Question 1

During the focused interview, a male client describes his erection and ejaculate in terms that are less than professional. Which action by the nurse is the most appropriate?

Accepted Answer

Documenting the client's responses in the terms used ensures accuracy and maintains the integrity of the client's description, which is important for clinical records.

Question 2

The nurse is interviewing a male client who states "I feel like I have a bag of worms in my scrotum." Based on this data, which condition does the nurse suspect?

Accepted Answer

The description of a "bag of worms" in the scrotum is most commonly associated with a varicocele, which is an enlargement of the veins within the scrotum. Orchitis may cause testicular pain, while epididymitis may cause pain and swelling in the scrotum, but neither typically produces a "bag of worms" sensation. Inguinal hernia may produce a bulge in the groin area but is not typically associated with a sensation of worms in the scrotum.

Question 3

When caring for a male client scheduled for a prostatectomy due to cancer, which data would the nurse expect for a client with this condition data?

Accepted Answer

C,D,E

Question 4

During the examination of a male client, the nurse detects a bulge in the right inguinal area as the client is bearing down. Based on this data, which condition does the nurse suspect?

Accepted Answer

The bulge in the right inguinal area as the client is bearing down indicates an inguinal hernia. The hernia may be reducible, meaning it can be pushed back into the abdomen, or irreducible, meaning it cannot be pushed back in. It can also cause discomfort or pain in the area. A varicocele is a swelling of the veins in the scrotum that often presents as a palpable soft mass, usually on the left side. Prostatitis is an inflammation of the prostate gland and can cause pain or discomfort in the pelvic region or difficulty urinating. Orchitis is an inflammation of testicles and may present with swelling and pain in the affected testicle.

Question 5

The nurse is examining a male client's genitalia and notes the scrotum is asymmetric. The left side hangs lower than the right side. Based on this data, which action by the nurse is the most appropriate?

Accepted Answer

This is considered a normal anatomical variation in males, where it is common for one side of the scrotum to hang lower than the other to avoid compression between the thighs and facilitate temperature regulation of the testes.

Question 6

The nurse is examining a male client and notes small clusters of vesicular lesions on the glans penis. The client states the areas are painful and often are reddened. Based on this data, which does the nurse anticipate?

Accepted Answer

The presence of vesicular lesions on the glans penis that are painful and reddened are common symptoms of genital herpes. Option A is not a likely diagnosis based on the symptoms described. Option B would present as cauliflower-like growths on the genital area. Option C typically presents as a single painless sore or ulcer.

Question 7

The nurse is providing education to a client who has been experiencing symptoms consistent with benign prostatic hyperplasia (BPH). The nurse presents a diagram the client to illustrate the location of the prostate. Which location will the nurse identify for the client during the teaching session?

Accepted Answer

The answer of The nurse is providing education to a...

Question 8

During the examination of an older adult male client the nurse notes thin, gray pubic hairs and a scrotal sac that hangs significantly lower than the penis. Which action by the nurse is the most appropriate?

Accepted Answer

Thin, gray pubic hair and a scrotal sac that hangs lower than the penis are typical findings in an older adult male. It is not necessary to notify the healthcare provider or ask about sexual practices unless there are additional concerning findings.

Question 9

During the examination of an adult male the nurse notes thick, curly hair over the pubis area, a pear-shaped scrotum, and slightly darkened skin on the penis. Based on this data, which action is appropriate?

Accepted Answer

Thick, curly hair over the pubic area, a pear-shaped scrotum, and slightly darkened skin on the penis are all normal findings in adult males. Therefore, documenting the findings as normal is appropriate. Asking the client about recent illnesses or sexual practices is not necessary or relevant in this situation. Notifying the healthcare provider is also not necessary, as these findings do not indicate any abnormalities or concerns.

Question 10

The nurse has completed testicular self-exam teaching for a male client. Which client statements indicate appropriate understanding of the content presented?

Accepted Answer

The correct statements that indicate appropriate understanding are B, C, and D. The client should perform the testicular self-exam monthly to detect any changes that may occur. It is easier to perform the exam in a warm room or shower to help relax the scrotal sac. Gentle pressure should be applied to each testicle to feel the area. It is not normal to feel testicular pain during the exam, so statement E is incorrect. Statement A is incorrect because hardened areas may indicate the presence of cancer or other abnormalities and should be reported to a healthcare provider.

Question 11

While performing prostate palpation, the nurse notes that the client expresses severe tenderness and discomfort during the procedure. Based on this data, which condition does the nurse suspect?

Accepted Answer

Severe tenderness and discomfort during prostate palpation indicate prostatitis, which is an inflammation of the prostate gland. Prostate cancer, enlargement of the prostate, and urinary tract infections may also cause symptoms such as pain or discomfort during prostate palpation, but prostatitis is the most likely cause of severe tenderness and discomfort.

Question 12

During the examination of a male client's scrotum the nurse detects a hardened area in the right side of the scrotal sac. Which is the priority nursing action based on this finding?

Accepted Answer

The answer of During the examination of a male client's...

Question 13

A couple seeking infertility treatments has just received the results of a semen analysis, which shows a diminished sperm count. Which question is most appropriate for the nurse to address to the male partner at this time?

Accepted Answer

The answer of A couple seeking infertility treatments has just...

Question 14

The mother of a toddler expresses concern over her son "constantly playing with his penis and scrotum." Which response by the nurse is the most appropriate in this situation?

Accepted Answer

It is normal for toddlers to explore their own bodies, including their genitals. It is important for the nurse to reassure the mother that these behaviors are developmentally appropriate and not a cause for concern.

Question 15

The nurse is caring for a client who has hypospadias. When assessing this client, where does the nurse anticipate to find the urinary meatus?

Accepted Answer

The answer of The nurse is caring for a client...

Question 16

The nurse is preparing to assess a male client who states, "I think I have a hernia in my right groin." During the physical examination, which area will the nurse palpate to assess for an inguinal hernia?

Accepted Answer

The nurse should palpate the inguinal canal, located between the pubic bone and anterior superior iliac spine (ASIS), to assess for an inguinal hernia. Option B represents the correct location for palpation. Option A represents the femoral canal, which is a site for femoral hernias. Option C represents the umbilical area, which is a site for umbilical hernias. Option D represents the area around the costal margin, which is a site for epigastric hernias.

Question 17

The nurse is preparing to examine a male client's reproductive organs. Which actions by the nurse are appropriate to prepare for this examination?

Accepted Answer

A) securing a private examination room ensures the client's privacy and dignity during the examination.
B) using clean hands is essential to prevent the spread of infection and maintain best practices in healthcare.
D) asking the client to empty his bladder can make the examination more comfortable for the client and allow for better visualization of the reproductive organs.
E) making sure the room's temperature is comfortable can help the client feel more at ease during the examination.

Question 18

The nurse is preparing to examine the reproductive system for a male client recently admitted to the medical unit. Which techniques does the nurse plan to incorporate into this physical assessment?

Accepted Answer

Inspection and palpation are the techniques used to examine the reproductive system for a male client.

Question 19

The nurse is assessing a male infant and notes cryptorchidism. The mother asks what effect this will have on the child. Which response by the nurse is the most appropriate?

Accepted Answer

Cryptorchidism, or undescended testicles, is associated with an increased risk of testicular cancer if not corrected. Other potential issues include fertility problems and testicular torsion, but it does not definitively mean the individual will be unable to father children or have abnormal sperm production. Early treatment can mitigate many of the risks associated with cryptorchidism.

Question 20

During the examination of a male client who has not been circumcised, the nurse attempts to retract the foreskin of the penis, but skin is very tight and cannot be pulled back. Based on this data, which condition does the nurse anticipate for this client?

Accepted Answer

Tightness of the foreskin is a characteristic of phimosis, a condition in which the foreskin cannot be retracted. Urethral stricture is a narrowing of the urethra, usually caused by scar tissue. Paraphimosis occurs when the foreskin is retracted and cannot be returned to its normal position. Urethritis is an inflammation of the urethra.

Quiz 23: Male Reproduction System