Deck 48: Male Reproductive Disorders

Question 1

After the physician has left the room of a 30-year-old man who has been diagnosed with testicular cancer,the patient covers his face with both hands and sighs.The nurse's most therapeutic intervention at this time would be to:

A) Ask the patient, "Do you want to talk about your cancer?"
B) Leave the room, and pull the door closed.
C) Go to the nurse's station, and call the patient's wife.
D) Complete the patient care as quickly as possible.

Answer 1

Ask the patient, "Do you want to talk about your cancer?"

Question 2

The nurse explains to a young man being treated for infertility that the semen analysis will:

A) Determine the history of sexually transmitted infections.
B) Evaluate the potential for genetic problems.
C) Determine whether any urethral obstructions are present.
D) Microscopically assess the sperm for number and motility.

Answer 2

Microscopically assess the sperm for number and motility.

Question 3

After an accident at a track meet,a young male runner is brought to the emergency department complaining of intense pain in his scrotum and nausea and vomiting.Based on these initial findings,the nurse suspects:

A) Cryptorchidism
B) Testicular torsion
C) Varicocele
D) Epididymitis

Answer 3

Testicular torsion

Question 4

A patient has been prescribed flutamide (Eulexin)for the treatment of prostate cancer.The nurse reminds the patient that a side effect might be:

A) Incontinence
B) Insomnia
C) Weight loss
D) Hot flashes

Question 5

When a patient is placed on diethylstilbestrol (DES)for prostate cancer,the nurse explains the possible side effect of the medication might be:

A) Gynecomastia
B) Pruritus
C) Constipation
D) Tinnitus

Question 6

When conducting an initial assessment on a 65-year-old male patient,the nurse assesses a mass in the left testicle that on transillumination glows red.The nurse notes the presence of:

A) Phimosis
B) A hydrocele
C) Smegma
D) A hematocele

Question 7

The mother of a newborn with cryptorchidism asks if this condition will be permanent.The nurse's best response would be:

A) "Yes, but your child can develop normally with hormone replacement therapy."
B) "No, several medical and surgical remedies can be performed after your baby's first birthday."
C) "Yes, but the undescended testicle is still able to function in a normal manner."
D) "No, the process of sexual maturity will cause it to descend at puberty."

Question 8

The nurse should explain that the purpose of the urethral smear is to:

A) Screen for human immunodeficiency viral (HIV) infection.
B) Detect sexually transmitted infections.
C) Verify fertility through a sperm count.
D) Eliminate concerns of prostate problems.

Question 9

Men who have suffered spinal cord injuries with resultant ED can have sexual intercourse with the use of:

A) Testosterone injections
B) Papaverine penile injections
C) Inflatable penile implants
D) Oral sildenafil (Viagra)

Question 10

A patient's home instructions after a vasectomy should include that:

A) Postoperative care consists of warm Sitz baths.
B) Vasectomies should be seen as usually permanent but sometimes reversible.
C) Sexual intercourse should be delayed for up to 3 months.
D) The surgical procedure may interfere with ejaculation.

Question 11

When reviewing the drugs taken by the 50-year-old male patient,the nurse recognizes that the drug that is most probably causing erectile dysfunction (ED)is the:

A) Vasodilator for hypertension
B) Antibiotic for an upper respiratory infection
C) Antihistamine for allergies
D) Glucophage for type 2 diabetes

Question 12

The statement by the patient that indicates he understands the teaching relative to how to perform a testicular self-examination is:

A) "It's not necessary to feel the testes, just look at them in a mirror."
B) "The best time to do a self-examination is after a shower, when my body is warm."
C) "It doesn't really matter when I do it, just do it sometime."
D) "The physician is really the best person to check this for me."

Question 13

The nurse caring for a patient 2 hours after a transurethral resection (TUR)immediately reports to the charge nurse the presence of large clots in the catheter and drainage bag.The nurse anticipates that the physician will:

A) Instill ice water into the bladder.
B) Decrease the amount of fluid in the balloon of the indwelling catheter.
C) Apply traction to the catheter by taping it to the patient's thigh.
D) Order a potent vasoconstrictor to reduce hemorrhage.

Question 14

After surgery to correct a testicular torsion,the nurse cautions the young patient that there is a:

A) Probability of torsion reoccurring.
B) Possibility of infertility.
C) Probability of orchiditis.
D) Significant risk of prostatic hypertrophy.

Question 15

A 60-year-old man who had a prostatectomy 3 weeks earlier asks if the ongoing incontinence will ever stop.The nurse's most helpful response would be based on the knowledge that the:

A) Postprostatectomy incontinence is usually permanent.
B) Postprostatectomy incontinence usually clears up in 6 months.
C) Although the constant dribbling will stop, stress incontinence will continue.
D) Postprostatectomy incontinence frequently requires a second surgery is to correct the problem.

Question 16

The nurse informs the 50-year-old patient who has been prescribed nilutamide (Nilandron),a testosterone blocker,that while on this drug he should expect:

A) His urine will have a fishy odor.
B) Liver functions will need to be monitored.
C) Skin rash will appear on his face.
D) Episodes of hypotension will occur.

Question 17

The instruction that will increase the comfort of a patient who is recovering from prostatitis is to suggest that the patient:

A) Avoid bathing for 2 days.
B) Exercise.
C) Take stool softeners.
D) Limit fluid intake.

Question 18

The nurse takes into account in making a teaching plan for a patient with acute prostatitis that treatment will include a:

A) 2-week period with a temporary catheter and the instillation of antibiotics in the bladder
B) 4-week course of antibiotics and antiinflammatory drugs
C) 6-week course broad spectrum antibiotics, followed by a prostatectomy
D) 16-week protocol of Sitz baths and the use of a sturdy scrotal support

Question 19

A male student comes to the campus clinic complaining of painful scrotal edema,nausea,vomiting,chills,and fever.The nurse recognizes these signs and symptoms as being associated with:

A) Orchitis
B) Epididymitis
C) Urethritis
D) Cystitis

Question 20

A patient with a spinal cord injury complains to the nurse of the inability to experience an erection.The nurse explains,"The _______________ component of the nervous system has been affected by your injury."

A) Sympathetic
B) Somatic
C) Parasympathetic
D) Cerebral cortex

Question 21

The patient who had a prostatectomy 1 year earlier now has elevations in serum alkaline phosphatase and calcium levels.The nurse is aware that these are indicators of:

A) Reduction of cancer risk
B) Orchiditis
C) Testicular cancer
D) Metastasis

Question 22

The nurse must be sensitive when performing the initial assessment on a man with a reproductive disorder and should use interview techniques that: (Select all that apply.)

A) Use open-ended questions.
B) Pin the patient down for truthful and specific information.
C) Leave sensitive questions until later in the interview.
D) Share her or his professional opinion.
E) Start most questions with "why."

Question 23

When giving instruction about taking sildenafil (Viagra),the nurse would include the instruction that:

A) No more than two tablets should be taken in a 24-hour period.
B) Erection occurs without stimulation.
C) Nitrates should be taken at least 4 hours before taking Viagra.
D) Tablet should be taken 1 hour before sexual activity.

Question 24

The nurse is aware that the elevation in the prostatic-specific antigen (PSA)level from 4 ng/L to 6 ng/L is cause to consider a(n):

A) Possibility of prostatic cancer
B) ED
C) Probability of orchiditis
D) Significant indication of Peyronie disease

Question 25

The nurse who is assessing a young man who is being treated for sterility will inquire whether the young man had any common childhood disease that may be the cause of sterility.Such diseases would include:

A) Mumps
B) Chicken pox
C) Measles
D) Scarlet fever

Question 26

When a significant elevation in the human chorionic gonadotropin (hCG)level is noted on the laboratory report,the nurse is aware that this is a marker for ____________________ cancer.

Question 27

The nurse instructs the patient who is to have a semen analysis to: (Select all that apply.)

A) Collect specimen in a rubber condom.
B) Keep the specimen at room temperature until given to the laboratory.
C) Keep the specimen container in warm tap water.
D) Bring the specimen to the laboratory within 4 hours.
E) Abstain from sexual activity 3 to 5 days before the test.

Question 28

When completing a health history with a patient,the nurse should encourage the patient to describe the symptoms in objective terms.Which of the following is a good example of the description of pain?

A) "This spot seems to hurt more right here."
B) "This pain is the worst pain in the world."
C) "My pain reminds me of when I hurt my foot last year."
D) "I would say my pain is a 5 on a scale from 1 to 10."

Question 29

The discharge teaching plan for a patient after undergoing a prostatectomy would include instructions relative to: (Select all that apply.)

A) Remedy for bladder spasm
B) Catheter care
C) Delay of sexual activity for 3 months
D) Perineal exercises
E) Avoidance of heavy lifting