Deck 66: Coordinating Care for Male Patients With Reproductive and Breast Disorders

Question 1

The nurse correlates an increased risk of testicular cancer in the past with which factors in their health history?
1)Testicular trauma
2)History of sexually transmitted infection
3)Cryptorchidism
4)History of urinary tract infections

Answer 1

3

Question 2

What question is most important for the nurse to ask a patient who is interested in taking tadalafil (Cialis) for erectile dysfunction?
1)"Do you have diabetes mellitus?"
2)"Do you take blood pressure medication?"
3)"Do you have any sexually transmitted infections?"
4)"Do you use nitroglycerine?"

Answer 2

4

Question 3

In administering an alpha-adrenergic blocking medication to a patient diagnosed with benign prostatic hypertrophy, the nurse correlates the mechanism of action of this medication to which physiological response?
1)Relaxes the smooth muscles of the prostate
2)Relaxes bladder muscles
3)Shrinks the enlarged prostate tissue
4)Interferes with the action of testosterone

Answer 3

1

Question 4

What is the priority nursing diagnosis for the patient recently diagnosed with benign prostatic hyperplasia (BPH)?
1)Chronic Pain
2)Impaired Urinary Elimination
3)Constipation
4)Diarrhea

Question 5

Which statement by the patient with a prostate-specific antigen (PSA) of 2.0 ng/dL indicates understanding of the 2017 recommendations regarding prostate cancer screening?
1)"I need to have a digital rectal examination (DRE)."
2)"I will continue to have my PSA checked every year."
3)"I will need to have a prostate biopsy."
4)"I am at high risk of prostate cancer."

Question 6

The nurse is conducting a health history with a patient diagnosed with erectile dysfunction (ED). Which finding could provide a possible cause for the patient's problem?
1)Blood pressure of 118/68 mm Hg
2)Body mass index (BMI) of 24.5
3)Smokes one pack of cigarettes per day
4)Plays golf twice a week

Question 7

Which statement by the patient diagnosed with stage T2 testicular cancer indicates correct understanding of this diagnosis?
1)"My tumor is confined to the testicle."
2)"My tumor invades the tubes that transport sperm."
3)"My tumor invades outside the capsule of the testicle."
4)"My tumor invades blood vessels that supply the testicle."

Question 8

Which finding in the patient after an orchiectomy for testicular cancer indicates that the surgery may not have removed all the cancer?
1)Elevated alpha-fetoprotein
2)Decreased human chorionic gonadotropin
3)Elevated white blood count
4)Anemia

Question 9

Which statement by the patient diagnosed with benign prostatic hyperplasia (BPH) indicates the need for further teaching about the management of this disorder?
1)"Alpha blockers can be used to control my symptoms."
2)"I know I will get cancer of the prostate because of this."
3)"As my condition progresses, I may need to consider surgical management."
4)"There are nonsurgical treatment options available."

Question 10

The nurse determines that which patient is at greatest risk of breast cancer?
1)45-year-old male with a history of alcohol use disorder
2)60-year-old male with a history of mumps
3)70-year-old male with a body mass index of 22
4)75-year-old male with a history of kidney disease

Question 11

A nursing instructor is teaching a group of student nurses about the risk factors related to prostate cancer and includes which statements?
1)"African American men are at lowest risk for prostate cancer."
2)"Asian American and Native American men have the highest risk for developing prostate cancer."
3)"Approximately 81% of males are diagnosed with localized prostate cancer."
4)"A diet low in dairy increases a man's risk for developing prostate cancer."

Question 12

In reviewing the history of a patient diagnosed with erectile dysfunction who is asking about treatment with sildenafil (Viagra), which data need to be discussed with the healthcare provider?
1)The patient takes warfarin.
2)The patient takes NSAIDs.
3)The patient takes nitrates.
4)The patient takes aspirin.

Question 13

The nurse monitors for which clinical manifestations in the patient diagnosed with local (noninvasive) prostate cancer?
1)Hematuria
2)Erectile dysfunction
3)Suprapubic pain
4)Weak urine stream

Question 14

The nurse determines which patient has the highest risk for prostate cancer?
1)68-year-old Caucasian with body mass index (BMI) of 22
2)70-year-old African American male with BMI of 30
3)68-year-old American Indian who consumes a diet high in red meat
4)70-year-old Alaska Native who consumes a diet high in calcium

Question 15

Which statement from the patient receiving brachytherapy for the treatment of prostate cancer indicates the need for further teaching?
1)"I will notify my doctor if I develop a fever or an increase in pain after surgery."
2)"Because I should not strain to have a bowel movement, I will take a stool softener."
3)"I will need to refrain from sexual intercourse for two weeks following the start of therapy."
4)"Because my wife had her tubes tied, I will not need to wear a condom with sexual intercourse."

Question 16

Which statement by the patient diagnosed with erectile dysfunction (ED) indicates the need for further teaching regarding management of this disorder?
1)"I will try to lose weight because this contributes to my condition."
2)"I will need to quit smoking as this contributes to my condition."
3)"Priapism is a medical emergency and requires immediate intervention."
4)"Because I take nitroglycerin for angina, I am not a candidate for a vacuum device."

Question 17

The nurse correlates which complication to the patient who develops bladder outlet obstruction (BOO) secondary to untreated ureteral obstruction?
1)Prerenal acute kidney injury
2)Urinary frequency
3)Bladder infection
4)Scrotal bruising

Question 18

Which statement by the patient diagnosed with benign prostatic hyperplasia (BPH) indicates the need for further teaching about this disease process?
1)"I am at an increased risk for urinary tract infection."
2)"An elevated PSA level indicates that I have prostate cancer."
3)"Medications may be prescribed if my symptoms begin to interfere with life."
4)"Since I have minimal symptoms, the doctor says we will enter 'watchful waiting'."

Question 19

In administering an anticholinergic medication to a patient diagnosed with benign prostatic hypertrophy, the nurse correlates the mechanism of action of this medication to which physiological response?
1)Relaxes the smooth muscles of the prostate
2)Relaxes bladder muscles
3)Shrinks the enlarged prostate tissue
4)Interferes with the action of testosterone

Question 20

Which statement by the patient being treated with intracavernosal injections for the treatment of erectile dysfunction indicates the need for further teaching?
1)"It will take about 5 to 20 minutes to achieve erection after injection."
2)"After the injection, the erection usually lasts for 30 to 60 minutes."
3)"It is not unusual for an erection to last more than 3 hours."
4)"This medication involves injecting a medication into my penis."

Question 21

The nurse correlates which clinical manifestations to the diagnosis of prostate cancer? Select all that apply.
1)Fatigue
2)Back pain
3)Hematuria
4)Scrotal edema
5)Bulging in the inguinal area

Question 22

In planning teaching for a patient diagnosed with stage III breast cancer, the nurse includes which information in the teaching plan?
1)The tumor is less than 2 cm in diameter.
2)There may be proximal lymph node involvement.
3)There is no treatment for this stage.
4)There is distant metastasis.

Question 23

Which statement by the patient who experienced blunt testicular trauma indicates the need for further teaching?
1)"I will use a heating pad to decrease the pain."
2)"I should wear a scrotal support to decrease swelling."
3)"I can take ibuprofen for the pain."
4)"I need to rest for a couple of days to allow swelling to resolve."

Question 24

The nurse monitors for which clinical manifestations in the patient being treated for locally invasive prostate cancer? Select all that apply.
1)Tenesmus
2)Hematuria
3)Hemospermia
4)Urge incontinence
5)Weak urinary stream

Question 25

In planning an educational session on testicular trauma, the nurse includes which information in the presentation?
1)The peak incidence is in males ages 15 to 2
2)Blunt trauma is more prevalent than penetrating trauma.
3)Automotive accidents are the most common cause of testicular trauma.
4)Testicular trauma is a common type of injury in young males.
5)

Question 26

In administering antiestrogen medications to a male patient diagnosed with hormone receptor-positive breast cancer, the nurse correlates the effectiveness of this medication based on which mechanism of action?
1)Destroys the cancer cells
2)Slows growth of cancer cells
3)Prevents spread of the cancer cells
4)Shrinks the cancer cells

Question 27

The nurse is caring for a patient with erectile dysfunction (ED). Which medication should the nurse anticipate being prescribed for this patient? Select all that apply.
1)Tadalafil (Cialis)
2)Sildenafil (Viagra)
3)Buspirone (BuSpar)
4)Vardenafil (Levitra)
5)Methylphenidate (Ritalin)

Question 28

The nurse monitor for which risk factors in the patient diagnosed with prostate cancer? Select all that apply.
1)70 years of age
2)Diet high in milk
3)Work history as a laborer
4)Diet high in red meat
5)African American ethnicity

Question 29

Which statement by a male patient scheduled for a radical mastectomy for an aggressive form of breast cancer indicates the need for further teaching?
1)"I will be able to retain my nipple."
2)"This procedure removes the entire breast."
3)"I will also have my lymph nodes on that side removed."
4)"Part of my chest muscle may also have to be removed."

Question 30

In preparing an educational presentation about risk factors for prostate cancer, the nurse includes which information? Select all that apply.
1)Age older than 65
2)Diets high in red meat
3)Diet low in calcium
4)Family history of prostate cancer
5)History of sexual transmitted infection