Question 1

Which of the following should the nurse instruct a client who is recovering from a vasectomy? (Select all that apply.)&#10;A) &#34;Use ice packs to control postoperative bleeding.&#34;&#10;B) &#34;Wear cotton jockey type briefs for scrotal support.&#34;&#10;C) &#34;Use warm sitz baths to aid in comfort.&#34;&#10;D) &#34;Recognize the signs and symptoms of postoperative infection.&#34;&#10;E) &#34;A vasectomy protects the client from sexually transmitted illnesses.&#34;&#10;F) &#34;Ejaculate will be reduced after the procedure.&#34;&#10;

Accepted Answer

&#34;Use ice packs to control postoperative bleeding.&#34;&#10;&#34;Wear cotton jockey type briefs for scrotal support.&#34;&#10;&#34;Use warm sitz baths to aid in comfort.&#34;&#10;&#34;Recognize the signs and symptoms of postoperative infection.&#34;

Question 2

A client, diagnosed with benign prostatic hyperplasia (BPH), should be instructed to do which of the following?&#10;A) &#34;Do nothing since this disorder does not require any follow-up.&#34;&#10;B) &#34;Decrease water intake to avoid dribbling.&#34;&#10;C) &#34;Void every 2 to 3 hours.&#34;&#10;D) &#34;Wear scrotal support.&#34;&#10;

Accepted Answer

Instructing the client to void every 2 to 3 hours can help relieve symptoms of BPH, as frequent emptying of the bladder decreases the chance of urine retention. A is incorrect because BPH does require follow-up to monitor symptoms and prevent complications. B is incorrect because decreasing water intake can lead to dehydration and worsen symptoms. D is incorrect because scrotal support does not have any impact on BPH symptoms.

Question 3

The nurse is assessing a client diagnosed with balanitis and posthitis. Which of the following will the nurse most likely assess in this client? (Select all that apply.)&#10;A) Penile discharge&#10;B) Hematuria&#10;C) Pain&#10;D) Erythema&#10;E) Flank pain&#10;F) Edema&#10;

Accepted Answer

Balanitis is inflammation of the glans penis, and posthitis is inflammation of the foreskin. Both conditions can cause symptoms such as penile discharge, pain, erythema (redness), and edema (swelling). Hematuria and flank pain are not specifically related to balanitis and posthitis.

Question 4

The nurse is instructing a client about testicular self-examination (TSE). Which of the following would not be included in these instructions?&#10;A) &#34;The testis should feel smooth and egg-shaped.&#34;&#10;B) &#34;Perform TSE after a bath or shower.&#34;&#10;C) &#34;TSE should be performed monthly by every male older than age&#10;D) &#34;Any lumps and changes in the testicles should be reported.&#34;&#10;40)&#34;&#10;

Accepted Answer

TSE is recommended for males over 14 years of age, but there is no upper age limit for performing it. However, there is no need for males over the age of 40 to perform it on a monthly basis. It is still important to be aware of the normal shape and size of the testicles and report any changes or abnormalities.

Question 5

A client is experiencing priapism. Which of the following should the nurse do first to help the client?&#10;A) Apply ice packs to the perineum.&#10;B) Prepare for emergency surgery.&#10;C) Prepare for an aspiration of blood from the penis.&#10;D) Apply heat to the perineum.&#10;

Accepted Answer

Priapism is a prolonged, painful erection that persists without sexual stimulation. The nurse should first apply ice packs to the perineum to reduce blood flow and decrease swelling. Emergency surgery or aspiration may be required if the priapism persists after initial interventions, but these interventions are not the first line of defense. Applying heat to the perineum can worsen swelling and should be avoided.

Question 6

The nurse is instructing a client diagnosed with acute prostatitis. Which of the following instructions would be the least beneficial to the client?&#10;A) &#34;Avoid alcohol and caffeine.&#34;&#10;B) &#34;Sex should be avoided during the acute phase.&#34;&#10;C) &#34;Sit for as long as you can.&#34;&#10;D) &#34;Sitz baths may provide comfort.&#34;&#10;

Accepted Answer

Sitting for prolonged periods of time can exacerbate symptoms of acute prostatitis. The client should be instructed to avoid sitting for long periods of time and to take frequent breaks to stand and stretch. Therefore, the instruction to "Sit for as long as you can" would be the least beneficial to the client. The other three options are all important instructions for the client with acute prostatitis.

Question 7

A client, recovering from a transurethral resection of the prostate (TURP) with a continuous bladder irrigation system to a three-way indwelling urinary catheter, tells the nurse he has to void. What nursing intervention should the nurse perform?

A) Call the physician.
B) Increase the flow of the irrigant.
C) Irrigate the catheter.
D) Tell the client to void.

Accepted Answer

The sensation of needing to void can be due to a blockage or clot in the catheter. Irrigating the catheter can help clear any obstruction and relieve the sensation.

Question 8

A client is diagnosed with a spermatocele. The nurse should instruct the client on which of the following?&#10;A) The use of heat to reduce the size of the inflamed area&#10;B) The potential need for surgery to correct the disorder&#10;C) The use of ice packs to reduce the size of the inflamed area&#10;D) The importance of using antibiotics to treat the disorder&#10;

Accepted Answer

Spermatoceles are cystic structures that contain sperm and fluid, and often require surgical removal to correct the disorder. Heat or ice packs would not be effective in reducing the size of the inflamed area, and antibiotics would not be used to specifically treat a spermatocele.

Question 9

The nurse is assessing a client who is experiencing erectile dysfunction. For which of the following should the nurse assess the client? (Select all that apply.)&#10;A) Diagnosis of diabetes mellitus&#10;B) Thyroid disease&#10;C) Chronic renal failure&#10;D) Multiple sclerosis&#10;E) Parkinson's disease&#10;F) Gastroesophageal reflux disease&#10;

Accepted Answer

Erectile dysfunction can be caused by various factors including diabetes mellitus, thyroid disease, chronic renal failure, multiple sclerosis, and Parkinson's disease. Gastroesophageal reflux disease is not a known cause of erectile dysfunction. Therefore, options A, B, C, D, and E are correct.

Question 10

A client who is 12 hours postoperative after a transurethral resection of the prostate (TURP) is concerned about the blood clots in the catheter and urinary collection bag. How should the nurse respond?

A) "I need to call your physician."
B) "I will need to stop the bladder irrigation."
C) "Blood clots are common during this time frame and will start to decrease in a day."
D) "You need to stop moving and irritating the catheter."

Accepted Answer

Blood clots are a common occurrence after a TURP procedure, and they can obstruct the catheter or urinary collection bag. The nurse should explain to the client that this is a normal occurrence and that the clots will decrease over time. The nurse should not stop the bladder irrigation, call the physician, or advise the client to stop moving and irritating the catheter without further assessment and orders from the physician.

Question 11

A client is diagnosed with epididymitis. The nurse should instruct the client on which of the following as treatment for the disorder? (Select all that apply.)&#10;A) Broad spectrum antibiotics&#10;B) NSAIDs&#10;C) Bed rest&#10;D) Elevate the scrotum&#10;E) Apply cold packs&#10;F) Apply heat&#10;

Accepted Answer

The answer of A client is diagnosed with epididymitis. The...

Question 12

The nurse is documenting the health history of a client diagnosed with benign prostatic hyperplasia (BPH). In which of the following areas would the nurse take a careful history?&#10;A) Bowel patterns&#10;B) Eating patterns&#10;C) Sleeping patterns&#10;D) Urinary patterns&#10;

Accepted Answer

The answer of The nurse is documenting the health history...

Question 13

A client is diagnosed with testicular torsion. Which of the following might be indicated for this client? (Select all that apply.)&#10;A) Manually untwist the testicle&#10;B) Orchiopexy&#10;C) Testicle removal&#10;D) Pain management&#10;E) Application of ice and a scrotal support&#10;F) Prescribe medication&#10;

Accepted Answer

The answer of A client is diagnosed with testicular torsion....

Question 14

A client is being screened for prostate cancer. What tests would be completed at this time?&#10;A) Digital rectal examination and transrectal ultrasonography&#10;B) Biopsy of the prostate and magnetic resonance imagery&#10;C) Complete blood cell count and prostate-specific antigen&#10;D) Prostate-specific antigen (PSA) and digital rectal examination&#10;

Accepted Answer

The answer of A client is being screened for prostate...

Question 15

A newborn male child is diagnosed with cryptorchidism. The nurse should prepare to administer which of the following to this client?&#10;A) Intravenous fluids&#10;B) Antipyretic medication&#10;C) Human chorionic gonadotropin medication&#10;D) Antibiotics&#10;

Accepted Answer

The answer of A newborn male child is diagnosed with...

Question 16

A client is diagnosed with a varicocele. The nurse realizes that this client is likely to develop:&#10;A) hydrocele.&#10;B) prostate cancer.&#10;C) prostatitis.&#10;D) infertility.&#10;

Accepted Answer

The answer of A client is diagnosed with a varicocele....

Question 17

A male client is diagnosed with orchitis. The nurse should assess the client for which of the following?&#10;A) Recent infection with mumps&#10;B) Recent diagnosis of prostatitis&#10;C) History of type 2 diabetes mellitus&#10;D) Diagnosis of renal insufficiency&#10;

Accepted Answer

The answer of A male client is diagnosed with orchitis....

Deck 64: Male Reproduction Dysfunction: Nursing Management