Question 1

What of the following does the nurse tell a patient who asks what the best treatment option is for treating BPH?

Accepted Answer

TURP, or transurethral resection of the prostate, is considered the gold standard treatment for BPH. It involves removing part of the enlarged prostate through the urethra using a special tool. The other options listed may also be used depending on the severity and specific characteristics of the patient's BPH, but TURP is generally the most effective long-term solution.

Question 2

When counselling a First Nations patient about male reproductive cancers,the nurse tells the patient that First Nations men have a higher mortality than the overall Canadian population from which following type of cancer?

Accepted Answer

First Nations men have a higher mortality rate from prostate cancer than the overall Canadian population. It is important for healthcare providers to educate their Indigenous patients about the risk factors, screening options, and the importance of early detection and treatment.

Question 3

Which of the following is the term given to a narrowing of the retracted uncircumcised foreskin that prevents its normal return over the glans and can cause strangulation?

Accepted Answer

Paraphimosis is the condition where the foreskin, once retracted, cannot be returned over the glans penis, leading to potential strangulation of the glans due to the constricting band of foreskin. This is a medical emergency requiring prompt treatment.

Question 4

A patient has been diagnosed with prostate cancer.He has large tumours involving the seminal vesicle and adjacent structures.According to the Whitmore-Jewett staging classification of prostate cancer,what stage would the nurse document this patient as currently experiencing?

Accepted Answer

According to the Whitmore-Jewett staging classification of prostate cancer, Stage C involves tumors that have extended beyond the prostate gland but have not yet spread to distant sites. Stage C2 specifically refers to tumors that have spread to nearby structures, such as the seminal vesicles, but have not yet spread to lymph nodes or distant sites. So, based on the information given, the patient's large tumors involving the seminal vesicle and adjacent structures would fall under Stage C2.

Question 5

A patient with a spinal cord tumour has developed a priapism that has lasted for 8 hours.The nurse notifies the physician,recognizing that the disorder can cause which of the following complications?

Accepted Answer

Priapism, a prolonged erection that is not related to sexual stimulation, can cause penile tissue necrosis, which can lead to erectile dysfunction or even complete impotence. It is a medical emergency that requires immediate treatment to prevent damage to the penis. Epididymitis is inflammation of the testicular tubules, renal artery sclerosis involves hardening of the arteries in the kidneys, and decreased production of sperm is not directly related to priapism.

Question 6

The doctor is considering whether to prescribe testosterone replacement therapy for a 62-year-old man who is concerned about a gradual decrease in sexual performance.Which information obtained from the patient is most important to communicate to the doctor?

Accepted Answer

A gradual decrease in the force of the urinary stream may indicate an enlarged prostate, which would need to be ruled out before prescribing testosterone replacement therapy as it may worsen urinary symptoms.

Quiz 57: Nursing Management: Male Reproductive Problems