Question 1

The nurse correlates an increased risk of testicular cancer in the past with which factors in their health history?

Accepted Answer

Cryptorchidism, or undescended testes, is a known risk factor for testicular cancer. Testicular trauma, sexually transmitted infections, and urinary tract infections have not been established as risk factors for testicular cancer.

Question 2

What question is most important for the nurse to ask a patient who is interested in taking tadalafil (Cialis) for erectile dysfunction?

Accepted Answer

Tadalafil (Cialis) can cause a serious drop in blood pressure when used with nitroglycerine, a medication commonly prescribed for chest pain (angina). This can lead to dizziness, fainting, or even a heart attack or stroke. Therefore, it's crucial to ask if the patient uses nitroglycerine before prescribing tadalafil.

Question 3

In administering an alpha-adrenergic blocking medication to a patient diagnosed with benign prostatic hypertrophy, the nurse correlates the mechanism of action of this medication to which physiological response?

Accepted Answer

Alpha-adrenergic blockers work by relaxing the smooth muscles of the prostate and bladder neck, which improves urine flow and reduces the symptoms of benign prostatic hypertrophy (BPH). They do not shrink the prostate tissue or interfere with testosterone action.

Question 4

What is the priority nursing diagnosis for the patient recently diagnosed with benign prostatic hyperplasia (BPH)?

Accepted Answer

Impaired Urinary Elimination is the priority nursing diagnosis for a patient with benign prostatic hyperplasia (BPH) because BPH can lead to urinary retention, difficulty initiating urination, and a weak urinary stream, directly impacting the patient's ability to effectively eliminate urine.

Question 5

Which statement by the patient with a prostate-specific antigen (PSA) of 2.0 ng/dL indicates understanding of the 2017 recommendations regarding prostate cancer screening?

Accepted Answer

The 2017 recommendations for prostate cancer screening suggest that men make an informed decision with their healthcare provider regarding the need for prostate cancer screening, including PSA testing. A PSA level of 2.0 ng/dL is within the normal range (typically considered to be between 0.0 and 4.0 ng/dL for most men), and annual PSA testing may be part of a monitoring strategy for some men based on their risk factors and in consultation with their healthcare provider. The other options (A, C, D) are not directly indicated by a PSA of 2.0 ng/dL alone or by the 2017 recommendations without additional context or risk factors.

Question 6

The nurse is conducting a health history with a patient diagnosed with erectile dysfunction (ED). Which finding could provide a possible cause for the patient's problem?

Accepted Answer

Cigarette smoking can impair blood flow and lead to erectile dysfunction by causing vascular disease and affecting the arteries that supply blood to the penis.

Question 7

Which statement by the patient diagnosed with stage T2 testicular cancer indicates correct understanding of this diagnosis?

Accepted Answer

Stage T2 testicular cancer indicates that the tumor has extended beyond the testicle itself but is still localized to the area, specifically indicating invasion outside the capsule of the testicle.

Question 8

Which finding in the patient after an orchiectomy for testicular cancer indicates that the surgery may not have removed all the cancer?

Accepted Answer

Elevated alpha-fetoprotein (AFP) levels after an orchiectomy for testicular cancer can indicate that not all cancerous tissue was removed or that there are metastases, as AFP is a tumor marker often elevated in testicular cancer.

Question 9

Which statement by the patient diagnosed with benign prostatic hyperplasia (BPH) indicates the need for further teaching about the management of this disorder?

Accepted Answer

Statement B indicates a misunderstanding. Benign prostatic hyperplasia (BPH) does not directly increase the risk of prostate cancer. It is a common condition as men age, characterized by prostate gland enlargement, and does not imply malignancy.

Question 10

The nurse determines that which patient is at greatest risk of breast cancer?

Accepted Answer

The answer of The nurse determines that which patient is...

Question 11

A nursing instructor is teaching a group of student nurses about the risk factors related to prostate cancer and includes which statements?

Accepted Answer

Approximately 81% of males are diagnosed with localized prostate cancer, indicating that a significant proportion of prostate cancer cases are identified at a stage where the cancer is confined to the prostate gland. This is important for prognosis and treatment planning. The other statements are incorrect: African American men have the highest risk of prostate cancer, not the lowest; Asian American and Native American men have lower risks compared to African American and Caucasian men; and a diet high in dairy has been associated with an increased risk of prostate cancer, not a diet low in dairy.

Question 12

In reviewing the history of a patient diagnosed with erectile dysfunction who is asking about treatment with sildenafil (Viagra), which data need to be discussed with the healthcare provider?

Accepted Answer

Sildenafil (Viagra) can cause a serious drop in blood pressure when used with nitrates, which are often prescribed for chest pain (angina). This combination can lead to potentially life-threatening conditions, hence it's crucial to discuss this with the healthcare provider before starting treatment.

Question 13

The nurse monitors for which clinical manifestations in the patient diagnosed with local (noninvasive) prostate cancer?

Accepted Answer

Local prostate cancer often presents with urinary symptoms such as a weak urine stream due to obstruction of the urethra by the enlarged prostate.

Question 14

The nurse determines which patient has the highest risk for prostate cancer?

Accepted Answer

African American males have a higher risk of developing prostate cancer compared to males of other races. Additionally, obesity, indicated by a higher BMI, can also increase the risk of prostate cancer.

Question 15

Which statement from the patient receiving brachytherapy for the treatment of prostate cancer indicates the need for further teaching?

Accepted Answer

The patient's statement in D indicates a misunderstanding about the safety precautions necessary after receiving brachytherapy for prostate cancer. While his wife's tubal ligation prevents pregnancy, it does not protect against the potential radiation exposure she could face through semen following his treatment. This highlights a need for further teaching about the importance of using condoms to prevent radiation exposure to his partner.

Question 16

Which statement by the patient diagnosed with erectile dysfunction (ED) indicates the need for further teaching regarding management of this disorder?

Accepted Answer

The incorrect statement is D, as using a vacuum device for erectile dysfunction is not contraindicated for patients taking nitroglycerin for angina. This statement indicates a misunderstanding and the need for further teaching. Vacuum devices are a mechanical way to help achieve an erection and their use is not affected by nitroglycerin, which is a concern primarily with oral ED medications due to the risk of severe hypotension.

Question 17

The nurse correlates which complication to the patient who develops bladder outlet obstruction (BOO) secondary to untreated ureteral obstruction?

Accepted Answer

Bladder outlet obstruction can lead to urinary stasis, increasing the risk of bladder infections due to the inability to completely empty the bladder.

Question 18

Which statement by the patient diagnosed with benign prostatic hyperplasia (BPH) indicates the need for further teaching about this disease process?

Accepted Answer

An elevated PSA (Prostate-Specific Antigen) level does not definitively indicate prostate cancer; it can be elevated in BPH and other conditions. This misunderstanding indicates a need for further teaching.

Question 19

In administering an anticholinergic medication to a patient diagnosed with benign prostatic hypertrophy, the nurse correlates the mechanism of action of this medication to which physiological response?

Accepted Answer

Anticholinergic medications work by relaxing the bladder muscles, which can help alleviate symptoms of urinary frequency and urgency in patients with benign prostatic hypertrophy.

Question 20

Which statement by the patient being treated with intracavernosal injections for the treatment of erectile dysfunction indicates the need for further teaching?

Accepted Answer

An erection lasting more than 3 hours (priapism) is a medical emergency and not a usual outcome of intracavernosal injections for erectile dysfunction. Patients should be instructed to seek immediate medical attention if this occurs.

Quiz 66: Coordinating Care for Male Patients With Reproductive and Breast Disorders