Deck 43: Nursing Care of Male Patients With Genitourinary Disorders

Question 1

The nurse is caring for a patient with continuous bladder irrigation after a transurethral resection of the prostate (TURP).Which assessment finding should take priority?

A) Pink-tinged urine
B) 10-mL urine output in an hour
C) Patient report of bladder spasms
D) Leakage of small amounts of urine around the catheter

Answer 1

Leakage of small amounts of urine around the catheter

Question 2

A 30-year-old male patient has just received a diagnosis of testicular cancer.He appears sad and states,"I always wanted to have children.Now it will be impossible." What nursing intervention would be most helpful?

A) Contact pastoral care to counsel the patient.
B) Provide the patient with literature about adoption.
C) Inform the patient that children will be out of the question.
D) Tell the patient that it may be possible to deposit sperm in a sperm bank before treatment is begun.

Answer 2

Tell the patient that it may be possible to deposit sperm in a sperm bank before treatment is begun.

Question 3

The nurse is caring for a man diagnosed with prostatitis.What symptom should the nurse expect when collecting data from the patient?

A) Dysuria
B) Polyuria
C) Hematuria
D) Glycosuria

Answer 3

Dysuria

Question 4

A patient is diagnosed with excessive fluid in the scrotal sac.What term should the nurse use when discussing the health problem with the patient?

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

Question 5

The nurse has just removed an indwelling catheter from a patient following transurethral resection of the prostate.What action by the nurse is most important?

A) Monitor vital signs.
B) Watch for bladder spasms.
C) Offer the urinal every 15 minutes.
D) Collect serial samples of urine to monitor for color.

Question 6

The nurse is assisting with teaching a patient who will be discharged with a catheter after a prostatectomy.Which patient statement indicates the need for further teaching?

A) "I should call you if the bleeding increases."
B) "I need to wash around the meatus with soap and water each day."
C) "I should keep the drainage bag below the level of my bladder at all times."
D) "Applying antibiotic ointment to the meatus twice a day will prevent skin breakdown."

Question 7

The nurse is caring for a patient with prostatitis.Which manifestation should the nurse attend to immediately?

A) Shaking chills
B) Inability to urinate
C) Fever 101°F (38.3°C)
D) Low back pain rated 9 on a 0-to-10 scale

Question 8

The nurse is providing care for a patient admitted with epididymitis.Which intervention is most appropriate?

A) Frequent ambulation
B) Pressure to the scrotum
C) Elevation of the scrotum
D) Warm packs to the scrotum

Question 9

A patient is discharged home after a prostatectomy.Two days later,he calls the nurse and says his bleeding has increased.The nurse asks what he has been doing since discharge.Which activity reported by the patient indicates the need for teaching by the nurse?

A) The patient took an opioid for pain.
B) The patient raked leaves in the yard.
C) The patient took a walk around the block.
D) The patient has been sitting in a recliner watching television.

Question 10

The nurse is assisting with teaching a 56-year-old office manager who reports engaging in a variety of activities.Which one should the nurse explain most likely increased his risk for developing prostatitis?

A) Sitting for long periods in his office
B) Bowling once a week with the office team
C) Drinking three to four martinis each night after work
D) Having sexual intercourse with his wife once a week

Question 11

A patient who has just returned from a transurethral resection of the prostate (TURP)asks the nurse why he needs a urinary catheter.What is the correct explanation?

A) "The catheter keeps your bladder empty to reduce risk for infection. It is important to leave it in for at least 72 hours."
B) "The catheter is keeping pressure on the area to prevent bleeding. We will remove it when the risk for bleeding has passed."
C) "We can take the catheter out when you are able to urinate on your own. I'll ask the physician if we can remove it later today."
D) "The catheter is being used to irrigate your bladder with antibiotics. It is important to continue this until you can take antibiotics orally."

Question 12

The nurse is providing pre-operative care for an 80-year-old patient who is scheduled to have prostate surgery.The patient says,"I know a man who was impotent after this surgery.Will that happen to me?" Which response by the nurse is most appropriate?

A) "There are many treatments available if it does occur."
B) "Most men your age learn to deal with erectile dysfunction if it does occur."
C) "Impotence should not be a problem; sperm production is not affected by this surgery."
D) "Some prostate surgery can cause erectile dysfunction. I'll ask your surgeon to explain the risks to you."

Question 13

The nurse is teaching a male patient the early warning signs of testicular cancer.What should this instruction include?

A) Skin of scrotal sac red in color
B) Small painless lump on the testicle
C) Presence of rugae on the scrotal sac
D) Skin of scrotal sac cooler in temperature

Question 14

A patient diagnosed with benign prostatic hyperplasia is prescribed the alpha-blocking medication terazosin (Hytrin)to reduce symptoms.For which side effect should the nurse monitor this patient?

A) Dry mouth
B) Headaches
C) Hypotension
D) Urinary frequency

Question 15

A patient is using a suction device and penile ring to treat erectile dysfunction.What instructions must the patient receive to prevent tissue damage?

A) "Loosen the penile ring before having intercourse."
B) "Remove the penile ring as soon as an erection occurs."
C) "Remove the penile ring within 15 to 20 minutes of putting it on."
D) "Leave the penile ring on no more than an hour after intercourse."

Question 16

A male patient is experiencing erectile dysfunction.For which medication classification should the nurse assess if the patient is prescribed?

A) NSAIDs
B) Antibiotics
C) Antidiabetics
D) Antihypertensives

Question 17

A male client comes into the emergency department experiencing a painful prolonged erection.What term should the nurse use to document this patient's problem?

A) Orchitis
B) Priapism
C) Paraphimosis
D) Peyronie's disease

Question 18

A patient has just received a new prescription for a transurethral suppository for erectile dysfunction.What instructions should the nurse provide about this medication?

A) "Urinate before you insert the suppository into your urethra."
B) "Remove the suppository after you are finished having intercourse."
C) "Lubricate the suppository well, and insert it into your rectum before intercourse."
D) "Insert the suppository into the urethra at least 2 hours before anticipated intercourse."

Question 19

A 70-year-old male arrives in the emergency department and says,"I haven't urinated in 24 hours.I feel like I have to go,but I can't." What care should the nurse anticipate providing first?

A) STAT administration of IV fluids
B) Emergency preparation for a cystoscopy
C) STAT insertion of an indwelling catheter
D) Emergency preparation for an intravenous pyelogram (IVP)

Question 20

The nurse is bathing an older male patient who has never been circumcised.What is proper care of the uncircumcised penis?

A) Do not retract the foreskin; leave it in its natural position at all times.
B) Use alcohol and a cotton swab to clean gently underneath the foreskin.
C) Retract the foreskin, wash with soap and water, and replace the foreskin to its original position.
D) Retract the foreskin, wash with soap and water, and leave the foreskin retracted to prevent collection of debris.

Question 21

The treatment provided to a patient with prostatitis is being evaluated.What information should the nurse use to determine that treatment has been successful?

A) No evidence of erectile dysfunction
B) Stabilized hemoglobin and hematocrit levels
C) Clean catch urine specimen absent of bacteria
D) Prostate specific antigen level within normal limits

Question 22

The nurse is reviewing the male reproductive system with a couple being evaluated for infertility.What concentration of sperm should the nurse instruct this couple as being needed for normal conception to occur?

A) 5 million sperm per mL of semen
B) 10 million sperm per mL of semen
C) 15 million sperm per mL of semen
D) 20 million sperm per mL of semen

Question 23

A patient is prescribed tamsulosin (Flomax)for treatment of benign prostatic hypertrophy.What instructions should be provided to this patient? (Select all that apply.)

A) Dizziness may occur.
B) Chew or crush tablets.
C) Avoid unnecessary sunlight.
D) Avoid the use of heavy machinery.
E) Dry mouth and gastrointestinal upset may occur.
F) Be careful when going from a sitting to a standing position.

Question 24

The nurse is assisting a 28-year-old man who is undergoing testing for infertility.He says,"I can't believe I have to stop wearing tight jeans.What on earth could that have to do with anything?" Which response by the nurse is best?

A) "Tight jeans do not cause infertility. That is an old wives' tale."
B) "The pressure on your scrotum from tight jeans can damage your testes."
C) "It's not the tight jeans, but the way they make you sit that causes the problem."
D) "Tight jeans hold your scrotum too close to your body, where the heat can inhibit sperm production."

Question 25

A male patient has infertility caused by an endocrine problem.For which type of problem should the nurse plan care for this patient?

A) Testicular
B) Pretesticular
C) Post-testicular
D) Chronic testicular

Question 26

The nurse is assisting with a urology clinic intake assessment on a patient who reports erectile dysfunction.He has tried several treatments without success.He states,"I'm pretty useless to my wife now.I might as well become a monk." Which nursing diagnosis should take priority in guiding the nurse's care?

A) Anxiety related to uncertain future
B) Powerlessness related to inability to fulfill role functions
C) Noncompliance related to use of treatments for erectile dysfunction
D) Knowledge Deficit related to lack of knowledge about treatments for erectile dysfunction

Question 27

A male patient explains that manifestations of benign prostatic hyperplasia (BPH)have been occurring for several years.For which adverse effects of this health problem should the nurse consider when planning this patient's caring? (Select all that apply.)

A) Urosepsis
B) Bladder cancer
C) Renal insufficiency
D) Evidence of hydronephrosis
E) Recurrent urinary tract infections

Question 28

The nurse is assisting with the preparation of materials for a patient who is at risk for prostatitis.What should the nurse include in this teaching? (Select all that apply.)

A) Practice safe sex
B) Ensure good personal hygiene
C) Avoid urinary catheterizations
D) Avoid excessive intake of citrus juices
E) Avoid excessive intake of animal products

Question 29

The nurse reviews care orders written by the HCP for a patient recovering from a transurethral resection of the prostate.These orders include bladder irrigation,antispasmodic medication,and intravenous antibiotics every 6 hours.For which potential complications are these orders specifically addressing? (Select all that apply.)

A) Infection
B) Blood clots
C) Bladder spasms
D) Urinary retention
E) Nausea and vomiting

Question 30

The nurse is collecting a medication history from a man with erectile dysfunction.For what medication classes and lifestyle substances should the nurse assess because they can cause erectile dysfunction? (Select all that apply.)

A) Alcohol
B) Caffeine
C) Antibiotics
D) Antihistamines
E) Beta-blocking agents
F) Oral hypoglycemic agents

Question 31

The nurse is reviewing a patient's prescribed medications.Which medications are used to treat cancer by suppressing or blocking testosterone? (Select all that apply.)

A) Leuprolide (Lupron)
B) Finasteride (Proscar)
C) Dutasteride (Avodart)
D) Diethylstilbesterol (DES)
E) Goserelin (Zoladex)

Question 32

The mother is upset to learn that her son's testes have not descended into the scrotum.At what age should the mother consider surgery for her son's health problem?

A) 1
B) 2
C) 3
D) 4

Question 33

The nurse is providing care for a patient diagnosed with bacterial prostatitis who is being treated on an outpatient basis with oral antibiotic therapy.In addition to the medication,which interventions should the nurse include in discharge teaching? (Select all that apply.)

A) Bedrest
B) Stool softeners
C) Warm sitz baths
D) Anti-inflammatory agents
E) Self-catheterization every 2 hours

Question 34

The nurse is reviewing the medical records for a couple who have been trying to conceive.How long must a couple attempt to conceive unsuccessfully before they are considered infertile?

A) 1 year
B) 2 years
C) 3 months
D) 6 months

Question 35

The nurse is caring for a patient in the emergency department in a hypertensive crisis.He states he stopped taking his blood pressure medicine because it made him impotent.What should be the nurse's first response?

A) "No, it is a myth that blood pressure medications cause erectile dysfunction. You should see a urologist to look for other causes."
B) "You are right; blood pressure medications can cause erectile dysfunction. You should consider seeing a urologist for treatment."
C) "No, blood pressure medications do not usually cause erectile dysfunction; it is the high blood pressure that can cause the problem. You need to be careful to take your medications to keep it under control."
D) "Yes, blood pressure medications can cause erectile dysfunction, but there are many different classes of drugs for high blood pressure. Let's ask your physician what might work better for you."

Question 36

An older male patient is upset to learn about the diagnosis of benign prostatic hyperplasia.What should the nurse explain to the patient about this health problem?

A) This health problem is a precursor to prostate cancer.
B) 75% of men over the age of 70 have this health problem.
C) 50% of men with this health problem need the prostate removed.
D) 25% of men with this health problem will have erectile dysfunction.

Question 37

The HCP suggests that a patient with benign prostatic hyperplasia have an invasive procedure to reduce the symptoms of the disorder.For which procedures should the nurse prepare materials for the patient? (Select all that apply.)

A) Lithotripsy
B) Prostatic stents
C) Transurethral needle ablation
D) Transurethral microwave therapy
E) High intensity focused ultrasound

Question 38

A patient is being treated for prostatitis.What instructions should the nurse provide to help this patient? (Select all that apply.)

A) "Avoid tub baths."
B) "Empty your bladder frequently."
C) "Avoid products that contain caffeine."
D) "Try to increase the amount of fiber in your diet."
E) "Increase your fluid intake to nearly 3000 mL/day."
F) "Take your antibiotics until your symptoms have completely resolved."

Question 39

A male patient has a curved penis.What term should the nurse use to document this observation?

A) Priapism
B) Phimosis
C) Paraphimosis
D) Peyronie's disease

Question 40

The nurse is collecting admission data from a patient recently diagnosed with benign prostatic hyperplasia.Which symptoms should the nurse expect the patient to report? (Select all that apply.)

A) Low back pain
B) Dribbling after urination
C) Difficulty initiating an erection
D) Difficulty maintaining an erection
E) Difficulty starting the urine stream