Deck 43: Nursing Care of Male Patients With Genitourinary Disorders

Question 1

The nurse is told during a physical examination that a male patient has a curved penis during erection. Which term does the nurse use to document this observation?

A)Priapism
B)Phimosis
C)Paraphimosis
D)Peyronie disease

Answer 1

Peyronie disease

Question 2

A male patient reports that he is uncircumcised and has been having a problem retracting his foreskin for several months. The penis now looks reddened with a noticeable discharge. Which is the most likely reason the patient has delayed reporting the condition?

A)Fear of a serious disease such as cancer
B)Not wanting a circumcision as an adult
C)Confident about success with self-treatment
D)Embarrassment about such a personal issue

Answer 2

Embarrassment about such a personal issue

Question 3

A patient has just returned from a transurethral resection of the prostate (TURP). Which explanation does the nurse provide if the patient asks why he needs a urinary catheter?

A)"The catheter keeps your bladder empty to reduce risk for infection"
B)"The catheter is keeping pressure on the surgery area to prevent bleeding."
C)"We can take the catheter out when you are able to urinate on your own."
D)"The catheter is being used to irrigate your bladder with antibiotics."

Answer 3

"The catheter is keeping pressure on the surgery area to prevent bleeding."

Question 4

The nurse is participating in the care of a male patient in the emergency department for a severe episode of hypotension. The patient takes sildenafil for erectile dysfunction. Medical history indicates management of hypertension and diabetes. Which information does the nurse provide related to meeting this patient's needs?

A)The need to have antihypertensive medication adjusted
B)Testing to determine compromised penile circulation
C)The effectiveness of herbs for erectile dysfunction
D)Testing to validate an adequate testosterone level

Question 5

A male patient who is 60 years old is diagnosed with prostate cancer. Which condition does the nurse recognize as the best indication for a radical prostatectomy?

A)The cytology tests indicate slow-growing cells.
B)A digital examination locates a small prostate nodule.
C)The patient is experiencing bone pain.
D)Age indicates lack of the need for fertility.

Question 6

The parent of a newborn male is informed of a condition called cryptorchidism. The HCP states if the condition does not resolve within a few months, surgery will be required before the age of 1 year. The parent asks the nurse why surgery is so important. Which reason does the nurse provide in support of the surgery?

A)The child will be teased for looking different.
B)Formation of sexual characteristics are delayed.
C)Lack of correction can result in infertility.
D)Normal sexual functioning will not be possible.

Question 7

A male patient expresses the desire to have a vasectomy reversed that was performed 5 years ago. Which information about vasectomy reversal does the nurse recognize as the most likely cause of an unsuccessful surgery?

A)Sections of the vas deferens were removed.
B)Testing will be needed to confirm sperm production.
C)The period of time passed may be too long.
D)It may be necessary to reconnect at the epididymis.

Question 8

The nurse is reviewing a patient's understanding about a scheduled vasectomy. Which statement by the patient indicates the need for additional teaching?

A)"There is no change in the way an ejaculation looks or feels."
B)"Another kind of birth control should be used for 3 months."
C)"Sperm will no longer be produced once healing is completed."
D)"A semen sample evaluation will confirm success of the surgery."

Question 9

A male patient is unable to achieve or maintain a penile erection long enough for ejaculation. The erectile dysfunction is considered the reason for the patient's infertility. Which treatment does the nurse expect the HCP to prescribe initially?

A)Dehydroepiandrosterone
B)Oral doses of tadalafil
C)Testosterone replacement
D)Penile injections

Question 10

A male patient in an HCP's office, tells the nurse, "I am impotent and cannot have a fulfilling sex life with my spouse." In which way can the nurse support the patient?

A)"We see many patients with your condition and it is usually emotional."
B)"You should discuss the problem with your spouse and share feelings."
C)"We no longer use negative terms as reference to erectile dysfunction."
D)"The problem is usually related to fatigue and stress and can be managed."

Question 11

The nurse is providing care for a male patient diagnosed with acute prostatitis. Which intervention is unnecessary for the nurse to discuss with this patient?

A)Methods of pain management
B)Need for surgery intervention
C)Monitoring of ability to void
D)Information about prevention

Question 12

A male patient has been diagnosed with acute epididymitis. The HCP has prescribed bedrest, elevation of the scrotum on ice packs, and antibiotics. The nurse is aware that which complication is least likely to develop with the patient's diagnosis?

A)Abscess
B)Orchitis
C)Sterility
D)Chronic epididymitis

Question 13

A patient diagnosed with benign prostatic hyperplasia is prescribed the alpha-blocking medication tamsulosin to reduce symptoms. For which side effect does the nurse monitor this patient?

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

Question 14

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." Which information does the nurse provide to assist the patient?

A)Contact information for a support group.
B)Provide the patient with literature about adoption.
C)Validate the impossibility of the patient fathering a child.
D)Share that it is possible to bank sperm before treatment.

Question 15

A 70-year-old male 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." Which care does the nurse anticipate providing first?

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

Question 16

The nurse is providing preoperative 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)"There are many treatments available if it does occur."
B)"Most men your age learn to deal with erectile dysfunction if it does occur."
C)"Impotence should not be a problem; sperm production is not affected by this surgery."
D)"Prostate surgery can cause erectile dysfunction. I'll ask your surgeon to explain the risks to you."

Question 17

A patient has just received a new prescription for a transurethral suppository for erectile dysfunction. Which instruction should the nurse provide regarding the use of this medication?

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

Question 18

The nurse is reviewing the report on fertility testing for a male patient who is 28 years of age. The report designates the cause of infertility as a low sperm count with no other identified physiological disorders. Which type of infertility does the nurse recognize?

A)Pretesticular
B)Testicular
C)Posttesticular
D)Hormonal

Question 19

The nurse is contributing to patient teaching for a patient who is not circumcised and diagnosed with penile cancer. The small red lesion was removed by laser surgery. Which postprocedure information does the nurse recognize as being least beneficial?

A)Refraining from unprotected sexual activity
B)Maintaining good hygiene due to being uncircumcised
C)The importance of early reporting of additional lesions
D)The benefits and complications related to adult circumcision

Question 20

The nurse in the emergency department is providing care for a male client with priapism, which has lasted for 6 hours. For which serious condition will the nurse monitor the patient?

A)The ability to urinate
B)The current level of pain
C)The inability for an erection
D)The signs of necrotic tissue

Question 21

The nurse is collecting a medication history from a man with erectile dysfunction. For which class of medication and lifestyle substances should the nurse focus because they can cause erectile dysfunction? (Select all that apply.)

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

Question 22

A patient arrives in the emergency department with pain in the scrotum. The scrotal skin is tender, red, and warm to the touch. Which information will cause the nurse to suspect the patient has epididymitis?

A)The patient is single but has a monogamous sexual relationship.
B)The patient has not traveled out of the country before.
C)The patient started a new task on his job using a jack hammer.
D)The patient has not been treated for any illness for 6 months.

Question 23

The nurse reviews orders from the HCP for a patient recovering from a TURP. The patient is prescribed for bladder irrigation, antispasmodic medication, and IV antibiotics every 6 hours. Which potential complications are these orders specifically addressing? (Select all that apply.)

A)Infection
B)Blood clots
C)Bladder spasms
D)Urinary retention
E)Nausea and vomiting

Question 24

A male patient seeks medical advice about intermittent erectile dysfunction. Which comment by the patient prompts the nurse to collect additional information?

A)"After a few drinks, I always ask my partner for sex."
B)"I have a very busy job, but feel up to the challenge."
C)"I function well with 7 hours of sleep each night."
D)"I have been really healthy except for the flu last year."

Question 25

A male patient reports that manifestations of benign prostatic hyperplasia (BPH) have been occurring for several years. On which problems related to this condition does the nurse focus when collecting health information? (Select all that apply.)

A)Urosepsis
B)Bladder cancer
C)Renal insufficiency
D)Evidence of hydronephrosis
E)Recurrent urinary tract infections