NURC 324 Ch. 59 Sherpath

Which response would the nurse give to a patient who is concerned about the safety of treatments for erectile dysfunction (ED)?

"Drugs for ED such as Cialis and Viagra are generally safe."

Which topic is important for the nurse to discuss when the patient asks about what to expect after a vasectomy?

Continuance of the testes to make sperm

Which diagnostic test is most often used to diagnose prostate cancer?

Prostate-specific antigen (PSA) blood test

Which symptom would the nurse recognize as a possible symptom of early testicular cancer?

Scrotal swelling

Which statement describes how interprofessional care for prostate cancer is provided?

The PSA, stage, and Gleason score are used to determine which treatment options are appropriate.

Which manifestation indicates prostate cancer may be extending and require a change in the plan of care for a patient who has a low-grade cancer on the left lateral aspect of the prostate gland, had a prostate-specific antigen (PSA) level of 5 ng/mL 6 months ago, and has been on "watchful waiting" status for 5 years? Select all that apply. One, some, or all responses may be correct.

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

Which condition can cause priapism?

Sickle cell disease

Which condition would the nurse discuss with a patient as a side effect of radiation therapy for prostate cancer?

Skin dryness

Which risk factor would the nurse determine as relevant to the development of benign prostatic hyperplasia (BPH)? Select all that apply. One, some, or all responses may be correct.

Smoking Alcohol use Sedentary lifestyle

Which information would be provided when teaching a patient about how water vapor thermal therapy treats benign prostatic hyperplasia (BPH)?

Steam is delivered transurethrally to destroy obstructive prostate tissue.

Which factor is a cause of the increasing prevalence of erectile dysfunction in young men? Select all that apply. One, some, or all responses may be correct.

Stress Anxiety Consumption of alcohol Use of recreational drugs

Which side effect of erectogenic drugs is a reason to seek immediate medical attention? Select all that apply. One, some, or all responses may be correct.

Sudden hearing loss Erection lasting more than 4 hours Blurred vision

Which treatment is used for cryptorchidism?

Surgery

What condition requires emergency surgery?

Testicular torsion

Which information would the nurse provide to a patient with prostate cancer who asks the nurse how prostate cancer spreads to different parts of the body? Select all that apply. One, some, or all responses may be correct.

The blood can carry cancerous cells to other parts of the body. The prostate tumor itself can extend into surrounding tissues. The cancerous cells can get into the lymph system and spread.

Removal of which structure occurs during a radical prostatectomy? Select all that apply. One, some, or all responses may be correct.

The entire prostate gland The seminal vesicles Part of the bladder neck

For which situation would the nurse need to alert the health care provider about a patient with benign prostatic hyperplasia (BPH)?

The onset of a urinary tract infection

For which reason would a patient be advised to avoid surgery to repair a hydrocele?

The patient is trying to conceive.

Which interpretation would be appropriate for a patient who reports having benign prostatic hyperplasia (BPH)-like symptoms for many years and recently has experienced severe low back and hip pain that is radiating down his legs along with the urinary symptoms?

These manifestations are consistent with prostate cancer that may have metastasized to the bone.

The risk of which complication explains why cryptorchidism needs to be treated early?

Infertility

Which symptom is an obstructive symptom of benign prostatic hyperplasia (BPH)?

Intermittency

Which goal would the nurse include in the postoperative care plan for a patient who had surgery for benign prostatic hyperplasia (BPH)?

Restoration of urinary control

Which condition would the nurse anticipate, concerning an older patient who states that they have no problems with urinary elimination except that the "stream is less than it used to be"?

Benign prostatic hyperplasia

Match each method of prostate cancer metastasis to the part of the body most likely affected.

Seminal vesicles Direct extension Pelvic bones Bloodstream Lymph nodes Lymph system

Which response would the nurse provide for a male patient who states, "The health care provider said that I have a stage II prostate cancer tumor, but I don't understand what that means"?

"A stage II tumor is one that can be felt during a digital rectal exam."

Which response would the nurse give to a patient with prostate cancer who asks if his pain will be gone once treatment begins?

"An overall goal of your care is that you have an acceptable measure of control over the pain."

Match each treatment to the type of testicular cancer it is used to treat.

Seminoma Radiation therapy Testicular germ cell tumors Chemotherapy Advanced testicular cancer Retroperitoneal lymph node dissection

Which response would the nurse give a patient who asks if contraception is needed after his vasectomy?

"Contraception will be needed until a semen examination reveals that no sperm are present."

Which factor can cause orchitis? Select all that apply. One, some, or all responses may be correct.

Trauma Influenza Epididymitis Catheterization

Which response would the nurse offer to a patient with questions about what to expect regarding his ability to control his urine after benign prostatic hyperplasia (BPH) surgical treatment? Select all that apply. One, some, or all responses may be correct.

"Drink at least 2 to 3 L of fluid per day." "Try to avoid bladder irritants such as caffeine and alcohol." "You may not have your usual bladder capacity for up to two months."

Which patient statement indicates effective teaching about the use of cryotherapy to treat prostate cancer?

"It uses probes to deliver liquid nitrogen into the prostate."

Which patient teaching would the nurse provide to a man receiving treatment for hypogonadism? Select all that apply. One, some, or all responses may be correct.

"Make sure children do not touch the transdermal testosterone patch." "Wash your hands with soap and water after applying the transdermal testosterone patch to the skin."

Which response would the nurse offer the patient who questions the value of sexual counseling as part of treatment for erectile dysfunction (ED)?

"Sexual counseling would be especially valuable because your ED has a psychologic component."

Which response would the nurse give to a patient who asks what might have increased his risk for benign prostatic hyperplasia (BPH)?

"Smoking can increase one's risk for BPH."

Which explanation would the nurse give to a patient who is confused about how a medicated urethral system for erection (MUSE) device can be used to treat erectile dysfunction (ED)?

"The MUSE device is used to insert medication pellets into the urethra."

Which response would the nurse give a patient diagnosed with benign prostatic hyperplasia (BPH) who is confused by having both symptoms of urgency and difficulty starting a urine stream?

"The urgency is probably caused by an infection. An enlarged prostate is making it hard to start a stream."

Which response would the nurse provide to a patient who asks what might happen if he does not have treatment for benign prostatic hyperplasia (BPH)? Select all that apply. One, some, or all responses may be correct.

"You may develop a urinary tract infection (UTI) from bacteria that grow in urine that remains in your bladder." "You could develop sepsis." "If your BPH is not treated, you could develop a kidney infection." "You could experience kidney failure if you don't get treatment for your BPH."

Which response would the nurse give to a patient with prostate cancer who asks how androgen deprivation therapy works?

"Your androgen deprivation therapy blocks the receptors of the sex hormones that contribute to tumor growth."

For which timeframe are antibiotics used for acute bacterial prostatitis?

4 weeks

Which information would the nurse provide a patient undergoing treatment for benign prostatic hyperplasia (BPH) who states, "The health care provider mentioned two types of drugs, 5α-reductase inhibitors and α-adrenergic receptor blockers, but I don't understand the difference"? Select all that apply. One, some, or all responses may be correct.

5α-Reductase inhibitors reduce the size of the prostate gland. Both medications decrease the obstruction caused by BPH, but through different mechanisms. α-Adrenergic receptor blockers relax the smooth muscle of the prostate that surrounds the urethra. 5α-Reductase inhibitors help reduce androgens from working on the prostate, which is the reason for the enlargement.

Men in which age group are most likely to show signs of benign prostatic hyperplasia (BPH)?

60s

Which additional information may indicate that a patient who reports fever, dysuria, and cloudy urine may be something other than a urinary tract infection (UTI)?

A very tender prostate gland

Which sign or symptom suggests that a patient may have testicular cancer? Select all that apply. One, some, or all responses may be correct.

Acute pain Scrotal swelling Painless lump in the scrotum Dull ache in the lower abdomen

Which intervention would the nurse add to the care plan after a patient reports having bladder spasms following surgery for benign prostatic hyperplasia (BPH)? Select all that apply. One, some, or all responses may be correct.

Administer belladonna and opium suppository. Teach the patient deep breathing relaxation exercises. Teach the patient not to urinate around the catheter.

Which information would the nurse provide a patient and his spouse who are concerned about sexual changes following a transurethral resection of the prostate (TURP)?

Although sexual outcomes may vary, retrograde ejaculation is expected following TURP.

The nurse would assess for the use of which medication when asked by a patient why they have a new onset of erectile dysfunction?

Amitriptyline

Match each category of prostatitis with its description.

Commonly caused by Escherichia coli and Pseudomonas Acute bacterial prostatitis Most common reason for recurrent urinary tract infection in men Chronic bacterial prostatitis Usually diagnosed during evaluation of other genitourinary tract problems Asymptomatic inflammatory prostatitis No obvious infectious process Chronic prostatitis/chronic pelvic pain syndrome

Which action would the nurse take to care for a patient receiving bladder irrigation following surgery for benign prostatic hyperplasia (BPH)?

Assess for the presence of bladder spasms.

Which instruction would the nurse include in the teaching plan for a patient after a transurethral resection of the prostate (TURP)?

Avoid straining during defecation.

Which meal selected by the patient indicates that the nurse successfully taught a young adult with a family history of prostate cancer about diet factors associated with prostate cancer?

Baked chicken, peas, apple slices, and skim milk

Match each medical condition to its description.

Congenital condition Hypospadias Related to poor hygiene Phimosis Urologic emergency Paraphimosis

Which characteristic describes one aspect of the use of brachytherapy to treat prostate cancer?

Can cause erectile dysfunction

Which treatment is the definitive treatment for phimosis?

Circumcision

For which purpose is the American Urological Association Symptom Index (AUA-SI) used to assess benign prostatic hyperplasia (BPH)?

Determining the extent of symptoms

Which procedure is used to diagnose a patient with benign prostatic hyperplasia (BPH)?

Digital rectal exam

Which regular screening would the patient require to monitor the progression of a decreased urinary stream suggestive of benign prostatic hyperplasia (BPH)?

Digital rectal examination (DRE)

Which diagnostic test would the nurse anticipate being utilized for a patient with suspected erectile dysfunction (ED)? Select all that apply. One, some, or all responses may be correct.

Digital rectal examination (DRE) Duplex Doppler ultrasound studies Nocturnal penile tumescence and rigidity testing

Which condition in young men is often caused by gonorrhea and chlamydial infection?

Epididymitis

Which condition can be initially diagnosed using a self-administered assessment?

Erectile dysfunction

The nurse would discuss which condition as a possible complication of a radical prostatectomy? Select all that apply. One, some, or all responses may be correct.

Erectile dysfunction Urinary incontinence Urinary retention Lymphocele

Which approach would be recommended for evaluating male infertility when a couple in their 30s has not been able to conceive after 1 year of trying?

Evaluate the male and female partners at the same time.

Which diagnostic technique would the nurse anticipate after all other diagnostic options for prostatitis have been exhausted?

Expressed prostate secretion

Which information would the nurse include when teaching a patient about how radiation therapy is used to treat prostate cancer?

External beam radiation treatment lasts less than 1 hour per session.

Which symptom is a common manifestation of acute prostatitis? Select all that apply. One, some, or all responses may be correct.

Fever Chills Urinary frequency Urinary urgency

In which way is the Gleason score used to determine the extent of prostate cancer?

Grading the tumor based on glandular differentiation

Which term is used to describe the condition that occurs when the urethral meatus is on the ventral surface of the penis?

Hypospadias

The nurse would include which potential complication when discussing the use of penile implants with the patient with erectile dysfunction?

Infection

Match the advantage to each benign prostatic hyperplasia (BPH) treatment.

Laser enucleation of the prostate Comparable results to TURP and PVP Prostatic urethral lift (PUL) Minimal urinary incontinence Transurethral needle ablation (TUNA) Very little pain Transurethral vaporization of prostate (TUVP) Minimal sloughing

Which factor explains why Black men may have more advanced prostate cancer at the time of diagnosis than men from other ethnic groups?

Less access to screening measures

Match each type of testicular cancer to its characteristic.

Less than 10% of testicular cancers Non-germ cell tumors Most common Seminoma Very aggressive Nonseminoma

Which outcome is a long-term effect of low testosterone in hypogonadism? Select all that apply. One, some, or all responses may be correct.

Loss of muscle mass and strength Increased risk for falls and fractures

Which information obtained during an assessment would alert the nurse to the possibility of prostate cancer rather than other conditions, such as benign prostatic hyperplasia (BPH)?

Low back pain radiating to the legs

Which symptom would the nurse recognize as a manifestation of advanced testicular cancer? Select all that apply. One, some, or all responses may be correct.

Lower back pain Chest pain Dyspnea Cough

Which teaching point would the nurse include when caring for a patient with prostate cancer and an indwelling catheter?

Maintain a high fluid intake.

Which statement would explain why a man with hypogonadism is experiencing mood swings?

Mood swings are a side effect of intramuscular testosterone replacement therapy.

Which therapy is the gold standard for androgen deprivation when treating patients with prostate cancer?

Orchiectomy

The development of which condition is a challenge of androgen deprivation therapy? Select all that apply. One, some, or all responses may be correct.

Osteoporosis Tumor resistance Coronary artery disease High serum cholesterol levels

Which symptom is a clinical manifestation of prostate cancer? Select all that apply. One, some, or all responses may be correct.

Pain in the lumbosacral area Pain in the legs Lower urinary tract symptoms

Which action is the first step in diagnosing testicular cancer?

Palpation of the scrotal contents

Which condition results in curvature of the penis during erection?

Peyronie disease

Which step would the nurse anticipate being taken to diagnose erectile dysfunction (ED)?

Physical assessment

Which treatment would the nurse anticipate for a patient with erectile dysfunction who is taking nitroglycerin? Select all that apply. One, some, or all responses may be correct.

Physical assessment Intraurethral device Vacuum erection device Intracavernosal self-injection

Which variable is usually the cause of continual symptoms of erectile dysfunction with a gradual onset?

Physiologic

Which condition will active surveillance be used for in a patient with prostate cancer?

Presence of a low-grade tumor

Which consideration guides the treatment of benign prostatic hyperplasia (BPH)?

Presence of complications

Which phrase explains how luteinizing hormone-releasing hormone (LHRH) agonists work to treat prostate cancer?

Produce a chemical castration

Which information is important to provide to a patient with advanced prostate cancer who is undergoing androgen deprivation therapy (ADT)? Select all that apply. One, some, or all responses may be correct.

Prostate cancer growth is dependent on androgens. A combination of medications can provide complete androgen blockage. Luteinizing hormone-releasing hormone (LHRH) agonists inhibit androgen production. Androgen receptor blockers compete with circulating androgens at the receptor sites.

Which action describes how 5α-reductase inhibitors treat BPH?

Reducing the size of the prostate gland

Which condition is a potential complication of benign prostatic hyperplasia (BPH)? Select all that apply. One, some, or all responses may be correct.

Renal failure Urinary tract infection Bladder calculi formation

Which condition increases the risk of cancer of the penis?

Uncircumcised

Which outcome would allow the nurse to determine that the overall goals have been achieved when caring for a patient with prostate cancer who is confused by his ongoing sexual and bladder issues?

Understands why the treatment is impacting his sexual function

Which diagnostic finding would the nurse anticipate when a patient reports nocturia, hesitancy starting a urinary stream, and a positive family history of prostate cancer?

Unilaterally hard, enlarged prostate

Which condition contributes to cases of infertility?

Varicocele

Which condition is the most common testicular cause of infertility?

Varicocele

Which condition would the nurse suspect if the scrotum feels wormlike on palpation?

Varicocele

Which information would the nurse include when teaching a patient about familial prostate cancer?

When 2 or more first-degree relatives have prostate cancer.