Question 1

The nurse is told during a physical examination that a male patient has a curved penis during erection. Which term does the nurse use to document this observation?

Accepted Answer

Peyronie disease is characterized by the development of fibrous scar tissue inside the penis, causing curved, painful erections. This condition is what the nurse would document in the case described.

Question 2

A male patient reports that he is uncircumcised and has been having a problem retracting his foreskin for several months. The penis now looks reddened with a noticeable discharge. Which is the most likely reason the patient has delayed reporting the condition?

Accepted Answer

Embarrassment about discussing or seeking help for issues related to genitalia is a common reason for delayed reporting of such conditions. This can be due to societal stigmas or personal discomfort with discussing these areas of the body.

Question 3

A patient has just returned from a transurethral resection of the prostate (TURP). Which explanation does the nurse provide if the patient asks why he needs a urinary catheter?

Accepted Answer

The catheter is used after a TURP to apply continuous gentle pressure on the surgical area to help control bleeding and to ensure clot removal and urine drainage.

Question 4

The nurse is participating in the care of a male patient in the emergency department for a severe episode of hypotension. The patient takes sildenafil for erectile dysfunction. Medical history indicates management of hypertension and diabetes. Which information does the nurse provide related to meeting this patient's needs?

Accepted Answer

The answer of The nurse is participating in the care...

Question 5

A male patient who is 60 years old is diagnosed with prostate cancer. Which condition does the nurse recognize as the best indication for a radical prostatectomy?

Accepted Answer

Bone pain suggests metastasis, which may indicate the need for more aggressive treatment like radical prostatectomy to manage advanced prostate cancer.

Question 6

The parent of a newborn male is informed of a condition called cryptorchidism. The HCP states if the condition does not resolve within a few months, surgery will be required before the age of 1 year. The parent asks the nurse why surgery is so important. Which reason does the nurse provide in support of the surgery?

Accepted Answer

Lack of correction of cryptorchidism, a condition where one or both of the testes fail to descend into the scrotum, can lead to infertility due to the higher temperatures in the abdomen compared to the scrotum, which can affect sperm production. Surgery, typically an orchiopexy, is recommended to move the undescended testicle into the scrotum to prevent infertility and other complications such as testicular cancer.

Question 7

A male patient expresses the desire to have a vasectomy reversed that was performed 5 years ago. Which information about vasectomy reversal does the nurse recognize as the most likely cause of an unsuccessful surgery?

Accepted Answer

The longer the time since the vasectomy, the lower the success rate of reversal due to potential blockage or damage to the vas deferens and changes in sperm production.

Question 8

The nurse is reviewing a patient's understanding about a scheduled vasectomy. Which statement by the patient indicates the need for additional teaching?

Accepted Answer

Sperm production continues after a vasectomy; the procedure blocks sperm from entering the semen, not the production of sperm itself. This is a common misconception and indicates the need for further education.

Question 9

A male patient is unable to achieve or maintain a penile erection long enough for ejaculation. The erectile dysfunction is considered the reason for the patient's infertility. Which treatment does the nurse expect the HCP to prescribe initially?

Accepted Answer

Oral doses of tadalafil are commonly prescribed as an initial treatment for erectile dysfunction, as they help increase blood flow to the penis, facilitating the achievement and maintenance of an erection.

Question 10

A male patient in an HCP's office, tells the nurse, "I am impotent and cannot have a fulfilling sex life with my spouse." In which way can the nurse support the patient?

Accepted Answer

The nurse can support the patient by using appropriate and non-stigmatizing language, such as referring to the condition as "erectile dysfunction" rather than "impotence."

Question 11

The nurse is providing care for a male patient diagnosed with acute prostatitis. Which intervention is unnecessary for the nurse to discuss with this patient?

Accepted Answer

Acute prostatitis is typically treated with antibiotics, pain management, and other supportive measures rather than surgery. Surgery is more commonly associated with chronic prostatitis or benign prostatic hyperplasia (BPH) when other treatments have failed.

Question 12

A male patient has been diagnosed with acute epididymitis. The HCP has prescribed bedrest, elevation of the scrotum on ice packs, and antibiotics. The nurse is aware that which complication is least likely to develop with the patient's diagnosis?

Accepted Answer

The answer of A male patient has been diagnosed with...

Question 13

A patient diagnosed with benign prostatic hyperplasia is prescribed the alpha-blocking medication tamsulosin to reduce symptoms. For which side effect does the nurse monitor this patient?

Accepted Answer

Tamsulosin, an alpha-blocker, can cause vasodilation leading to hypotension as a side effect. This is why monitoring for signs of low blood pressure is important in patients taking this medication.

Question 14

A 30-year-old male patient has just received a diagnosis of testicular cancer. He appears sad and states, "I always wanted to have children. Now it will be impossible." Which information does the nurse provide to assist the patient?

Accepted Answer

Sperm banking is a viable option for preserving fertility before undergoing cancer treatment, which may affect the ability to father children.

Question 15

A 70-year-old male arrives in the emergency department and says, "I haven't urinated in 24 hours. I feel like I have to go, but I can't." Which care does the nurse anticipate providing first?

Accepted Answer

The patient's symptoms suggest acute urinary retention, a medical emergency requiring immediate intervention to relieve the obstruction and allow urine to flow. The STAT insertion of an indwelling catheter is the most direct method to alleviate the retention and assess the situation further.

Question 16

The nurse is providing preoperative care for an 80-year-old patient who is scheduled to have prostate surgery. The patient says, "I know a man who was impotent after this surgery. Will that happen to me?" Which response by the nurse is most appropriate?

Accepted Answer

The most appropriate response is to acknowledge the patient's concern and refer to the surgeon for a detailed explanation of the risks, including the possibility of erectile dysfunction. This approach provides accurate information and involves the surgeon in discussing specific concerns related to the surgery.

Question 17

A patient has just received a new prescription for a transurethral suppository for erectile dysfunction. Which instruction should the nurse provide regarding the use of this medication?

Accepted Answer

Urinating before inserting the suppository can help lubricate the urethra, making the insertion of the medication easier and more comfortable. This practice is specific to the administration of a transurethral suppository for erectile dysfunction, such as alprostadil (MUSE). The other options are incorrect for the administration of this type of medication.

Question 18

The nurse is reviewing the report on fertility testing for a male patient who is 28 years of age. The report designates the cause of infertility as a low sperm count with no other identified physiological disorders. Which type of infertility does the nurse recognize?

Accepted Answer

Testicular infertility is indicated by a low sperm count without other identified physiological disorders, as it directly relates to issues within the testes themselves affecting sperm production.

Question 19

The nurse is contributing to patient teaching for a patient who is not circumcised and diagnosed with penile cancer. The small red lesion was removed by laser surgery. Which postprocedure information does the nurse recognize as being least beneficial?

Accepted Answer

The benefits and complications related to adult circumcision are least beneficial in the context of postprocedure information for a patient who has already been treated for penile cancer with laser surgery. The focus should be on recovery, prevention of infection, and monitoring for recurrence, rather than discussing circumcision, which is not directly relevant to the immediate postoperative care and monitoring for this patient.

Question 20

The nurse in the emergency department is providing care for a male client with priapism, which has lasted for 6 hours. For which serious condition will the nurse monitor the patient?

Accepted Answer

The answer of The nurse in the emergency department is...

Quiz 43: Nursing Care of Male Patients With Genitourinary Disorders