Deck 55: Caring Forclients With Disorders of the Male Reproductive System

Question 1

The physician orders an alpha-adrenergic blocker for a client with benign prostatic hypertrophy. The nurse understands that this drug acts to achieve which of the following?

A) Prevent urinary tract infections
B) Relieve urinary symptoms
C) Slow the prostatic enlargement
D) Block testosterone conversion

Answer 1

Relieve urinary symptoms

Question 2

Which of the following recommendations would a nurse advocate during infancy and childhood to help reduce potential adult complications such as orchitis?

A) Ensure immunizations against infectious diseases such as mumps.
B) Engage in activities and exercises that minimize heavy lifting.
C) Encourage the consumption of foods that are rich in fat and starch.
D) Urge the limited intake of foods and fluids containing caffeine.

Answer 2

Ensure immunizations against infectious diseases such as mumps.

Question 3

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

A) Apply a scrotal support
B) Prepare the client for surgery
C) Apply a dressing over the scrotum
D) Prepare the client for circumcision

Answer 3

Prepare the client for surgery

Question 4

Which of the following would a nurse include in a teaching plan for a client with benign prostatic hyperplasia who is not yet a candidate for surgery?

A) Maintaining optimal bladder emptying
B) Using appropriate coping to allay anxiety
C) Performing deep breathing exercises periodically
D) Doing leg exercises at least daily

Question 5

The nurse is obtaining a medication history from a client who is reporting erectile dysfunction. Which medication would the nurse identify as being least likely to contribute to the client's condition?

A) Spironolactone
B) Cimetidine
C) Ibuprofen
D) Methyldopa

Question 6

Which of the following would the nurse expect to find when assessing a client with phimosis?

A) Severe edema accompanied by chronic inflammation at the glans penis
B) Pain with erection and intercourse and difficulty cleaning under the foreskin
C) Painful swelling of the glans penis and prepuce
D) Urinary retention accompanied by burning sensations in the urinary tract

Question 7

A client with erectile dysfunction has opted to self-administer a urethral suppository as a means to produce an erection. Which of the following agents would most likely be used?

A) Sildenafil
B) Vardenafil
C) Alprostadil
D) Papaverine

Question 8

A client is diagnosed with stage II cancer of the prostate. The nurse interprets this as indicating which of the following?

A) Cancer is small with no symptoms.
B) Tumor is confined to the prostate gland.
C) Tumor has spread beyond the prostrate.
D) Tumor has expanded to the bladder.

Question 9

The nurse is preparing a presentation for a local community group about prostate cancer and possible dietary risk factors. Which of the following would the nurse most likely include?

A) High-iron
B) High-calorie
C) High fiber
D) High-fat diet

Question 10

After teaching a group of students about erectile dysfunction, the instructor determines that the teaching was successful when the students identify which of the following as true?

A) Erectile dysfunction is unrelated to anxiety or depression.
B) Erectile dysfunction is primarily a normal response to aging.
C) Erectile dysfunction may be due to testosterone insufficiency.
D) Erectile dysfunction rarely occurs in clients with diabetes mellitus.

Question 11

A client diagnosed with epididymitis is being discharged from the Emergency Department. Which of the following would be most important for the nurse to include as part of the client's discharge teaching?

A) "Apply ice to the top of your scrotum to help reduce the swelling."
B) "Engage in sexual intercourse frequently to help drain the area."
C) "If you have a fever, call the physician so he can order an antibiotic right away."
D) "Keep your scrotum elevated on a folded towel until the swelling goes down."

Question 12

A nurse is instructing a client in testicular self-examination. Which client statement indicates the need for additional teaching?

A) "I should do this exam at least once a week."
B) "A good place to do this is when I'm showering."
C) "It's normal for one testis to be larger than the other."
D) "My thumb goes on top and my index and middle fingers go under the testis."

Question 13

Which of the following would a nurse include in the teaching plan for a client who has had surgery for cancer of the testes?

A) Refraining from any sexual activity until impotency is ruled out.
B) Consuming a well-balanced diet with adequate fluids.
C) Measuring the quantity of urine for at least 3 months after surgery.
D) Masturbating regularly to drain the prostate gland.

Question 14

When assessing a client with benign prostatic hypertrophy, which of the following would the nurse expect the client to report as the initial complaint?

A) Urinary frequency
B) Increased effort to void
C) Narrowing of urinary stream
D) Nocturia

Question 15

Which of the following should nurses teach all men, especially those who have had cryptorchidism?

A) Need for blood tests to measure serum acid phosphatase levels.
B) Importance of regular monitoring of prostate-specific antigen (PSA) levels.
C) Need to undergo a baseline and follow up lymph node biopsies.
D) How to perform a testicular self-examination.

Question 16

After examination, a client is found to have a prostatic nodule and is scheduled for prostatic-specific antigen (PSA) testing. When reviewing the results, which of the following would indicate that the nodule is malignant?

A) 4 ng/mL
B) 7 ng/mL
C) 9 ng/mL
D) 12 ng/mL

Question 17

A client with erectile dysfunction who had a penile implant inserted has been taught how to identify malfunction of the device. Which of the following if stated by the client as indicative of malfunction would indicate to the nurse that the client has understood the teaching?

A) Erosion of penile or urethral tissue
B) Underinflation or bulging of the cylinders during inflation
C) Erosion of scrotal, bowel, or bladder tissue
D) Migration of the cylinders, pump, or reservoir from their intended location

Question 18

A client who comes to the clinic complaining of perineal pain, dysuria and fever is diagnosed with prostatitis. The nurse understands that which of the following organisms would be the most likely cause?

A) Staphylococcus
B) Streptococcus
C) Escherichia coli
D) Paramyxovirus

Question 19

A client who has had a right orchiectomy is scheduled to undergo a retroperitoneal lymph node dissection. The client states, "I'm afraid Iwill have problems with impotency afterwards." Which of the following responses would be most appropriate?

A) "Since you only had one testis removed, your sex drive and ability to have an erection should be preserved."
B) "It sounds like you're concerned that you won't be able to have children; maybe sperm banking is a possibility."
C) "I wouldn't worry about this. The most important thing is that you're alive and that you'll be cancer-free."
D) "There are plenty of drugs on the market that can help with this problem. Check with your physician."

Question 20

After teaching a client with prostatitis about care measures, which statement indicates successful teaching?

A) "My partner doesn't need to get treatment."
B) "I need to avoid sexual intercourse for a week."
C) "I might need to take the antibiotic for up to a month."
D) "Caffeine will help to flush the bacteria from my system."

Question 21

Which of the following would be most important to include in a teaching plan for a client who has had a vasectomy?

A) Using a reliable method of contraception for several weeks.
B) Applying warm compresses to the scrotum for the first 24 hours.
C) Taking a prescribed opioid analgesic for pain relief.
D) Resuming sexual activity in 24 to 48 hours.

Question 22

After teaching a group of student about structural abnormalities of the male reproductive system, the instructor determines that the teaching was successful when the students identify which of the following as an example?

A) Erectile dysfunction
B) Prostatitis
C) Cryptorchidism
D) Priaprism

Question 23

A client with testicular cancer is to receive chemotherapy with cisplatin.Which of the following would be most important for the nurse to ensure before the client receives his first dose?

A) Restrict oral fluids to 1000 mL/day
B) Obtain audiometric testing
C) Administer an antiemetic
D) Check the client's history for allergies