, apply ice to the area 20 min on 20 min off
Which sign or symptom is considered a late sign of prostate cancer
hematuria
A patient is receiving internal radiation therapy and has had a low dose radiation seed implanted directly into the prostate gland, what nursing implications is related to this therapy
Teach the patient that fatigue is common but should pass after several months
Prostate specific antigen is a glycoprotein produced solely by the prostate. After treatment for prostate cancer what does an elevated PSA level indicated
Recurrence of the prostate cancer
After a radical prostatectomy a client is ready to be discharged, which nursing action included in the discharge planning should be delegated to an experienced LPN
Reinforcing the clients need to check his temperature daily
The nurse is teaching a patient about self cares following a radical prostatectomy, what does the nurse include in the health teaching
Teach how to care for the indwelling catheter and manifestation of infection, walk short distances, maintain an upright position and do not walk bent or flexed, shower rather than soak in a bath tube for the first 2 to 3 weeks
You are assessing a long term care client with a history of BPH, which information will require the most immediate action
The bladder is palpable above the symphysis pubis and the client is restless
The nurse is reviewing PSA results for a patient who had a prostatectomy for prostate cancer several weeks ago, the PSA level is 40 ng/mL, how does the nurse interpret this data
The cancer is most likely recurring
A 67 year old client with BPH has a new prescription for Flomax, which statement about the drug is the most important to include when teaching this client
You should avoid sitting up or standing up too quickly
A client has had a needle biopsy of the prostate gland using the transrectal approach, which statement is most important to include in the client teaching plan
You will need to call the doctor if you develop a fever or chills
Patients with which condition meet the criteria for having a transurethral resection of the prostate
acute urinary retention and hematuria, hydroneprosis, chronic urinary tract infections
A patient is diagnosed with prostatitis . Which intervention does the nurse use to alleviate the discomfort associated with this condition
comfort measures such as sitz baths for pain
Which statement about testicular cancer is true
elevated alpha fetoprotein level is used as a tumor marker for testicular cancer
The nurse is teaching a patient who is taking finasteride an 5 alpha reductase inhibitor, which side effect does the nurse tell the patient may experience
erectile dysfunction, dizziness, decreased libido
The nurse is teaching a patient at risk for prostate cancer about food sources of omega 3 fatty acids. Which food does the nurse suggest
fish
Which condition is a result from a disorder in the lymphatic drainage from the scrotum, causing a mass around the testis?
hydrocele
The nurse is performing an assessment on a patient with organic erectile dysfunction, what are possible causes of this condition
hypertension, thyroid disorders, diabetes mellitus
A patient is undergoing large volume bladder irrigation, during and after the procedure the nurse observes the patient for confusion, muscle weakness and increased GI motility related to which potentially adverse effect of large volume irrigation
hyponatremia
A nurse is caring for a client with a diagnosis of BPH, which information about the condition is important for the nurse to consider when caring for this client
it predisposes to hydronephrosis
A patient reports having erectile dysfunction and is seeking a prescription for sildenafil (viagra), because of the potential for dangerous drug drug interactions, the nurse asks the patient if he takes which type of druge
nitrates
A client who had a suprapubic prostatectomy returns from the PACU and accidentally pulls out the urethral catheter, what should the nurse do first
notify the health care provider
An older adult patient had a TURP at 8am, at 3pm the nurse assesses the patient, which finding does the nurse report to the physician
patient keeps moving and burgundy colored output is noted
