Deck 72: Care of Patients with Male Reproductive Problems

Question 1

A client is diagnosed with metastatic prostate cancer.The client asks the nurse the purpose of his treatment with the luteinizing hormone-releasing hormone (LH-RH)agonist leuprolide (Lupron)and the bisphosphonate pamidronate (Aredia).Which statement by the nurse is most appropriate?

A) "The treatment reduces testosterone and prevents bone fractures."
B) "The medications prevent erectile dysfunction and increase libido."
C) "There is less gynecomastia and osteoporosis with this drug regimen."
D) "These medications both inhibit tumor progression by blocking androgens."

Answer 1

"The treatment reduces testosterone and prevents bone fractures."

Question 2

A 55-year-old male client is admitted to the emergency department with symptoms of a myocardial infarction.Which question by the nurse is the most appropriate before administering nitroglycerin?

A) "On a scale from 0 to 10, what is the rating of your chest pain?"
B) "Are you allergic to any food or medications?"
C) "Have you taken any drugs like Viagra recently?"
D) "Are you light-headed or dizzy right now?"

Answer 2

"Have you taken any drugs like Viagra recently?"

Question 3

A 55-year-old African-American client is having a visit with his health care provider.What test should the nurse discuss with the client as an option to screen for prostate cancer,even though screening is not routinely recommended?

A) Complete blood count
B) Culture and sensitivity
C) Prostate-specific antigen
D) Cystoscopy

Answer 3

Prostate-specific antigen

Question 4

Post transurethral resection of the prostate,a client has a three-way catheter with a continuous bladder irrigation.Over the last 12 hours,there has been 1400 mL of irrigation solution infused and 2000 mL measured in output from the drainage bag.What is the recording of the urinary output for the 12-hour period? (Record your answer using a whole number.)____ mL

Question 5

A client is diagnosed with benign prostatic hyperplasia and seems sad and irritable.After assessing the client's behavior,which statement by the nurse would be the most appropriate?

A) "The urine incontinence should not prevent you from socializing."
B) "You seem depressed and should seek more pleasant things to do."
C) "It is common for men at your age to have changes in mood."
D) "Nocturia could cause interruption of your sleep and cause changes in mood."

Question 6

A 70-year-old client returned from a transurethral resection of the prostate 8 hours ago with a continuous bladder irrigation.The nurse reviews his laboratory results as follows:

What action by the nurse is the most appropriate?

A) Consider starting a blood transfusion.
B) Slow down the bladder irrigation if the urine is pink.
C) Report the findings to the surgeon immediately.
D) Take the vital signs every 15 minutes.

Question 7

A nurse and an unlicensed assistive personnel (UAP)are caring for a client with an open radical prostatectomy.Which comfort measure could the nurse delegate to the UAP?

A) Administering an antispasmodic for bladder spasms
B) Managing pain through patient-controlled analgesia
C) Applying ice to a swollen scrotum and penis
D) Helping the client transfer from the bed to the chair

Question 8

The nurse is conducting a history on a male client to determine the severity of symptoms associated with prostate enlargement.Which finding is cause for prompt action by the nurse?

A) Cloudy urine
B) Urinary hesitancy
C) Post-void dribbling
D) Weak urinary stream

Question 9

The nurse is teaching an uncircumcised 65-year-old client about self-management of a urinary catheter in preparation for discharge to his home.What statement indicates a lack of understanding by the client?

A) "I only have to wash the outside of the catheter once a week."
B) "I should take extra time to clean the catheter site by pushing the foreskin back."
C) "The drainage bag needs to be changed at least once a week and as needed."
D) "I should pour a solution of vinegar and water through the tubing and bag."

Question 10

The nurse is teaching a client with benign prostatic hyperplasia (BPH).What statement indicates a lack of understanding by the client?

A) "There should be no problem with a glass of wine with dinner each night."
B) "I am so glad that I weaned myself off of coffee about a year ago."
C) "I need to inform my allergist that I cannot take my normal decongestant."
D) "My normal routine of drinking a quart of water during exercise needs to change."

Question 11

A 34-year-old client comes to the clinic with concerns about an enlarged left testicle and heaviness in his lower abdomen.Which diagnostic test would the nurse expect to be ordered to confirm testicular cancer?

A) Alpha-fetoprotein (AFP)
B) Prostate-specific antigen (PSA)
C) Prostate acid phosphatase (PAP)
D) C-reactive protein (CRP)

Question 12

A 25-year-old client has recently been diagnosed with testicular cancer and is scheduled for radiation therapy.Which intervention by the nurse is best?

A) Ask the client about his support system of friends and relatives.
B) Encourage the client to verbalize his fears about sexual performance.
C) Explore with the client the possibility of sperm collection.
D) Provide privacy to allow time for reflection about the treatment.

Question 13

A client is interested in learning about the risk factors for prostate cancer.Which factors does the nurse include in the teaching? (Select all that apply.)

A) Family history of prostate cancer
B) Smoking
C) Obesity
D) Advanced age
E) Eating too much red meat
F) Race

Question 14

The nurse is administering finasteride (Proscar)and doxazosin (Cardura)to a 67-year-old client with benign prostatic hyperplasia.What precautions are related to the side effects of these medications? (Select all that apply.)

A) Assessing for blood pressure changes when lying, sitting, and arising from the bed
B) Immediately reporting any change in the alanine aminotransferase laboratory test
C) Teaching the client about the possibility of increased libido with these medications
D) Taking the client's pulse rate for a minute in anticipation of bradycardia
E) Asking the client to report any weakness, light-headedness, or dizziness

Question 15

The nurse is administering sulfamethoxazole-trimethoprim (Bactrim)to a client diagnosed with bacterial prostatitis.Which finding causes the nurse to question this medication for this client?

A) Urinary tract infection
B) Allergy to sulfa medications
C) Hematuria
D) Elevated serum white blood cells

Question 16

A client has returned from a transurethral resection of the prostate with a continuous bladder irrigation.Which action by the nurse is a priority if bright red urinary drainage and clots are noted 5 hours after the surgery?

A) Review the hemoglobin and hematocrit as ordered.
B) Take vital signs and notify the surgeon immediately.
C) Release the traction on the three-way catheter.
D) Remind the client not to pull on the catheter.

Question 17

A client came to the clinic with erectile dysfunction.What are some possible causes of this condition that the nurse could discuss with the client during history taking? (Select all that apply.)

A) Recent prostatectomy
B) Long-term hypertension
C) Diabetes mellitus
D) Hour-long exercise sessions
E) Consumption of beer each night