Question 1

After a fall on a bicycle,a 15-year-old boy is brought to the emergency department complaining of nausea and sudden and acute scrotal pain.There is an absence of the cremasteric reflex.Which problem does the nurse suspect?

Accepted Answer

Torsion of the testicle often occurs after trauma and manifests in acute scrotal pain,absence of the cremasteric reflex,and nausea/vomiting.A hydrocele (fluid accumulation in the scrotum)is usually painless and causes scrotal enlargement.A variocele is a painful swelling that results when tributary vessels of the spermatic vein dilate and clump.Prostatitis,or inflammation of the prostate,occurs from an infectious agent or other causes.Symptoms include recurrent urinary infection,pelvic pain,and sexual dysfunction and are often mistaken for benign prostatic hyperplasia (BPH).

Question 2

The nurse is educating a patient about testicular self-examination.Which information is most important for the nurse to include?

Accepted Answer

Testicular self-examinations are best done after a warm bath or shower when the scrotal skin is relaxed.The patient should report lumps of any size to the health care provider,perform monthly self-examinations,and roll each testicle between the thumb and fingers.

Question 3

On the first postoperative day,a patient with a TURP complains of abdominal pain.The nurse finds that the bladder is greatly distended.What should the nurse do next?

Accepted Answer

The patient most likely has a clot that is occluding the catheter and causing pressure on the bladder.Additional irrigation will dislodge the clot that is occluding the catheter.Increasing continuous bladder irrigation flow rate would add fluid to the bladder and increase pain.It is within the primary care nurse's role to perform the intervention without notifying the charge nurse.Turning the patient to the right side does not offer benefit.

Question 4

When developing a teaching plan for a young man who is undergoing fertility studies,which information is most important for the nurse to include?

Accepted Answer

The heat from close body contact from wearing jockey shorts reduces spermatogenesis.Sexual intercourse will not increase testosterone levels.Heat will reduce sperm count,not increase it.

Question 5

The nurse has provided discharge instructions to a patient who underwent a vasectomy.Which statement indicates the patient understands the nurse's teaching?

Accepted Answer

Instruct the patient to use ice applications and acetaminophen or ibuprofen for scrotal pain and swelling the first 12 to 24 hours postoperatively.The patient should wear jockey shorts or a scrotal support for comfort.Heat is not recommended during the first 24 hours postoperatively.Aspirin may promote bleeding.The patient will not have a compression dressing.

Question 6

A patient who is 3 days postoperative after suprapubic prostatectomy asks,"When can I get rid of this other catheter?" Which data best indicates that nurse can discontinue the suprapubic catheter as ordered?

Accepted Answer

After a suprapubic prostatectomy,the patient will have a suprapubic catheter in addition to a urethral catheter.After the urethral catheter is removed (sometime after the third day),the suprapubic catheter is clamped,and the patient attempts to void.Residual urine is measured afterward by unclamping the suprapubic catheter.When there is no more than 60 mL of residual urine after voiding,the suprapubic catheter is removed.Adequate pain control and appetite are signs that the patient is progressing well but do not directly affect suprapubic catheter removal.The urethral catheter will need to be discontinued before the suprapubic catheter is removed.

Question 7

A young man who has been diagnosed as sterile says to the nurse,"I am not much of a man or a husband." Which response is most therapeutic?

Accepted Answer

Use of open-ended questions demonstrates a caring attitude and a willingness to listen.Telling the patient that she "knows how he feels" is incorrect and will be viewed as insincere.The patient feels less masculine as a result of infertility.It is premature and inappropriate to discuss options for alternative means of conception.Telling the patient that the diagnosis is not the end of the world minimizes the patient's concerns.

Question 8

The nurse is interviewing a patient who is seeking assistance at the urology clinic for erectile dysfunction.Which statement is the best way to open the interview?

Accepted Answer

Asking open-ended questions will help the patient respond with information that can be used in a plan of care.

Question 9

In counseling a man with erectile dysfunction about a prescription for sildenafil (Viagra),when should the nurse suggest a different treatment?

Accepted Answer

Viagra is contraindicated if the patient is also taking nitrates because the combination can cause significant hypotension.Age,weight,and diabetes are not contraindications for the use of Viagra.

Question 10

The nurse is teaching a patient with BPH who has a new prescription for finasteride (Proscar).Which information is most important for the nurse to include?

Accepted Answer

The patient should be aware that finasteride (Proscar)is a steroid that may take several months to relieve symptoms.Otherwise,the patient may wrongly think that the medication is not working,which could affect compliance.The medication does have multiple side effects,but the nurse should be more specific about emergent and expected effects and direct the patient to consult the physician if questions arise.The nurse should inform the patient that the medication does reduce the size of the prostate and is known as an ARI,but this information is not most important.

Question 11

The nurse explains to a male patient undergoing infertility studies that his luteinizing hormone (LH)is low and his follicle-stimulating hormone (FSH)is high.Which statement accurately interprets these laboratory findings?

Accepted Answer

A low LH means there is adequate stimulation of testosterone.A high FSH means there is a low or decreased spermatogenesis.

Question 12

When teaching a high school boys' health class,which information about latex condoms is most important for the nurse to include?

Accepted Answer

Leaving room at the tip of a condom guards against spillage of semen.Petroleum jelly deteriorates latex condoms.Only water-based lubricants should be used.Condoms should be applied only one time.A condom should be applied with erection; sperm is secreted in pre-ejaculate.

Question 13

The nurse is aware that of the known infertility causes,approximately what percentage is due to male factors?

Accepted Answer

Of the known cases of infertility,25% to 30% are due to male factors.

Question 14

The nurse is educating a patient who has been given a prescription for tadalafil (Cialis).The nurse warns the patient about which potential complication?

Accepted Answer

Cialis can cause priapism,a persistent erection that can develop into a urologic emergency as penile vessels may become thrombosed.Urethral obstruction is not associated with the use of tadalafil (Cialis).Hydronephrosis refers to dilation of the renal pelvis and is not associated with the use of tadalafil (Cialis).Urethritis refers to infection or inflammation of the urethra and is not associated with the use of tadalafil (Cialis).

Question 15

The nurse is caring for a patient who returns to the unit after undergoing a transurethral resection of the prostate (TURP).The nurse observes a few small clots and pieces of tissue returning in the indwelling catheter bag.What should the nurse do next?

Accepted Answer

Presence of blood clots tissue in the urinary collection is anticipated and normal,so the nurse should document the finding and continue to monitor the patient.These findings do not warrant immediate notification of the surgeon,adjustment of the irrigation rate,or application of traction to the catheter.

Question 16

The health care provider has recommended that a patient undergo transurethral microwave thermotherapy (TUMT).Which statement correctly explains this procedure?

Accepted Answer

The TUMT procedure uses heat to coagulate the prostatic tissue with a probe.A resectoscope trims excess tissue in a transurethral resection of the prostate (TURP).A transurethral needle ablation (TUNA)uses a cystoscope to guide needles directly into the prostate.A transurethral electrovaporization of the prostate (TUVP)vaporizes and desiccates prostatic tissue.

Question 17

The nurse understands that the clinical definition of infertility is failure to conceive after frequent,unprotected sex over what period of time?

Accepted Answer

A couple who,after 1 year of unprotected sex,has not conceived is considered to be infertile.

Question 18

The nurse is caring for an older male patient.Which patient statement would alert the nurse to a probable presence of benign prostatic hyperplasia (BPH)?

Accepted Answer

Difficulty urinating is the first symptom noticed by a person who has BPH.A burning sensation during urination is most consistent with urinary tract infection (UTI).A throbbing sensation in the groin is a nonspecific complaint that could indicate different underlying issues; the nurse should ask the patient additional questions to determine more data.Bubbly or foamy urine may indicate the presence of protein in the urine.

Question 19

A postoperative prostatectomy patient is discouraged that he is still dribbling and wearing a protective pad 1 month after surgery.Which action should the nurse suggest?

Accepted Answer

Kegel exercises increase the strength of the perineal floor muscle and will reduce dribbling.Changes in dietary intake,grapefruit juice consumption,or insertion of an indwelling catheter will not provide the restorative care that the patient needs to correct the problem.

Question 20

The nurse reminds a 68-year-old man that a man of any age can reproduce if he is able to perform which function?

Accepted Answer

If a man can participate in intercourse,he can still reproduce,even with a low sperm count.

Quiz 39: Care of Men with Reproductive Disorders

After a fall on a bicycle,a 15-year-old boy is brought to the emergency department complaining of nausea and sudden and acute scrotal pain.There is an absence of the cremasteric reflex.Which problem does the nurse suspect?

The nurse is educating a patient about testicular self-examination.Which information is most important for the nurse to include?

On the first postoperative day,a patient with a TURP complains of abdominal pain.The nurse finds that the bladder is greatly distended.What should the nurse do next?

When developing a teaching plan for a young man who is undergoing fertility studies,which information is most important for the nurse to include?

The nurse has provided discharge instructions to a patient who underwent a vasectomy.Which statement indicates the patient understands the nurse's teaching?

A patient who is 3 days postoperative after suprapubic prostatectomy asks,"When can I get rid of this other catheter?" Which data best indicates that nurse can discontinue the suprapubic catheter as ordered?

A young man who has been diagnosed as sterile says to the nurse,"I am not much of a man or a husband." Which response is most therapeutic?

The nurse is interviewing a patient who is seeking assistance at the urology clinic for erectile dysfunction.Which statement is the best way to open the interview?

In counseling a man with erectile dysfunction about a prescription for sildenafil (Viagra) ,when should the nurse suggest a different treatment?

The nurse is teaching a patient with BPH who has a new prescription for finasteride (Proscar) .Which information is most important for the nurse to include?

The nurse explains to a male patient undergoing infertility studies that his luteinizing hormone (LH) is low and his follicle-stimulating hormone (FSH) is high.Which statement accurately interprets these laboratory findings?

When teaching a high school boys' health class,which information about latex condoms is most important for the nurse to include?

The nurse is aware that of the known infertility causes,approximately what percentage is due to male factors?

The nurse is educating a patient who has been given a prescription for tadalafil (Cialis) .The nurse warns the patient about which potential complication?

The nurse is caring for a patient who returns to the unit after undergoing a transurethral resection of the prostate (TURP) .The nurse observes a few small clots and pieces of tissue returning in the indwelling catheter bag.What should the nurse do next?

The health care provider has recommended that a patient undergo transurethral microwave thermotherapy (TUMT) .Which statement correctly explains this procedure?

The nurse understands that the clinical definition of infertility is failure to conceive after frequent,unprotected sex over what period of time?

The nurse is caring for an older male patient.Which patient statement would alert the nurse to a probable presence of benign prostatic hyperplasia (BPH) ?

A postoperative prostatectomy patient is discouraged that he is still dribbling and wearing a protective pad 1 month after surgery.Which action should the nurse suggest?

The nurse reminds a 68-year-old man that a man of any age can reproduce if he is able to perform which function?