Question 1

A man with a swollen scrotum is diagnosed with fluid within the scrotal sac. For which health problem should the nurse prepare teaching for this person?&#10;A)Hydrocele&#10;B)Epididymitis&#10;C)Phimosis&#10;D)Spermatocele

Accepted Answer

Swelling of the scrotum with fluid within the scrotal sac indicates hydrocele. Hydrocele occurs when excess fluid accumulates in the space between the protective layers surrounding the testicle. It is a common condition that can be caused by injury, infection, or inflammation. The nurse should prepare teaching for the person about the causes, symptoms, and treatment options for hydrocele.

Question 2

A 55-year-old man has an abnormal digital rectal examination (DRE)with a PSA (prostate-specific antigen)level of 18 ng/mL. What test should the nurse expect to be prescribed for this man?&#10;A)An MRI&#10;B)Urine and prostatic secretion cultures&#10;C)A transrectal ultrasonography (TRUS)&#10;D)A biopsy

Accepted Answer

A transrectal ultrasonography (TRUS) is used to evaluate the prostate gland and surrounding structures. It is often used to guide a biopsy of the prostate.

Question 3

A 55-year-old male with a history of angina being treated with a nitrate-based medication asks for a prescription to aid with erectile dysfunction. What should be done to assist this man?&#10;A)Explain why the erectile dysfunction medication is not a good idea with the heart medication.&#10;B)Remind the man to not take the two medications at the same time.&#10;C)Provide education about the medication once the prescription is provided.&#10;D)Suggest he discusses with a psychologist the reasons for the erectile dysfunction.

Accepted Answer

Nitrate-based medications and erectile dysfunction medications both cause a significant decrease in blood pressure when taken together. The combination can lead to life-threatening complications such as heart attacks, strokes, and sudden death. Therefore, the man must be advised against the use of erectile dysfunction medication while on nitrate-based medication.

Question 4

A 65-year-old man complains of 'problems emptying his bladder, especially at night.' Of what is this man demonstrating symptoms?&#10;A)Bladder cancer&#10;B)Epididymitis&#10;C)Benign prostatic hyperplasia&#10;D)Urinary tract infection

Accepted Answer

The symptoms described (difficulty emptying the bladder, especially at night) are characteristic of benign prostatic hyperplasia, which is a common condition in older men where the prostate gland enlarges and obstructs the flow of urine from the bladder. Bladder cancer, epididymitis, and urinary tract infections may have overlapping symptoms but do not typically present with difficulty emptying the bladder specifically.

Question 5

A man is diagnosed with testicular cancer. What is the first step in the treatment of this disorder?&#10;A)Hormone therapy&#10;B)Aspiration of the enlarged testicle&#10;C)Chemotherapy&#10;D)Surgical removal of the testicle

Accepted Answer

The surgical removal of the affected testicle (radical inguinal orchiectomy) is the recommended first step in the treatment of testicular cancer. This allows for a sample of the tumor to be examined further, and it helps prevent the cancer from spreading to other parts of the body. Other treatments may be necessary following the surgery, depending on the stage and type of cancer.

Question 6

A man who is complaining of heaviness in his scrotum has learned that his serum lactic acid dehydrogenase level is elevated. What does this information indicate?&#10;A)Presence of epididymitis&#10;B)Definite testicular cancer&#10;C)Possible testicular cancer&#10;D)Possible varicocele

Accepted Answer

Elevated serum lactic acid dehydrogenase levels may indicate possible testicular cancer. However, additional tests such as ultrasound and biopsy are necessary for a definite diagnosis.

Question 7

A man is diagnosed with benign prostatic hypertrophy. What techniques to reduce urinary retention should the nurse include when teaching about this disorder?&#10;A)Continue to urinate until the bladder is fully emptied.&#10;B)Over-the-counter cold remedies are permitted with other medications.&#10;C)Encourage increasing fluid intake to at least 3 litres per day.&#10;D)Avoid alcoholic beverages.

Accepted Answer

The answer of A man is diagnosed with benign prostatic...

Question 8

A man is diagnosed with asymptomatic inflammatory prostatitis. On what basis was this diagnosis made?&#10;A)According to the man's symptoms&#10;B)By testing the serum PSA (prostate-specific antigen)level&#10;C)After examining prostate tissue&#10;D)After rectally palpating the man's prostate gland

Accepted Answer

Asymptomatic inflammatory prostatitis is diagnosed after examining prostate tissue, often identified incidentally during the investigation for other conditions, as the patient does not present with symptoms typical of prostatitis.

Question 9

A man who is being treated for epididymitis stops taking his antibiotics. What is this man at risk of developing?&#10;A)Testicular torsion&#10;B)Orchitis&#10;C)Priapism&#10;D)Varicocele

Accepted Answer

By stopping his antibiotics, the man is at risk of developing orchitis, which is inflammation of the testicles that can occur as a complication of epididymitis if left untreated or if treatment is not completed. Testicular torsion, priapism, and varicocele are not typically associated with epididymitis or its treatment.

Question 10

A woman asks the nurse for help because her husband has not been able to attain an erection in several months. What can the nurse do to help this person?&#10;A)Suggest that they both see a marriage counsellor.&#10;B)Assess for their most recent sexual practices.&#10;C)Provide a prescription for sildenafil citrate (Viagra).&#10;D)Suggest that they both seek psychiatric counselling.

Accepted Answer

The first step for the nurse is to assess the couple's current sexual practices to determine if there are any underlying issues. This will help the nurse determine the best course of action, which may include providing education on sexual function, referral to a healthcare provider for further evaluation, or other interventions. Suggesting that they see a marriage counselor or seek psychiatric counseling may be appropriate if there are relationship or psychological factors contributing to the issue, but this should be determined after a thorough assessment. Providing a prescription for sildenafil citrate would also require a healthcare provider's evaluation and prescription.

Question 11

A 40-year-old man is diagnosed with epididymitis. What are the most likely causes for this condition? Select all that apply.&#10;A)Gonorrhoea&#10;B)Recurrent urinary tract infections&#10;C)Unprotected anal intercourse&#10;D)Priapism

Accepted Answer

The answer of A 40-year-old man is diagnosed with epididymitis....

Question 12

A man is recovering from a penile implant procedure. What should be included in the care of, and teaching about, the implant? Select all that apply.&#10;A)Suggest wearing snug-fitting underwear and loose trousers to conceal the semi-erection.&#10;B)Encourage the man to practice inflating and deflating the device during the recovery period.&#10;C)Sexual activity may resume in 4 weeks.&#10;D)Suggest wearing loose-fitting underwear.

Accepted Answer

The answer of A man is recovering from a penile...

Question 13

A man comes into the emergency department with complaints of an erection that has lasted for more than 4 hours. What should the nurse include in the man's assessment?&#10;A)Substance abuse&#10;B)Frequency of recent sexual activity&#10;C)Levels of alcohol consumption&#10;D)Use of medications for erectile dysfunction

Accepted Answer

The answer of A man comes into the emergency department...

Question 14

A man with type I diabetes mellitus and coronary artery disease is able to achieve an erection but cannot maintain it. What could be done to assist this man?&#10;A)Provide information about the use of vardenafil hydrochloride (Levitra).&#10;B)Consider the possibility of testosterone injections.&#10;C)Suggest the use of an O-ring.&#10;D)Discuss penile implant surgery.

Accepted Answer

The answer of A man with type I diabetes mellitus...

Question 15

A man complains of 'not being able to hold urine,' especially when the bladder is very full or when lifting objects. Which action should the nurse take?&#10;A)Suggest the man use an O-ring.&#10;B)Suggest that the man restrict fluid intake.&#10;C)Suggest that the man void frequently during the day.&#10;D)Instruct the man how to do Kegel exercises.

Accepted Answer

The answer of A man complains of 'not being able...

Question 16

A man is planning to have surgery for the treatment of benign prostatic hypertrophy. Which procedure has the fewest postoperative complications?&#10;A)Transurethral microwave thermotherapy&#10;B)Transurethral resection of the prostate (TURP)&#10;C)Transurethral incision of the prostate (TUIP)&#10;D)Suprapubic prostatectomy

Accepted Answer

The answer of A man is planning to have surgery...

Question 17

A man was diagnosed with benign prostatic hyperplasia (BPH). For which reason should the nurse measure this man's blood pressure?&#10;A)To determine tolerance for terazosin (Hytrin)&#10;B)To calculate the dose of tadalafil (Cialis)&#10;C)To measure the volume of residual urine&#10;D)To identify if surgery is indicated

Accepted Answer

The answer of A man was diagnosed with benign prostatic...

Question 18

A 35-year-old man is concerned about his inability to sustain an erection. On what should the nurse focus when assessing this person?&#10;A)Level of physical activity&#10;B)Employment history&#10;C)Substance use or abuse&#10;D)Marital status

Accepted Answer

The answer of A 35-year-old man is concerned about his...

Question 19

A man is concerned about ongoing premature ejaculation. What can the nurse do to assist this man?&#10;A)Tell the man that the condition is temporary and will disappear in time.&#10;B)Assess his current medications for possible side effects.&#10;C)Determine whether the man is experiencing significant levels of stress.&#10;D)Suggest that the man wear a condom with sexual activity.

Accepted Answer

The answer of A man is concerned about ongoing premature...

Question 20

The nurse is planning instructions for a man diagnosed with prostatitis. What should be included in these instructions? Select all that apply.&#10;A)Void frequently.&#10;B)Take the antibiotics when symptoms are present.&#10;C)Maintain regular bowel movements.&#10;D)Increase fluid intake up to 3 litres per day.

Accepted Answer

The answer of The nurse is planning instructions for a...

Question 21

A man reports concern about a recent increase in breast tissue. What should the nurse do to assist this man?&#10;A)Explain that this is usually self-limiting and will go away in time.&#10;B)Review current medications.&#10;C)Suggest a mammogram.&#10;D)Recommend a breast biopsy to learn the reason for the increase in breast tissue.

Accepted Answer

The answer of A man reports concern about a recent...

Deck 47: Nursing Care of Men With Reproductive System and Breast Disorders