NURS 309 Quiz 6 Male Reproductive
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? A. Red meat B. Fish C. Watermelon D. Oatmeal
B. Fish
A patient reports having erectile dysfunction and is seeking a prescription for sildenafil. Because of the potential for dangerous drug-drug interactions, the nurse asks the patient specifically if he takes which type of medication? A. NSAIDs B. Nitrates C. Opioids D. Antilipemics
B. Nitrates
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? A. "The health care provider will call you about the test results" B. "Serious infections may occur as a complication of this test" C. "You will need to call the health care provider if you develop fever or chills" D. "It is normal to have a small amount of rectal bleeding after the test"
C. "You will need to call the health care provider if you develop fever or chills"
Which man has the highest risk for prostate cancer? A. A 65-year-old Caucasian American man who has two cousins with prostate cancer B. A 45-year-old Asian American man with a history of benign prostatic hyperplasia C. A 55-year-old Hispanic American man who has poor dietary practices D. A 75-year-old African American man whose brother had prostate cancer
D. A 75-year-old African American man whose brother had prostate cancer
The patient has a continuous bladder irrigation via a three-way urinary catheter. At 0700, the urine drainage bag was emptied and 1,000 mL of irrigation fluid was hung. At 1100, 350 mL of irrigation fluid has been administered through the catheter. The urinary drainage bag now contains 600 mL. How many mL of urine has the patient produced in the past 4 hours? ________ mL
250 mL
During the first 24 hours after prostatectomy, what is the priority concern? A. Hemorrhage B. Infection C. Hydronephrosis D. Confusion
A. Hemorrhage
A patient is undergoing large-volume bladder irrigation. During and after the procedure, the nurse observes the patient for confusion, muscle weakness, and increased gastrointestinal motility related to which potentially adverse effect of large-volume irrigation? A. Hyponatremia B. Hypovolemia C. Hypokalemia D. Hypotension
A. Hyponatremia
A client who has just returned to the surgical unit after a transurethral resection of the prostate (TURP) reports acute bladder spasms. In which order will the nurse perform these prescribed actions? A. Administer acetaminophen/oxycodone 325 mg/5 mg B. Irrigate the retention catheter with 30 to 50 mL of sterile normal saline C. Infuse 500 mL of 5% dextrose in lactated Ringer's solution over 2 hours D. Offer the client oral fluids to at least 2500 to 3000 mL/day
B, A, C, D
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? A. Edema B. Dysuria C. Retention D. Suppression
C. Retention
What are common sites of metastasis for prostate cancer? SATA A. Pancreas B. Bones of the pelvis C. Liver D. Lumbar spine E. Lungs F. Kidneys
B. Bones of the pelvis C. Liver D. Lumbar spine E. Lungs
The nurse notes that the patient has just started taking an alpha-blocker medication to treat benign prostatic hyperplasia. What instruction, related to the medication side effects, will the nurse give to unlicensed assistive personnel who will assist the patient with activities of daily living? A. Frequently offer the patient the urinal B. Have him sit up slowly and pause before standing C. Remind the patient to drink plenty of extra fluids D. Frequently check the linens for soiling and moisture
B. Have him sit up slowly and pause before standing
A client who had a suprapubic prostatectomy returns from the postanesthesia care unit and accidently pulls out the urethral catheter. What should the nurse do first? A. Reinsert a new catheter B. Notify the health care provider C. Check for bleeding by irrigating the suprapubic tube D. Take no immediate action if the suprapubic tube is draining
B. Notify the health care provider
The nurse is interviewing a patient to determine the presence of lower urinary tract symptoms associated with benign prostatic hyperplasia. Which questions would the nurse ask? SATA A. "Do you have difficulty starting and continuing urination?" B. "Have you ever had a testicular infection?" C. "Do you have reduced force and size of the urinary stream?" D. "Have you noticed dribbling or leaking after urinating?" E. "How many times do you have to get up during the night to urinate?" F. "Have you noticed blood at the start or at the end of urinating?"
A. "Do you have difficulty starting and continuing urination?" C. "Do you have reduced force and size of the urinary stream?" D. "Have you noticed dribbling or leaking after urinating?" E. "How many times do you have to get up during the night to urinate?" F. "Have you noticed blood at the start or at the end of urinating?"
A young patient is 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? A. Arrangements for sperm storage should be made as soon as possible after diagnosis B. Sperm collection should be completed after radiation therapy or chemotherapy C. Two or three samples should be collected 6 days apart D. Saving sperm helps to alleviate fears related to erectile dysfunction
A. Arrangements for sperm storage should be made as soon as possible after diagnosis
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 postanesthesia care unit? A. Cystostomy B. Nasogastric C. Nephrostomy D. Ureterostomy
A. Cystostomy
The nurse is caring for a patient who had minimally invasive surgery for testicular cancer. The nurse is also caring for a patient who had an open radical retroperitoneal lymph node dissection for testicular cancer. The nurse anticipates that the second patient has greater risk for which conditions? A. Paralytic ileus B. Urinary incontinence C. Lower urinary tract symptoms D. Fluid overload
A. Paralytic ileus
The patient had a transurethral resection of the prostate (TURP) several days ago, and the urinary catheter was removed 6 hours ago. Which sign/symptom must be resolved before the patient is discharged? A. Patient has not voided since the catheter was removed B. Patient reports a burning sensation with urination C. Patient reports dribbling and leakage since catheter was removed D. Patient reports anxiety related to sexual function because of TURP
A. Patient has not voided since the catheter was removed
The nurse is giving discharge instructions to a patient who had a transurethral resection of the prostate. What does the nurse include in the instructions? A. Reassurance that loss of control of urination or dribbling of urine is temporary B. Instructions about how to apply a condom catheter and monitor for skin breakdown C. Advice about how to control bleeding and passage of blood clots D. Information about the side effects related to aminocaproic acid
A. Reassurance that loss of control of urination or dribbling of urine is temporary
After a radical prostatectomy, a client is ready to be discharged. Which nursing action included in the discharge plan should be assigned to an experienced LPN/LVN? A. Reinforcing the client's need to check his temperature daily B. Teaching the client how to care for his retention catheter C. Documenting a discharge assessment in the client's chart D. Instructing the client about the prescribed narcotic analgesic
A. Reinforcing the client's need to check his temperature daily
A patient had a transrectal ultrasound with biopsy. After this procedure, what does the nurse instruct the patient to do? A. Report fever, chills, bloody urine, and any difficulty voiding B. Limit fluid intake for several hours after the procedure C. Expect decreased urine output for 24 hours after the procedure D. Expect some mild perineal and abdominal pain
A. Report fever, chills, bloody urine, and any difficulty voiding
The advanced practice nurse is performing a testicular exam on a young Caucasian male patient. The practitioner finds a hard, painless lump. This finding is considered the most common manifestation of which disease or disorder? A. Testicular cancer B. Erectile dysfunction C. Prostate cancer D. Epididymitis
A. Testicular cancer
The nurse teaches a patient with benign prostatic hyperplasia to follow which instructions? SATA A. Take diuretics B. Avoid sexual intercourse C. Avoid antihistamine D. Avoid caffeine E. Avoid drinking large amounts of fluid in a short time F. Void when the urge occurs
C. Avoid antihistamine D. Avoid caffeine E. Avoid drinking large amounts of fluid in a short time F. Void when the urge occurs
A patient who has testicular cancer is likely to have which common problem? A. Priapism B. Erectile dysfunction C. Azoospermia D. Cryptoorchidism
C. Azoospermia
The nurse is reviewing the laboratory results for a patient with prostate cancer. Which laboratory result suggests metastasis to the bone? A. Decreased alpha fetoprotein B. Increased blood urea nitrogen C. Elevated serum alkaline phosphatase D. Decreased serum creatinine
C. Elevated serum alkaline phosphatase
Which nursing action can best prevent infection from a urinary retention catheter? A. Cleansing the perineum B. Encouraging adequate fluid intake C. Irrigating the catheter once daily D. Cleansing around the meatus routinely
D. Cleansing around the meatus routinely
A patient is prescribed leuprolide, a luteinizing hormone-releasing hormone agonist, for treatment of a prostate tumor. What possible side effect of this medication does the nurse advise the patient about? A. Nipple discharge B. Scrotal enlargment C. Fragility of the skin D. Erectile dysfunction
D. Erectile dysfunction
The nurse is preparing to assess an obese patient who reports subjective symptoms and urinary patterns associated with benign prostatic hyperplasia. Which technique does the nurse use to preform the physical assessment? A. Instruct the patient to undress from the waist down, then inspect and palpate the bladder B. Have the patient drink several large glasses of water and percuss the bladder C. Apply gentle pressure to the bladder to elicit urgency, then instruct the patient to void D. Instruct the patient to void and then use the bedside ultrasound bladder scanner
D. Instruct the patient to void and then use the bedside ultrasound bladder scanner
A patient had a transurethral resection of the prostate and has a three-way urinary catheter taped to the left thigh. What does the nurse instruct about the position of the left leg? A. Maintain slight abduction B. Maintain slight flexion of the hip C. Keep the leg elevated D. Keep the leg straight
D. Keep the leg straight
The day after a radical prostatectomy, a 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 the nurse take first? A. Irrigate the catheter with 50 mL of sterile saline B. Administer oxybutynin 5 mg orally C. Apply warm packs to the right calf D. Measure oxygen saturation using pulse oximetry
D. Measure oxygen saturation using pulse oximetry
An older adult patient had a transurethral resection of the prostate at 0800. At 1500, the nurse assess the patient. Which findings does the nurse report to the health care provider? A. Patient reports a continuous urge to void B. Patient keeps attempting to void around catheter C. Patient wants to get out of bed D. Patient keeps moving and ketchup-like urine output is noted
D. Patient keeps moving and ketchup-like urine output is noted
A patient is receiving internal radiation therapy (brachytherapy) and has had a low-dose radiation seed implanted directly into the prostate gland. What nursing implication is related to this therapy? A. Ensure that any staff member or visitor who is pregnant is not exposed to the patient B. Organize the nursing care so that exposure to the patient is limited to a few minutes C. Instruct all staff that all urine specimens should be immediately discarded D. Teach the patient that fatigue is common but should pass after several months
D. Teach the patient that fatigue is common but should pass after several months
The nurse obtains the following assessment data about a client who has had a transurethral resection of the prostate (TURP) and has continuous bladder irrigation. Which finding indicates the most immediate need for nursing intervention? A. The client states he feels a continuous urge to void B. The catheter drainage is light pink with occasional clots C. The catheter is tape to the client's thigh D. The client reports painful bladder spasms
D. The client reports painful bladder spasms
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 monitored to follow the course of the disease? A. Serum creatinine B. Blood urea nitrogen C. Nonprotein nitrogen D. Prostate-specific antigen
D. Prostate-specific antigen
The nurse notes bright-red blood with numerous colts in the urinary drainage bag for a patient who had a transurethral resection of the prostate. Besides notifying the surgeon, what is the nurse's best action? A. Irrigate the catheter with normal saline per protocol B. Remove the urinary catheter and save the tip to culture C. Start an IV infusion and draw blood for type and cross D. Empty the drainage bag and record the appearance of output
A. Irrigate the catheter with normal saline per protocol
What are common serum tumor markers that confirm a diagnosis of testicular cancer? SETA A. Lactate dehydrogenase B. Early prostate cancer antigen C. Glutathione S-transferase D. Alpha-fetoprotein E. Beta human chorionic gonadotropin F. BRCA1 or BRCA2 mutations
A. Lactate dehydrogenase D. Alpha-fetoprotein E. Beta human chorionic gonadotropin
A patient had a transrectal ultrasound with biopsy earlier in the day. What urine characteristics does the nurse expect to see? A. Light pink urine B. Bright red urine C. Dark urine with small clots D. Very pale yellow urine
A. Light pink urine
The nurse sees that the patient is taking tamsulosin. Which question would the nurse ask to determine if the medication is achieving the desired therapeutic effect? A. "Are you still having trouble passing urine?" B. "Does your urine have a strong odor or appear cloudy?" C. "Are you having any problems with achieving an erection?" D. "Have you had a green or yellow discharge from your penis?"
A. "Are you still having trouble passing urine?"
The nurse is taking a health history on a patient with organic erectile dysfunction. What are possible causes of this condition? SATA A. Medications for hypertension B. Obesity C. Thyroid disorders D. Diabetes mellitus E. Diverticulitis F. Smoking and alcohol
A. Medications for hypertension C. Thyroid disorders D. Diabetes mellitus F. Smoking and alcohol
The nurse is teaching a patient about self-care following an open radical prostatectomy. What does the nurse include in the health teaching? SATA A. Teach how to care for the indwelling catheter and manifestations of infection B. Instruct to walk short distances C. Instruct to have prostate-specific antigen testing 12 weeks after surgery and then once a year D. Advise to maintain an upright position and not walk bent or flexed E. Advise to shower rather than soak in a bathtub for the first 2-3 weeks F. Teach to use enemas or laxatives as needed to prevent straining
A. Teach how to care for the indwelling catheter and manifestations of infection B. Instruct to walk short distances D. Advise to maintain an upright position and not walk bent or flexed E. Advise to shower rather than soak in a bathtub for the first 2-3 weeks
A patient has an enlarged prostate. Which procedure does the nurse anticipate that the health care provider will order to test for bladder outlet obstruction? A. Urodynamic pressure-flow study B. Bladder scan C. Transrectal ultrasound D. Computer tomography scan
A. Urodynamic pressure-flow study
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? A. Use sterile equipment B. Instill the fluid under high pressure C. Warm the solution to body temperature D. Aspirate immediately to ensure return flow
A. Use sterile equipment
The nurse is interviewing a patient with erectile dysfunction. Which question would the nurse ask to assist the health care provider in differentiating the etiology as organic versus functional? A. "Have you ever had an elevated prostate specific antigen level?" B. "Do you ever have nocturnal emissions or morning erections?" C. "Have you tried any medications or therapies for erectile dysfunction?" D. "Do you have trouble passing urine or starting the stream?"
B. "Do you ever have nocturnal emissions or morning erections?"
An older patient's wife is very upset because "my husband was just told he had prostate cancer. He feels fine now, but the doctor told him to watch and wait. Why are we just watching? What are we supposed to do?" What is the nurse's best response? A. "Prostate cancer is slow growing. Your husband needs regular prostate specific antigen testing; I'll give you a list of symptoms to watch for." B. "This is very upsetting news. Let's sit down and talk about how you feel and then I will have the doctor talk to you again." C. "It's okay, don't be upset. This is a very common way to handle prostate cancer for men who are your husband's age." D. "I can get you some information about prostate cancer. this will help you understand why the doctor said this to your husband."
A. "Prostate cancer is slow growing. Your husband needs regular prostate specific antigen testing; I'll give you a list of symptoms to watch for."
A patient needs surgical intervention for an enlarged prostate but also needs to maintain his anticoagulant therapy. Which brochure would be the most appropriate to prepare for the patient? A. "Talking to Your Doctor About Holmium Laser Enucleation of the Prostate" B. "Transurethral Resection of the Prostate: The Traditional Treatment" C. "Is Laparoscopic Radical Prostatectomy with Robotic Assistance Right for You?" D. "Common Questions About the Open Surgical Technique for Radical Prostatectomy"
A. "Talking to Your Doctor About Holmium Laser Enucleation of the Prostate"
The emergency department nurse receives change-of-shift report about four clients. Which one should be assessed first? A. A 19-year-old client with scrotal swelling and severe pain that has not decreased with elevation of scrotum B. A 25-year-old client who has a painless indurated lesion on the glans penis C. A 44-year-old client with an elevated temperature, chills, and back pain associated with recurrent prostatitis D. A 77-year-old client with abdominal pain and acute bladder distension
A. A 19-year-old client with scrotal swelling and severe pain that has not decreased with elevation of scrotum
Which conditions meet the criteria for having a surgical intervention for benign prostatic hyperplasia? SATA A. Acute urinary retention B. Hydronephrosis C. Acute urinary tract infection that does not respond to first-line antibiotics D. Recurrent kidney stones E. Hematuria F. Chronic urinary tract infections secondary to residual urine in the bladder
A. Acute urinary retention B. Hydronephrosis E. Hematuria F. Chronic urinary tract infections secondary to residual urine in the bladder
The nurse is teaching a patient who had an open retroperitoneal lymph node dissection. What instructions does the nurse give to the patient? SATA A. Do not lift anything over 15 lb B. Limit intake of fluids to 1000 mL per day C. Do not drive a car for several weeks D. Perform monthly testicular self-examination on the remaining tests E. Have follow-up diagnostic testing for at least 3 years after the surgery F. Report fever, drainage, or increasing tenderness or pain around the incision
A. Do not lift anything over 15 lb C. Do not drive a car for several weeks D. Perform monthly testicular self-examination on the remaining tests E. Have follow-up diagnostic testing for at least 3 years after the surgery F. Report fever, drainage, or increasing tenderness or pain around the incision
A nurse is designing a teaching plan for a patient with an enlarged prostate with obstructive symptoms. What action could the patient preform that might help to relieve the obstruction? A. Increase frequency of sexual intercourse B. Void before going to bed and upon waking C. Urinate forcefully after drinking fluids D. Spread fluid intake throughout the day
A. Increase frequency of sexual intercourse
The patient is prescribed a broad-spectrum antibiotic for prostatitis. Which laboratory result indicates that the medication is having the desired therapeutic effect? A. Normalization of white cell count B. Decreased blood urea nitrogen level C. Increased red blood cell count D. Prostate-specific antigen within normal limits
A. Normalization of white cell count
An older patient is scheduled for an annual physical including a prostate-specific antigen (PSA) and a digital rectal examination (DRE). How are these two tests scheduled for the patient? A. PSA is drawn before the DRE is performed B. DRE is done several weeks before the PSA C. PSA is reviewed first because DRE may be unnecessary D. Both tests can be done at the convenience of the patient
A. PSA is drawn before the DRE is performed
What is the major advantage to tadalafil compared to other medications or treatments for erectile dysfunction? A. User is able to control erections B. Erection occurs more naturally C. There is no need to abstain from alcohol D. Sexual stimulation is not required
B. Erection occurs more naturally
Which sign/symptom is associated with advanced prostate cancer? A. Difficulty starting urination B. Swollen lymph nodes C. Frequent bladder infections D. Erectile dysfunction
B. Swollen lymph nodes
The nurse is talking to a 35-year-old African American man about prostate-specific antigen (PSA) testing. The patient tells the nurse that his father was diagnosed with prostate cancer in his 50s. What should the nurse tell the patient? A. "Although authorities do not always agree, PSA testing usually starts at age 50" B. "Your genetic and racial risk factors suggest testing should begin at age 45." C. "Because of our African American heritage, you should start testing now" D. "PSA testing can be started at any time for all males at any age"
B. "Your genetic and racial risk factors suggest testing should begin at age 45."
The nurse is caring for a 21-year-old client who had a left orchiectomy for testicular cancer on the previous day. Which nursing activity will be best to assign to an LPN/LVN? A. Educating the client about post-orchiectomy chemotherapy and radiation B. Administering the prescribed "as needed" (PRN) oxycodone to the client C. Teaching the client how to do testicular self-examination on the remaining testicle D. Assessing the client's knowledge level about post-orchiectomy fertility
B. Administering the prescribed "as needed" (PRN) oxycodone to the client
The nurse is caring for a client who has just returned to the surgical unit after a transurethral resection of the prostate (TURP). Which assessment finding will require the most immediate action? A. Blood pressure reading of 153/88 mm Hg B. Catheter that is draining deep red blood C. Client not wearing anti embolism hose D. Client report of abdominal cramping
B. Catheter that is draining deep red blood
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? A. Notify the health care provider and monitor for any inability to void or increasing pain B. Elevate the scrotum and penis; apply ice intermittently to the area for 24-48 hours C. Assist the patient to increase mobility, especially early ambulation D. Observe the urethral meatus for redness and discharge and monitor urine output
B. Elevate the scrotum and penis; apply ice intermittently to the area for 24-48 hours
The patient had several diagnostic tests to evaluate lower urinary tract symptoms. Which finding suggests that the patient may have kidney disease? A. Elevated white blood cell count B. Elevated serum creatinine C. Elevated red blood cell count D. Elevated prostate-specific antigen
B. Elevated serum creatinine
Which is the most important for the nurse to do when providing care to a client who had a transurethral resection of the prostate? A. Maintain patency of the cystostomy tube B. Ensure patency of the indwelling catheter C. Keep the abdominal dressing clean and dry D. Observe the wound for hemorrhage and infection
B. Ensure patency of the indwelling catheter
The nurse is reviewing the laboratory results from a patient being evaluated for lower urinary tract symptoms. What does an elevated prostate-specific antigen (PSA) level and serum acid phosphatase level in this patient indicate? A. Infection B. Prostate cancer C. Benign prostatic hyperplasia D. Infertility
B. Prostate cancer
The health care provider tells the nurse that the patient needs testing for prostatitis. Which specimen needs to be obtained and sent to the laboratory? A. Blood sample for serum creatinine B. Prostatic fluid for culture and sensitivity C. Semen sample to test for sperm count D. Blood sample for prostate specific antigen
B. Prostatic fluid for culture and sensitivity
A patient tells the nurse that he was diagnosed with benign prostatic hyperplasia. Based on this diagnosis, which symptom is the patient most likely to report? A. Pain in the scrotum B. Trouble passing urine C. Erectile dysfunction D. Constipation
B. Trouble passing urine
The nurse is caring for a patient who is taking finasteride, a 5-alpha reductase inhibitor. What question would the nurse ask to determine if the medication is having the desired therapeutic effect? A. "Have you had any discharge from your penis?" B. "Has your libido returned to the way it was before?" C. "Are you having any problems with urination?" D. "Have you gotten any relief from the testicular pain?"
C. "Are you having any problems with urination?"
The nurse reads in the patient's chart that the patient had a transurethral needle ablation. Which question would the nurse ask the patient to determine if the procedure achieved the intended therapeutic goal? A. "Did the pain resolve completely after the procedure?" B. "Are you able to achieve and sustain an erection?" C. "Have your problems with urination been resolved?" D. "Have you had a follow-up prostate-specific antigen level?"
C. "Have your problems with urination been resolved?"
The nurse is talking to a patient who had the relatively new procedure, prostate artery embolization. Which patient report indicates that the intended goal of therapy has been met? A. "My problem with ejaculation is much better" B. "I used the sperm bank and now I'm less anxious" C. "I am not having any more urinary symptoms" D. "My doctor said the prostate-specific antigen was good"
C. "I am not having any more urinary symptoms"
A patient reports having uncomfortable and unsettling episodes of "hot flashes" after receiving hormonal therapy for a prostate tumor. To alleviate this symptom, the nurse would obtain an order for which medication? A. Bisphosphonate drug such as pamidronate B. Antiandrogen drug such as biculatamide C. Hormonal inhibitor drug such as megestrol acetate D. Antimuscarinic agents such as tolterodine
C. Hormonal inhibitor drug such as megestrol acetate
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 patient? A. How to perform testicular self-examination B. How to manage a permanent suprapubic catheter C. How to perform Kegel perineal exercises D. How to use dietary modifications to acidify the urine
C. How to perform Kegel perineal exercises
What should the nurse do to obtain an accurate urine output for a client with a continuous bladder irrigation? (CBI) A. Measure the contents of the bedside drainage bag B. Stop the irrigation and determine the urine output C. Subtract the volume of irrigant from the total drainage D. Ensure the urine and irrigant drain into two separate bags
C. Subtract the volume of irrigant from the total drainage
The nurse is reviewing prostate-specific antigen (PSA) results for a patient who had a prostatectomy for prostate cancer several months ago. The PSA level is 40 ng/mL. How does the nurse interpret this data? A. At this stage, PSA level of 40 ng/mL is expected B. The cancer was completely removed C. The cancer is most likely recurring D. Prostate irrigation and infection are present
C. The cancer is most likely recurring
A client is admitted to the hospital with a tentative diagnosis of urinary retention related to benign prostatic hyperplasia. There is a 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 for the client's safety? A. Secure an order for wrist restraints B. Orient the client to time, place, and person C. Involve family members in the client's care D. Determine if any unsafe behavior patterns exist
D. Determine if any unsafe behavior patterns exist
The nurse is using the International Prostate Symptom Score to assess a patient. Which data does the nurse intend to obtain through the use of this assessment tool? A. Patient's attitudes and beliefs about prostate surgery B. Pattern of growth of prostate and correlation with symptoms C. Data in aggregate that can be used for prostate research D. Effect of urinary symptoms on the quality of life
D. Effect of urinary symptoms on the quality of life
The advanced-practice nurse is preparing to examine a patient's prostate gland. Before the exam, what does the nurse tell the patient? A. He may feel the urge to defecate or faint as the prostate is palpated B. He should lie supine with knees bent in a fully flexed position C. The examination is very painful, but it only lasts a few seconds D. The gland will be massaged to obtain a fluid sample for possible prostatitis
D. The gland will be massaged to obtain a fluid sample for possible prostatitis
A client with benign prostatic hyperplasia has a new prescription for tamsulosin. Which statement about tamsulosin is most important to include when teaching this client? A. "This medication will improve your symptoms by shrinking the prostate" B. "The force of your urinary stream will probably increase" C. "Your blood pressure might decrease as a result of taking this medication" D. "You should avoid sitting up or standing up too quickly"
D. "You should avoid sitting up or standing up too quickly"
A patient had undergone external beam radiation therapy (EBRT) for palliative treatment of prostate cancer. What suggestions does the nurse make to help the patient manage acute radiation cystitis secondary to ERBT? A. Limit intake of water and other fluids B. Avoid consumption of caffeinated drinks C. Increase consumption of dairy products D. Wash genitals with mild soap and water
B. Avoid consumption of caffeinated drinks
The nurse is giving instructions to unlicensed assistive personnel (UAP) about hygienic care for an older adult patient who is uncircumcised. What does the nurse instruct the UAP to do? A. Defer cleaning the penis because of patient embarrassment B. Replace the foreskin over the penis after bathing C. Observe the penis and the foreskin for redness or odor D. Avoid touching the foreskin because of hypersensitivity
B. Replace the foreskin over the penis after bathing
A nurse is caring for a client with a continuous bladder irrigation. Which is the most important nursing action? A. Monitoring urinary specific gravity to determine hydration B. Subtracting irrigant from output to determine urine volume C. Recording urinary output every hour to determine kidney function D. Obtaining a 24-hour urine specimen to determine urine concentration
B. Subtracting irrigant from output to determine urine volume
The nurse is talking with an older patient who has benign prostatic hyperplasia. Which report by the patient requires emergent care? A. "I leak and dribble urine." B. "I have to get up at night to pee." C. "I can't pass my urine today." D. "I am passing dark yellow urine."
C. "I can't pass my urine today."
An older patient reports that he has an enlarged prostate with chronic urinary retention but declines to seek treatment because "it's been that way for a long time." The nurse would encourage a follow-up appointment to prevent which complication of this chronic condition? A. Prostate cancer B. Erectile dysfunction C. Hydronephrosis D. Testicular cancer
C. Hydronephrosis
A nurse is caring for a client with a diagnosis of benign prostatic hyperplasia (BPH). Which information about this condition is important for the nurse to consider when caring for the client? A. It is a congenital abnormality B. A malignancy usually results C. It predisposes to hydronephrosis D. An increase in the acid phosphatase level occurs
C. It predisposes to hydronephrosis
The patient has an indwelling catheter in place following a transurethral resection of the prostate. What instructions will the nurse give to the unlicensed assistive personnel regarding the catheter? A. Secure the catheter so there is no tension B. Irrigate the catheter to prevent clotting C. Maintain traction on the catheter D. Defer catheter care until the patient is discharged
C. Maintain traction on the catheter
The nurse is caring for an older patient who had an indwelling urinary catheter inserted after a transurethral resection of the prostate. The patient is intermittently confused, and picks at the IV tubing and the catheter. What should the nurse try first? A. Obtain an order to restrain the patient's hands and forearms B. Sedate the patient until the IV tube and catheter can be removed C. Inform the family that a family member will have to sit by the patient D. Give the patient a familiar object to hold, such as a family picture
D. Give the patient a familiar object to hold, such as a family picture