Question 1

A 50-year-old male client asks the nurse what signs he should look for with prostate cancer. How would the nurse respond?

Accepted Answer

Early prostate cancer often does not produce symptoms, which is why screening is important for at-risk populations. Symptoms like blood in the urine, swelling of the testicles, or frequent urinary tract infections are more likely to occur at advanced stages or are symptoms of other conditions.

Question 2

A nurse is providing preoperative teaching for a client who is scheduled for prostate surgery. Which information would the nurse include?

Accepted Answer

Postoperative erectile dysfunction is a common complication following prostate surgery due to potential nerve damage. The other options are less common or incorrect complications associated with prostate surgery.

Question 3

The nurse is explaining the surgery transurethral resection of the prostate (TURP) to a 60-year-old client scheduled for the operation. Which statement accurately describes this procedure?

Accepted Answer

TURP is a common procedure for treating prostate enlargement and typically has a shorter recovery time compared to other more invasive prostatectomy procedures.

Question 4

A 50-year-old client is being discharged after a prostatectomy. What instruction should be provided to the client for self-care?

Accepted Answer

Kegel exercises are recommended after a prostatectomy to help strengthen the pelvic floor muscles, which can improve urinary control following the surgery. Choices A, B, and D are incorrect as they could potentially worsen recovery. Stool softeners are often recommended to prevent straining during bowel movements, exercise (as advised by a healthcare provider) is important for overall health and recovery, and maintaining adequate fluid intake is crucial for healing and preventing urinary tract infections.

Question 5

The nurse explains to a client with prostate cancer that the surgeon has ordered a nerve- sparing radical prostatectomy. How would the nurse describe this procedure?

Accepted Answer

A nerve-sparing radical prostatectomy involves removing the prostate through an incision below the umbilicus and above the symphysis pubis, aiming to preserve the nerves affecting erectile function.

Question 6

A nurse is caring for a client who is scheduled for a transurethral resection of the prostate (TURP). What information should the nurse provide the client?

Accepted Answer

TURP involves the insertion of a device through the urethra to remove parts of the prostate gland, without external incisions, hence choices B and C are incorrect. Recovery time for TURP is generally shorter compared to open surgery, making D incorrect.

Question 7

A nurse is caring for a client after a perineal prostatectomy. What nursing care measure should be implemented when caring for the client?

Accepted Answer

After a perineal prostatectomy, the client may experience discomfort or difficulty when sitting up due to the surgical site. It is important to inform the client about this to help them manage their expectations and adjust their activities accordingly.

Question 8

A 60-year-old client undergoing preoperative chemotherapy and radiation therapy for prostate cancer has developed proctitis and cystitis. What intervention should the nurse be prepared to implement for this client?

Accepted Answer

The nurse should carefully monitor the client's urine output because cystitis can lead to urinary complications, and monitoring output can help assess kidney function and detect any issues early.

Question 9

The nurse is speaking to a local men's group about the risk factors for testicular cancer. Which risk factor should the nurse include?

Accepted Answer

The answer of The nurse is speaking to a local...

Question 10

A nurse is educating a client about avoiding the stimulation of the cremasteric reflex while performing routine testicular self-examination (TSE). What instruction should the nurse provide to the client?

Accepted Answer

The cremasteric reflex can be stimulated by cold temperatures, causing the scrotum to contract and elevate the testes, making examination difficult. Warm hands help avoid this reflex, facilitating a more accurate self-examination.

Quiz 90: Female Reproductive Disorders