Question 1

A nurse is performing the initial assessment on a man with a reproductive disorder.What type of interview techniques should be used to demonstrate a sensitive approach? (Select all that apply.)&#10;A) Use open-ended questions.&#10;B) Pin the patient down for truthful and specific information.&#10;C) Leave sensitive questions until later in the interview.&#10;D) Share her or his professional opinion.&#10;E) Start most questions with &#34;why.&#34;

Accepted Answer

Using open-ended questions allows the patient to express themselves more freely and provides a more comfortable environment for discussing sensitive topics. Leaving sensitive questions until later in the interview gives the patient time to build trust and feel more at ease with the nurse.

Question 2

A patient has been prescribed flutamide (Eulexin)for the treatment of prostate cancer.What possible side effect should the nurse remind the patient might occur?&#10;A) Incontinence&#10;B) Insomnia&#10;C) Weight loss&#10;D) Hot flashes

Accepted Answer

Flutamide is known to cause hot flashes in some patients due to its effects on reducing testosterone levels. Other possible side effects include decreased libido, erectile dysfunction, diarrhea, and liver toxicity.

Question 3

What instruction should a nurse include when giving education about taking sildenafil (Viagra)?&#10;A) No more than two tablets should be taken in a 24-hour period.&#10;B) Erection occurs without stimulation.&#10;C) Nitrates should be taken at least 4 hours before taking Viagra.&#10;D) Tablet should be taken 1 hour before sexual activity.

Accepted Answer

The correct instruction for taking sildenafil (Viagra) is that the tablet should be taken 1 hour before sexual activity. This allows for optimal absorption and effectiveness. It is important to note that no more than one tablet should be taken in a 24-hour period. Erection does not occur without sexual stimulation, so it is not necessary to include this information in the education. Nitrates should never be taken in conjunction with sildenafil, as this can result in a dangerous drop in blood pressure, so instructing the patient to take nitrates 4 hours before or after taking Viagra would be inappropriate.

Question 4

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

Accepted Answer

The answer of When a significant elevation in the human...

Question 5

What direction should a nurse provide when instructing a patient who is to have a semen analysis? (Select all that apply.)&#10;A) Collect specimen in a rubber condom.&#10;B) Keep the specimen at room temperature until given to the laboratory.&#10;C) Keep the specimen container in warm tap water.&#10;D) Bring the specimen to the laboratory within 4 hours.&#10;E) Abstain from sexual activity 2 to 3 days before the test.

Accepted Answer

The answer of What direction should a nurse provide when...

Question 6

When completing a health history with a patient, a nurse should encourage the patient to describe the symptoms in objective terms.Which statement is a good example of the description of pain?&#10;A) &#34;This spot seems to hurt more right here.&#34;&#10;B) &#34;This pain is the worst pain in the world.&#34;&#10;C) &#34;My pain reminds me of when I hurt my foot last year.&#34;&#10;D) &#34;I would say my pain is a 5 on a scale from 1 to 10.&#34;

Accepted Answer

Describing pain on a scale from 1 to 10 is a more objective way of describing pain than using subjective or emotional descriptions such as "worst pain in the world" or comparing it to a past injury. Using specific language and numerical ratings can better help healthcare providers assess and manage pain.

Question 7

A patient is placed on estramustine (Emcyt)for prostate cancer.What should the nurse explain as a possible side effect of the medication?&#10;A) Gynecomastia&#10;B) Pruritus&#10;C) Constipation&#10;D) Tinnitus

Accepted Answer

Estramustine can cause gynecomastia, which is the development of breast tissue in males.

Question 8

When conducting an initial assessment on a 65-year-old male patient, a nurse assesses a mass in the left testicle that on transillumination glows red.What should the nurse note this indicates the presence of?

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

Accepted Answer

A hydrocele is indicated by a mass in the testicle that glows red upon transillumination, as it is a collection of clear fluid around a testicle that allows light to pass through.

Question 9

What is the purpose of the urethral smear?&#10;A) Screens for human immunodeficiency viral (HIV)infection.&#10;B) Detects sexually transmitted infections.&#10;C) Verifies fertility through a sperm count.&#10;D) Eliminates concerns of prostate problems.

Accepted Answer

The purpose of the urethral smear is to detect sexually transmitted infections.

Question 10

What should a nurse inform a 50-year-old patient who has been prescribed nilutamide (Nilandron), a testosterone blocker, to expect while taking this drug?&#10;A) His urine will have a fishy odor.&#10;B) Liver functions will need to be monitored.&#10;C) Skin rash will appear on his face.&#10;D) Episodes of hypotension will occur.

Accepted Answer

Nilutamide can cause liver damage, so it is important to monitor liver function regularly while taking this medication. A, C, and D are not common side effects of nilutamide.

Question 11

What should a nurse explain to a young man being treated for infertility as the purpose of a semen analysis?&#10;A) Determine the history of sexually transmitted infections.&#10;B) Evaluate the potential for genetic problems.&#10;C) Determine whether any urethral obstructions are present.&#10;D) Microscopically assess the sperm for number and motility.

Accepted Answer

The answer of What should a nurse explain to a...

Deck 53: Male Reproductive System Introduction