Deck 57: Nursing Management Male Reproductive Problems

Question 1

The nurse is providing education for a client who has been diagnosed with orchitis. Which of the following information should the nurse include in the teaching plan?

A)Pain management
B)Emergency surgical repair
C)Aspiration of fluid from the scrotal sac
D)Application of warm packs to the scrotum

Answer 1

Pain management

Question 2

The nurse is preparing a teaching plan for a client with symptomatic benign prostatic hyperplasia (BPH) who is scheduled for photovaporization of the prostate (PVP) at an outpatient surgical centre. Which of the following information should the nurse include in the teaching plan?

A)How to care for an in-dwelling urinary catheter?
B)The urine will appear bloody for several days.
C)Complications associated with urethral stenting
D)Symptom improvement will occur in 2-3 weeks.

Answer 2

How to care for an in-dwelling urinary catheter?

Question 3

The nurse is assessing a client with benign prostatic hyperplasia (BPH). Which of the following symptoms should the nurse assess to determine the severity of the BPH?

A)Blood in the urine
B)Lower back or hip pain
C)Erectile dysfunction (ED)
D)Strength of the urinary stream

Answer 3

Strength of the urinary stream

Question 4

The nurse is caring for a client recently diagnosed with benign prostatic hyperplasia (BPH) who tells the nurse that he does not want to have a transurethral resection of the prostate (TURP) because he is afraid it might affect his ability to have intercourse.Which of the following actions should the nurse take?

A)Offer reassurance that sperm production is not affected by TURP.
B)Discuss alternative methods of sexual expression besides intercourse.
C)Provide education about the use of medications for erectile dysfunction (ED).
D)Teach that erectile dysfunction (ED) is unlikely following a TURP.

Question 5

Which of the following information should the nurse include when teaching a client who has a diagnosis of chronic prostatitis?

A)Ibuprofen should provide good pain control.
B)Prescribed antibiotics should be taken for 7-10 days.
C)Sexual intercourse and masturbation will help relieve symptoms.
D)Cold packs should be used every 4 hours to reduce inflammation.

Question 6

The nurse is teaching a client who is scheduled for a transurethral resection of the prostate (TURP) about continuous bladder irrigation. Which of the following information should the nurse include?

A)Bladder irrigation decreases the risk of postoperative bleeding.
B)Hydration and urine output are maintained by bladder irrigation.
C)Bladder irrigation prevents obstruction of the catheter after surgery.
D)Antibiotics are infused on a continuous basis with bladder irrigation.

Question 7

The nurse is assessing a couple at the infertility clinic because they have not been able to conceive. When performing a focused examination to determine possible causes for infertility, which of the following risk factors should the nurse assess in themaleclient?

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

Question 8

A51-year-old male client is scheduled for an annual physical exam at the outpatient clinic. Which of the following diagnostic tests should the nurse plan to teach to the client?

A)Urinalysis collection
B)Uroflowmetry studies
C)Digital rectal exam (DRE)
D)Transrectal ultrasound scanning (TRUS)

Question 9

The nurse is preparing a teaching plan for a client who has an enlarged prostate detected by digital rectal examination (DRE) and an elevated prostate specific antigen (PSA) level. Which of the following procedures should the nurse include in the teaching plan?

A)Cystourethroscopy
B)Uroflowmetry studies
C)Magnetic resonance imaging (MRI)
D)Transrectal ultrasonography (TRUS)

Question 10

The nurse is caring for a client who had a perineal radical prostatectomy for prostatic cancer. In the immediate postoperative period, which of the following etiologies best relates to the nursing diagnosis of risk for infection?

A)Urinary stasis
B)Urinary incontinence
C)Fecal contamination of the surgical wound
D)Placement of a suprapubic catheter into the bladder

Question 11

Which of the following information should the nurse plan to include when teaching a client to perform testicular self-examination?

A)Testicular self-examination should be done in a warm area.
B)The only structure normally felt in the scrotal sac is the testis.
C)Testicular self-examination should be done at least every week.
D)Call the health care provider if one testis is larger than the other.

Question 12

The nurse has completed discharge teaching for a client who had a transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH). Which of the following client statements indicate that additional instruction is required?

A)"I will avoid driving until I get approval from my doctor."
B)"I should call the doctor if I have any incontinence at home."
C)"I will increase fibre and fluids in my diet to prevent constipation."
D)"I should continue to schedule yearly appointments for prostate exams."

Question 13

The nurse is conducting discharge teaching with a client who has undergone a vasectomy in the health care provider's office. Which of the following information should the nurse include in the discharge instructions?

A)May have temporary erectile dysfunction (ED) because of postoperative swelling.
B)Should continue to use other methods of birth control for 6 weeks.
C)Should not have sexual intercourse until his 6-week follow-up visit.
D)Will notice a decrease in the appearance and volume of his ejaculate.

Question 14

The nurse is conducting a focused health history for a client with possible testicular cancer. Which of the following topics should the nurse include in the assessment?

A)Sexually transmitted infections (STIs)
B)Testicular trauma
C)Testicular torsion
D)Undescended testicles

Question 15

The nurse is caring for a client with erectile dysfunction (ED) following treatment for benign prostatic hyperplasia (BPH) who tells the nurse that he decided to seek treatment because his wife "is losing patience with the situation." Which of the following nursing diagnoses is best for the client?

A)Ineffective role performance related to alteration in body image
B)Anxiety related to threat to current status (inability to have sexual intercourse)
C)Situational low self-esteem related to alteration in body image
D)Ineffective sexuality pattern related to skill deficit about alternatives related to sexuality

Question 16

The nurse is admitting a client scheduled for a unilateral orchiectomy for testicular cancer. The nurse notes that the client does not talk to his partner and speaks to the nurse only to answer the admission questions. Which of the following actions isbest for the nurse to take?

A)Ask the client if he has any questions or concerns about the diagnosis and treatment.
B)Document the client's lack of communication on the chart and continue preoperative care.
C)Assure the client's partner that concerns about sexual function are common with this diagnosis.
D)Teach the client and the partner that impotence is rarely a problem after unilateral orchiectomy.

Question 17

The nurse is caring for a client following a radical retropubic prostatectomy for prostate cancer and is incontinent of urine. Which of the following information should the nurse include in the teaching plan?

A)Restrict oral fluid intake.
B)Pelvic floor muscle exercises
C)Use belladonna and opium suppositories.
D)Perform intermittent self-catheterization.

Question 18

The nurse is providing teaching for a client with cancer of the prostate who has been prescribed leuprolide. Which of the following adverse effects should the nurse include in the teaching plan about this drug?

A)Dizziness
B)Hot flashes
C)Urinary incontinence
D)Increased infection risk

Question 19

The health care provider prescribes finasteride for a client who has benign prostatic hyperplasia (BPH). Which of the following information should the nurse include when teaching the client about the drug?

A)Change position from lying to standing slowly.
B)Sexual activity interest may decrease while he is taking the medication.
C)Improvement in the obstructive symptoms should occur within about 2 weeks.
D)Required to monitor blood pressure frequently to assess for hypertension.

Question 20

The nurse is caring for a client who has benign prostatic hyperplasia (BPH) with mild obstruction and tells the nurse, "My symptoms have gotten a lot worse this week." Which of the following responses by the nurse is best?

A)"I will talk to the health care provider about ordering a prostate specific antigen (PSA) test."
B)"Have you been taking any over-the-counter (OTC) medications recently?"
C)"Have you talked to the doctor about surgical procedures such as transurethral resection of the prostate (TURP)?"
D)"The prostate gland changes slightly in size from day to day, and this may be making your symptoms worse."

Question 21

The nurse is caring for a client with prostate cancer and is prescribed abiraterone. Which of the following adverse effects should the nurse teach the client about this medication? (Select all that apply.)

A)Fluid retention
B)Loss of libido
C)Breast pain
D)Hot flashes
E)Erectile dysfunction

Question 22

The nurse is caring for a client who had a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation with symptoms of painful bladder spasms. The nurse observes a decrease in urine output and clots in the urine. Which of thefollowing actions should the nurse take first?

A)Increase the flow rate of the bladder irrigation.
B)Administer the prescribed IV morphine sulphate.
C)Give the client the prescribed belladonna and opium suppository.
D)Manually instill and then withdraw 50 mL of saline into the catheter.

Question 23

The nurse is assessing a 22-year-old male client at the health clinic with symptoms of erectile dysfunction. When assessing for possible etiological factors, which of the following questions should the nurse ask first?

A)"Are you using any recreational drugs or drinking a lot of alcohol?"
B)"Have you been experiencing an unusual amount of anxiety or stress?"
C)"Do you have any history of an erection that lasted for 6 hours or more?"
D)"Do you have any chronic cardiovascular or peripheral vascular disease?"

Question 24

The clinic nurse is reviewing client laboratory results on the following four clients. Which of the following clients is priority to report to the health care provider?

A)A 75-year-old who uses saw palmetto to treat benign prostatic hyperplasia (BPH) and has an elevated PSA test.
B)A 38-year-old who is being treated for acute prostatitis with an elevated PSA.
C)A 48-year-old whose father died of metastatic prostate cancer and has a positive PCA3 test.
D)A 52-year-old who goes on long bicycle rides every weekend and has a positive PCA3 test.

Question 25

The nurse is admitting a client with benign prostatic hyperplasia (BPH) who has urinary retention and new onset elevations in blood urea nitrogen (BUN) and creatinine. Which of the following prescribed therapies should the nurse implement first?

A)Schedule an abdominal computed tomography (CT) scan.
B)Insert a urinary retention catheter.
C)Draw blood for a complete blood count.
D)Infuse normal saline at 50 mL/hour.

Question 26

The nurse working in a health clinic receives calls from all these clients. Which of the following clients should be seen by the health care provider first?

A)A 44-year-old man who has perineal pain and a temperature of 38°C (100.4°F)
B)A 66-year-old man who has a painful erection that has lasted over 5 hours
C)A 62-year-old man who has light pink urine after having a transurethral resection of the prostate (TURP) 3 days ago
D)A 23-year-old man who states he had difficulty maintaining an erection last night

Question 27

The nurse is assessing a 53-year-old man who has been having increasing problems with erectile dysfunction (ED) for several years and is interested in using sildenafil. Which of the following actions should the nurse take first?

A)Ask the client about any prescription drugs he is taking.
B)Tell the client that sildenafil does not always work for ED.
C)Discuss the common adverse effects of erectogenic drugs.
D)Assure the client that ED is commonly associated with aging.