Deck 42: Caring for the Patient With Male Reproductive Disorders

Question 1

A male patient is diagnosed with stage I testicular cancer. The nurse would prepare this patient for which treatment?

A) Surgical removal of the testicle
B) Aspiration of the enlarged testicle
C) Chemotherapy
D) Surgical removal of both testicles

Answer 1

Surgical removal of the testicle

Question 2

The nurse is placing an indwelling urinary catheter in an uncircumcised male patient and replaces the foreskin after insertion. What is the rationale for this nursing action?

A) Paraphimosis may result from long-term retraction of the foreskin, causing ischemia of the glans.
B) Phimosis may occur due to chronic infections and adhesions under the foreskin, which results in constriction of the foreskin.
C) Priapism may occur as a result of impaired blood flow in the penis.
D) Replacement of the foreskin prevents malignant changes in the penis.

Answer 2

Paraphimosis may result from long-term retraction of the foreskin, causing ischemia of the glans.

Question 3

A 35-year-old male is concerned about his inability to sustain an erection. Which assessment questions would provide specific information about this condition?

A) "What medications, including prescription, over-the-counter, herbal, and street drugs, do you use?"
B) "Are you married?"
C) "What kind of work do you do?"
D) "Did you graduate from college?"

Answer 3

"What medications, including prescription, over-the-counter, herbal, and street drugs, do you use?"

Question 4

A patient comes into the emergency department with complaints of an erection that has lasted for more than 4 hours. Which topics should the nurse include in the patient's assessment?

A) Use of medications for erectile dysfunction
B) Substance abuse
C) Blood pressure
D) Number of sexual partners

Question 5

A male patient who presents with the complaint of a "swollen" scrotum is found to have fluid within the scrotum. The nurse understands that this finding is consistent with which condition?

A) A hydrocele
B) A spermatocele
C) A variocele
D) Scrotal cancer

Question 6

A 55-year-old male patient has an abnormal digital rectal examination (DRE) with an elevated PSA (prostate-specific antigen). The nurse anticipates that this patient will likely be scheduled for which procedure?

A) Transrectal ultrasonography (TRUS)
B) Bone scan
C) MRI
D) CT scan of the spine

Question 7

Which discharge instructions should be given to the patient following radical prostatectomy for cancer?.Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "Avoid sitting for long periods."
B) "Urinary incontinence is common immediately after surgery but will improve with time."
C) "Call the physician if urinary tract bleeding occurs."
D) "Drink 2 to 3 quarts of liquid each day."
E) "You may return to work next week."

Question 8

A 40-year-old male presents with symptoms of epididymitis. The nurse asks assessment questions related to which most common causes of epididymitis in this man's age group?.Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Urinary tract instrumentation
B) Prostatitis
C) A structural lesion
D) Gonorrhea
E) Undiagnosed congenital disorder

Question 9

The nurse is planning instructions for a patient diagnosed with prostatitis. What should be included in these instructions?.Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "Increase fluid intake up to 3 liters per day."
B) "Avoid alcohol and caffeine."
C) "Keep in mind that prostatitis does not cause cancer."
D) "Take antibiotics only when symptoms are present."
E) "Withhold voiding for as long as possible."

Question 10

A patient who is complaining of heaviness in his scrotum has learned that his serum lactate dehydrogenase level is elevated. A single painless lump is palpated in the patient's scrotum. How would the nurse evaluate these results?

A) The patient needs more diagnostic tests for testicular cancer.
B) The patient has testicular cancer.
C) The patient does not have testicular cancer.
D) The patient has a spermatocele.

Question 11

A patient who was recently diagnosed with hypertension and placed on propranolol (Inderal) is seen in the clinic for an unrelated issue. Noting that the blood pressure is elevated, the nurse asks if the patient has been taking his medication. The patient says he quit because "I didn't like how I felt when I took it." Based on this statement, what would be an appropriate response?

A) "Many male patients can experience side effects of this drug, which include altered libido and impotence. This is common. Tell me how you felt when you took the drug."
B) "You shouldn't stop taking the drug without first talking to the doctor!"
C) Write a note in the patient's record but say nothing to the patient.
D) "I'm going to give you some information about this medication to take home and read. At your next visit, I'll have the doctor talk to you about it."

Question 12

A patient has been diagnosed with a hydrocele. Which teaching should the nurse provide about this condition?

A) "The swelling in your scrotum is a cyst filled with sperm."
B) "The fluid in your scrotum will probably reabsorb in time."
C) "Be sure to take your entire antibiotic prescription."
D) "It is good that you came in early since this is an emergency situation."

Question 13

A patient had a transurethral resection of the prostate (TURP), and the urine in the urinary irrigation drainage bag is very dark red. Which nursing actions should be included in his plan of care?.Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Check for catheter occlusion.
B) Increase the flow rate of irrigant solution.
C) Check vital signs.
D) Ask the patient to drink more fluids.
E) Assess the patient for hyponatremia.

Question 14

A patient is diagnosed with benign prostatic hypertrophy (BPH). What rationale does the nurse provide for measuring the patient's blood pressure?

A) To help determine whether the patient can tolerate doxazosin mesylate (Cardura)
B) As baseline BP if surgery is indicated
C) To help determine the volume of urine being retained in the bladder
D) To determine the dose of finasteride (Proscar)

Question 15

A patient seen in the emergency department for priapism is sent to the medical unit. The admitting nurse should anticipate performing which actions as part of the nursing care plan?.Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Assess the penis for color changes.
B) Assess the penis for firmness and rigidity.
C) Administer an analgesic as prescribed for pain.
D) Apply ice packs as prescribed.
E) Push oral fluids.

Question 16

A 65-year-old male patient complains of problems emptying his bladder, especially at night. The nurse would ask additional assessment questions related to which disorder?

A) Benign prostatic hypertrophy
B) Urinary tract infection
C) Bladder cancer
D) Testicular cancer

Question 17

A patient has a possible cancer on his penis. The nurse would assess for which risk factors in this patient's history?.Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Phimosis
B) Human papillomavirus (HPV) infection
C) AIDS infection
D) Excessive ultraviolet light exposure
E) Being circumcised

Question 18

A female patient asks the nurse for help because her husband has not been able to attain an erection in several months. Which nursing intervention should be performed first?

A) Assess the couple's most recent sexual practices.
B) Suggest that she seek psychiatric counseling.
C) Suggest that the couple contact a marriage counselor.
D) Suggest that the husband talk to his physician about a prescription for sildenafil (Viagra).

Question 19

A 55-year-old patient who has a history of angina and is being treated with nitroglycerine asks for a prescription to aid with erectile dysfunction. Which nursing intervention is indicated?

A) Explain why the erectile dysfunction medication is not a good idea with the heart medication.
B) Provide education about the medication once the prescription is provided.
C) Remind the patient to stop taking the heart medication when planning to take the erectile dysfunction medication.
D) Suggest a behavioral health consult to analyze the reason for the erectile dysfunction.

Question 20

A patient who is being treated for epididymitis stops taking his antibiotics. The nurse is concerned that this patient is at risk for developing which complication?

A) Orchitis
B) Priapism
C) Hydrocele
D) Spermatocele

Question 21

The nurse is giving a presentation on testicular cancer to a community group. What concepts should be included in this presentation?

A) African American men have the highest rate of testicular cancer.
B) The development of testicular cancer is most common in men over the age of
C) Farmers may have a higher incidence for the development of testicular cancer than white-collar workers.
D) The mortality rate for men diagnosed with stage I testicular cancer is approximately 20%.
40.

Question 22

A 44-year-old man has sought treatment for erectile dysfunction. The patient asks specifically to be considered for sildenafil (Viagra) therapy. Which factors in the patient's medical history must be taken into consideration for this particular medication?.Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) The patient was recently hospitalized to regulate his insulin therapy.
B) The patient has angina.
C) The patient has a history of type 2 diabetes managed by oral hypoglycemic medications.
D) The patient has a history of glaucoma.
E) The patient reports a history of hypotension.

Question 23

A 19-year-old patient presents to the emergency department with complaints of testicular inflammation and pain. Laboratory tests are performed. Which result does the nurse evaluate as consistent with the suspected diagnosis of orchitis?

A) WBC: 14,500/mm³
B) Urinalysis: no white blood cells noted
C) PSA: 12 ng/mL
D) Platelet count: 250,000

Question 24

A patient who has benign prostatic hyperplasia (BPH) would like to try an alternative therapy along with the prescribed medication. The nurse would evaluate that education goals have been met when the patient states he will purchase which herbal remedy?

A) Dill weed
B) African star grass
C) St. John's wort
D) Oil of primrose

Question 25

A patient who is suspected of having prostate cancer has had laboratory tests completed. The PSA result is 2.4 ng/mL. What can the nurse infer from this information?

A) The PSA indicates a need to retest every other year.
B) The patient does not have prostate cancer.
C) The PSA results are inconclusive.
D) The PSA results are elevated, signaling likely prostate cancer.

Question 26

A patient is preparing to undergo transurethral needle ablation (TUNA). Which statement would the nurse evaluate as indicating education goals for this patient have been met?

A) "The reduced complications of this procedure versus those of the TURP will be well worth the TUNA's higher cost."
B) "The TUNA procedure will not require a hospital admission."
C) "Bleeding is a serious complication associated with the TUNA procedure."
D) "I can anticipate needing to have this procedure repeated in 5 to 7 years."

Question 27

The nurse is planning care for a patient who has just been diagnosed with testicular cancer. Surgery is planned. Which patient problem should be included in the plan of care?

A) Bowel incontinence
B) Erectile dysfunction
C) Urinary incontinence
D) Altered body image

Question 28

The wife of a man diagnosed with prostate cancer appears disheveled and anxious during a visit to her husband. When the patient leaves the floor for testing, the nurse uses the opportunity to approach her. Which approach by the nurse is most therapeutic?

A) "Would you like to talk about your concerns?"
B) "You must be having problems with all of this."
C) "What is wrong?"
D) "I can see that you are having a difficult time."

Question 29

The nurse is assigned to a patient who has just had surgery to manage testicular cancer. When preparing the plan of care, which problem will be of the highest priority?

A) Anxiety and fear
B) Pain management
C) Knowledge deficit related to radiation therapy
D) Potential for nausea

Question 30

A 45-year-old patient who has testicular cancer is undergoing treatment with cisplatin (Platinol-AQ). The nurse has completed the shift assessment and has reviewed the day's laboratory results. Which development will require the nurse to notify the health care provider?
000.

A) The patient has voided 500 cc in the past 24 hours.
B) The patient complains of nausea 2 hours after the medication is administered.
C) The patient's white blood cell count is 7,
D) The patient reports noticing an increase in hair loss over the past 2 days.

Question 31

An 86-year-old patient has just been diagnosed with benign prostatic hyperplasia (BPH). While discussing the condition with the nurse, the patient shakes his head and states, "I thought this disease was more common in middle-aged men." Which response by the nurse is most appropriate?

A) "I understand how you feel."
B) "No one really knows why this happens in older men."
C) "This disease is most common in men between the ages of 40 and
D) "This condition is seen in about 90% of men your age."
55."

Question 32

A patient reports to the emergency department with complaints of scrotal swelling and a pain level of 2 on a scale of 1 to

A) Testicular torsion
10. He reports feeling a dull ache with prolonged standing or walking. The physical assessment reveals a "bag of worms" appearance to the scrotum. The nurse would ask additional assessment questions related to which disorder?
B) Hydrocele
C) Prostatitis
D) Varicocele

Question 33

Laboratory testing is ordered for a 61-year-old patient suspected of having chronic prostatitis. The nurse anticipates preparing the patient for which procedure?

A) CT scan
B) IVP
C) Serum sodium level
D) Urinalysis