Deck 54: Male Reproductive Disorders

Question 1

After a 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.What is the nurse's most therapeutic intervention at this time?

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

Which instruction should increase the comfort of a patient who is recovering from prostatitis?

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

Answer 2

Take stool softeners

Question 3

What should instructions relate to for a discharge teaching plan for a patient after undergoing a prostatectomy? (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

Answer 3

Remedy for bladder spasm
Catheter care
Perineal exercises
Avoidance of heavy lifting

Question 4

A nurse is caring for a patient 2 hours after a transurethral resection and immediately reports to the charge nurse the presence of large clots in the catheter and drainage bag.What should the nurse anticipate the physician will order?

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) Prescribe a potent vasoconstrictor to reduce hemorrhage.

Question 5

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

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

Question 6

A nurse is reviewing the drugs taken by a 50-year-old male patient.What medication should the nurse recognize as the most probable cause of erectile dysfunction (ED)?

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

Question 7

Which statement by a patient indicates he understands the teaching relative to how to perform a testicular self-examination?

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 8

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.What should the nurse suspect based on these initial findings?

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

Question 9

A patient has an elevation in the prostatic-specific antigen (PSA)level from 4 to 6 ng/L.What should the nurse suspect to be the cause?

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

Question 10

A nurse is formulating a teaching plan for a patient with acute prostatitis.What information should be included regarding treatment?

A) There will be a 2-week period with a temporary catheter and the instillation of antibiotics in the bladder.
B) There will be a 6-week course of antibiotics and anti-inflammatory drugs.
C) There will be a 6-week course of broad-spectrum antibiotics followed by a prostatectomy.
D) There will be a 16-week protocol of sitz baths and the use of a sturdy scrotal support.

Question 11

A mother of a newborn with cryptorchidism asks if this condition will be permanent.What is the nurse's best response?

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 12

What should a patient's home instructions following a vasectomy include?

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

Question 13

A nurse is assessing a young man who is being treated for sterility and inquires whether the young man had any common childhood disease that may be the cause of sterility.What childhood disease might result in sterility?

A) Mumps
B) Chickenpox
C) Measles
D) Scarlet fever

Question 14

A patient is recovering after surgery to correct a testicular torsion.Which possibility should the nurse caution the young patient about?

A) Reoccurrence
B) Infertility
C) 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.What should the nurse understand about this procedure in order to answer the patient?

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 to correct the problem.

Question 16

What can men who have sustained spinal cord injuries with resultant ED use to aid in the ability to have sexual intercourse?

A) Testosterone injections
B) Papaverine penile injections
C) Inflatable penile implants
D) Antihypertensives