Deck 43: Nursing Care of Male Patients With Genitourinary Disorders

Question 1

A patient is discharged home after a prostatectomy. Two days later, he calls the nurse and says his bleeding has increased. The nurse asks what he has been doing since discharge. Which of the following activities reported by the patient indicates the need for teaching by the nurse?

A)The patient has been sitting in a recliner watching television.
B)The patient raked leaves in the yard.
C)The patient took an opioid for pain.
D)The patient took a walk around the block.

Answer 1

The patient raked leaves in the yard.

Question 2

The nurse is caring for a patient with prostatitis who is exhibiting all of the following signs and symptoms. Which should the nurse attend to immediately?

A)Fever 101°F (38.3°C)
B)Low back pain rated 9 on a 0-to-10 scale
C)Inability to urinate
D)Shaking chills

Answer 2

Inability to urinate

Question 3

What term describes a painful, prolonged erection?

A)Peyronie's disease
B)Priapism
C)Paraphimosis
D)Orchitis

Answer 3

Priapism

Question 4

The nurse has just removed an indwelling catheter from a patient following transurethral resection of the prostate. What action by the nurse is most important?

A)Monitor vital signs.
B)Watch for bladder spasms.
C)Offer the urinal every 15 minutes.
D)Collect serial samples of urine to monitor for color.

Question 5

A 30-year-old male patient has just received a diagnosis of testicular cancer. He appears sad and states, "I always wanted to have children. Now it will be impossible." What nursing intervention would be most helpful?

A)Tell the patient that it may be possible to deposit sperm in a sperm bank before treatment is begun.
B)Inform the patient that there is no reason he cannot have children after he has completed treatment.
C)Contact pastoral care to counsel the patient.
D)Provide the patient with literature about adoption.

Question 6

The nurse is caring for a man diagnosed with prostatitis. What symptom should the nurse expect when collecting data from the patient?

A)Polyuria
B)Dysuria
C)Glycosuria
D)Hematuria

Question 7

What term describes a condition in which there is excessive fluid in the scrotal sac?

A)Epididymitis
B)Varicocele
C)Hydrocele
D)Orchitis

Question 8

The nurse is bathing an elderly male patient who has never been circumcised. What is proper care of the uncircumcised penis?

A)Retract the foreskin, wash with soap and water, and leave the foreskin retracted to prevent collection of debris.
B)Do not retract the foreskin; leave it in its natural position at all times.
C)Retract the foreskin, wash with soap and water, and replace the foreskin to its original position.
D)Use alcohol and a cotton swab to clean gently underneath the foreskin.

Question 9

A patient who has just returned from a transurethral resection of the prostate (TURP) asks the nurse why he needs a urinary catheter. What is the correct explanation?

A)"We can take the catheter out when you are able to urinate on your own. I'll ask the physician if we can remove it later today."
B)"The catheter is being used to irrigate your bladder with antibiotics. It is important to continue this until you can take antibiotics orally."
C)"The catheter keeps your bladder empty to reduce risk for infection. It is important to leave it in for at least 72 hours."
D)"The catheter is keeping pressure on the area to prevent bleeding. We will remove it when the risk for bleeding has passed."

Question 10

The nurse is assisting with teaching a 56-year-old office manager who reports engaging in all of the following activities. Which one should the nurse explain most likely increased his risk for developing prostatitis?

A)Drinking three to four martinis each night after work
B)Having sexual intercourse with his wife once a week
C)Sitting for long periods in his office
D)Bowling once a week with the office team

Question 11

The nurse is teaching a male patient how to perform a testicular self-examination. Which description of how the testes should feel is correct?

A)Round, with an occasional surface irregularity
B)Round, with a granular surface
C)Hard and marble-like
D)Smooth and egg-shaped

Question 12

The nurse is providing pre-operative care for an 80-year-old patient who is scheduled to have prostate surgery. The patient says, "I know a man who was impotent after this surgery. Will that happen to me?" Which response by the nurse is most appropriate?

A)"Impotence should not be a problem; sperm production is not affected by this surgery."
B)"There are many treatments available if it does occur."
C)"This type of surgery rarely causes erectile dysfunction. I'll ask your surgeon to explain the risks to you."
D)"Most men your age learn to deal with erectile dysfunction if it does occur."

Question 13

The nurse is caring for a patient with continuous bladder irrigation after a transurethral resection of the prostate (TURP). Which assessment finding should take priority?

A)Patient report of bladder spasms
B)Pink-tinged urine
C)Leakage of small amounts of urine around the catheter
D)10-mL urine output in an hour

Question 14

The nurse is providing care for a patient admitted with epididymitis. Which of the following interventions is most appropriate?

A)Warm packs to the scrotum
B)Pressure to the scrotum
C)Frequent ambulation
D)Elevation of the scrotum

Question 15

The nurse is working in a urology clinic, where a patient has just received a new prescription for a transurethral suppository for erectile dysfunction. What instructions should the nurse provide?

A)"Urinate before you insert the suppository into your urethra."
B)"Insert the suppository into the urethra at least 2 hours before anticipated intercourse."
C)"Lubricate the suppository well, and insert it into your rectum before intercourse."
D)"Remove the suppository after you are finished having intercourse."

Question 16

A patient diagnosed with benign prostatic hyperplasia is prescribed an alpha-blocking medication (terazosin [Hytrin]) to reduce symptoms. What side effect should the nurse be most alert for?

A)Headaches
B)Hypotension
C)Dry mouth
D)Urinary frequency

Question 17

A patient is using a suction device and penile ring to treat erectile dysfunction. What instructions must the patient receive to prevent tissue damage?

A)"Remove the penile ring as soon as an erection occurs."
B)"Remove the penile ring within 15 to 20 minutes of putting it on."
C)"Leave the penile ring on no more than an hour after intercourse."
D)"Loosen the penile ring before having intercourse."

Question 18

What drug class is most likely to cause erectile dysfunction?

A)Antibiotics
B)Antidiabetics
C)Antihypertensives
D)NSAIDs

Question 19

A 70-year-old man arrives in the emergency department and says, "I haven't urinated in 24 hours. I feel like I have to go, but I can't." What care should the nurse anticipate providing first?

A)Emergency preparation for an intravenous pyelogram (IVP)
B)Emergency preparation for a cystoscopy
C)STAT insertion of an indwelling catheter
D)STAT administration of IV fluids

Question 20

The nurse is assisting with teaching a patient who will be discharged with a catheter after a prostatectomy. Which of the following statements indicates the need for further teaching?

A)"I should keep the drainage bag below the level of my bladder at all times."
B)"I should call you if the bleeding increases."
C)"I need to wash around the meatus with soap and water each day."
D)"Applying antibiotic ointment to the meatus twice a day will prevent skin breakdown."

Question 21

What instructions should be included for a patient prescribed tamsulosin (Flomax) for benign prostatic hypertrophy? (Select all that apply.?

A)Dizziness may occur.
B)Avoid unnecessary sunlight.
C)Dry mouth and gastrointestinal upset may occur.
D)Chew or crush tablets.
E)Be careful when going from a sitting to a standing position.
F)Avoid the use of heavy machinery.

Question 22

The nurse is caring for a patient in the emergency department in a hypertensive crisis. He states he stopped taking his blood pressure medicine because it made him impotent. What should be the nurse's first response?

A)"You are right; blood pressure medications can cause erectile dysfunction. You should consider seeing a urologist for treatment."
B)"Yes, blood pressure medications can cause erectile dysfunction, but there are many different classes of drugs for high blood pressure. Let's ask your physician what might work better for you."
C)"No, it is a myth that blood pressure medications cause erectile dysfunction. You should see a urologist to look for other causes."
D)"No, blood pressure medications do not usually cause erectile dysfunction; it is the high blood pressure that can cause the problem. You need to be careful to take your medications to keep it under control."

Question 23

The nurse is assisting with a urology clinic intake assessment on a patient who reports erectile dysfunction. He has tried several treatments without success. He states, "I'm pretty useless to my wife now. I might as well become a monk." Which nursing diagnosis should take priority in guiding the nurse's care?

A)Knowledge Deficit related to lack of knowledge about treatments for erectile dysfunction
B)Anxiety related to uncertain future
C)Powerlessness related to inability to fulfill role functions
D)Noncompliance related to use of treatments for erectile dysfunction

Question 24

The nurse is providing care for a patient diagnosed with bacterial prostatitis who is being treated on an outpatient basis with oral antibiotic therapy. In addition to the medication, which of the following interventions should the nurse include in discharge teaching? (Select all that apply.?

A)Warm sitz baths
B)Stool softeners
C)Bedrest
D)Anti-inflammatory agents
E)Self-catheterization every 2 hours
Completion
Complete each statement.

Question 25

What is the term for the condition in which the penis is curved?

A)Priapism
B)Phimosis
C)Peyronie's disease
D)Paraphimosis
Multiple Response
Identify one or more choices that best complete the statement or answer the question.

Question 26

The nurse is collecting a medication history from a man with erectile dysfunction. What medication classes should the nurse be aware of that commonly contribute to erectile dysfunction? (Select all that apply.?

A)Beta-blocking agents
B)Alcohol
C)Antibiotics
D)Antihistamines
E)Oral hypoglycemic agents
F)Caffeine

Question 27

The nurse is assisting a 28-year-old man who is undergoing testing for infertility. He says, "I can't believe I have to stop wearing tight jeans. What on earth could that have to do with anything?" Which response by the nurse is best?

A)"The pressure on your scrotum from tight jeans can damage your testes."
B)"Tight jeans hold your scrotum too close to your body, where the heat can inhibit sperm production."
C)"It's not the tight jeans, but the way they make you sit that causes the problem."
D)"Tight jeans do not cause infertility. That is an old wives' tale."

Question 28

If undescended testes do not descend into the scrotum by age ________________years, surgery may be necessary to correct the problem.

Question 29

What instructions should the nurse provide to a patient being treated for prostatitis? (Select all that apply.?

A)"Take your antibiotics until your symptoms have completely resolved."
B)"Avoid products that contain caffeine."
C)"Try to increase the amount of fiber in your diet."
D)"Empty your bladder frequently."
E)"Increase your fluid intake to nearly 3,000 mL/day."
F)"Avoid tub baths."

Question 30

After age 70, ____________________% of men have benign prostatic hypertrophy.

Question 31

For normal conception to occur, there must be a concentration of greater than ________________million sperm per milliliter of semen.

Question 32

Which medications are used to treat cancer by suppressing or blocking testosterone? (Select all that apply.?

A)Leuprolide (Lupron)
B)Finasteride (Proscar)
C)Dutasteride (Avodart)
D)Diethylstilbesterol (DES)
E)Goserelin (Zoladex)

Question 33

The nurse is collecting admission data from a patient recently diagnosed with benign prostatic hyperplasia. Which of the following symptoms would the nurse expect the patient to report? (Select all that apply.?

A)Difficulty starting the urine stream
B)Difficulty initiating an erection
C)Dribbling after urination
D)Low back pain
E)Difficulty maintaining an erection

Question 34

For how long must a couple attempt to conceive unsuccessfully before they are considered infertile?

A)3 months
B)6 months
C)1 year
D)2 years

Question 35

If an endocrine problem is the cause of male infertility, which type of problem is it considered?

A)Pretesticular
B)Testicular
C)Post-testicular