Question 1

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 of the following activities reported by the patient indicates the need for teaching by the nurse?

Accepted Answer

Raking leaves involves physical exertion and can put strain on the surgical site, leading to increased bleeding. Patients who have undergone prostatectomy should avoid activities that involve heavy lifting or straining for at least four to six weeks after surgery. The other activities listed are generally safe for the patient to perform after prostatectomy.

Question 2

The nurse is caring for a patient with prostatitis who is exhibiting all of the following signs and symptoms. Which should the nurse attend to immediately?

Accepted Answer

Inability to urinate may indicate acute urinary retention, which is a medical emergency and requires immediate attention. The other symptoms also require attention, but they are not as urgent as the inability to urinate.

Question 3

What term describes a painful, prolonged erection?

Accepted Answer

Priapism is a condition of a prolonged, often painful erection of the penis that can last for four hours or longer without sexual stimulation. It is not caused by sexual activity and can lead to permanent damage if not treated promptly. Peyronie's disease is a condition where the penis curves abnormally and is not related to erections. Paraphimosis is a medical emergency when the foreskin of the penis becomes trapped behind the head and restricts blood flow. Orchitis is inflammation of the testicles and does not affect erections.

Question 4

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?

Accepted Answer

Serial urine samples may be collected after the Foley catheter has been removed.To do this,each time the patient urinates,save some of the urine in a transparent cup,and make sure to line up the cups in order (usually on a shelf in the bathroom).This way the nurse or physician can see whether the urine is becoming progressively less bloody and clearer with each void.A.Vital signs are always important but are not specific to removing a catheter.B.Bladder spasms are more likely early while the catheter is in place.D.Offering the urinal every 15 minutes is not necessary.

Question 5

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?

Accepted Answer

Option A is the best choice as it provides the patient with a solution to his concern. By informing the patient about the possibility of sperm bank deposition before treatment, the patient has the option of preserving his fertility and can explore options for having children in the future. While B, C, and D may also be helpful interventions, they do not directly address the patient's concern about fertility.

Question 6

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

Accepted Answer

Dysuria is a common symptom of prostatitis, which is inflammation of the prostate gland. Polyuria, glycosuria, and hematuria are not typically associated with prostatitis.

Question 7

What term describes a condition in which there is excessive fluid in the scrotal sac?

Accepted Answer

Hydrocele is a condition in which there is excessive fluid in the scrotal sac. A varicocele is the dilation of veins within the scrotum, epididymitis is inflammation of the epididymis, and orchitis is inflammation of the testicles.

Question 8

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

Accepted Answer

Retract the foreskin, wash with soap and water, and replace the foreskin to its original position. It is important to clean the area underneath the foreskin to prevent accumulation of debris, but the foreskin should not remain retracted as this can cause discomfort and swelling. Alcohol and cotton swabs should not be used as they can cause irritation and dryness of the skin.

Question 9

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?

Accepted Answer

The catheter is used post-TURP to apply pressure to the surgical site to prevent bleeding and to ensure that the bladder remains empty, allowing for proper healing.

Question 10

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

Accepted Answer

Alcohol consumption, especially in the quantity of three to four martinis nightly, can contribute to dehydration and irritation of the urinary tract and prostate, increasing the risk for developing prostatitis.

Question 11

The nurse is teaching a male patient how to perform a testicular self-examination. Which description of how the testes should feel is correct?

Accepted Answer

The testes should feel smooth and egg-shaped. Option A is partly correct as there may be occasional surface irregularities. Option B and C are not correct descriptions as the testes should not feel granular, hard or marble-like.

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?

Accepted Answer

It is important for the nurse to provide accurate information to the patient and address his concerns. Option A is inaccurate, as prostate surgery can affect erectile function. Option B is dismissive and does not provide specific information. Option D may not be appropriate or helpful for the patient. Therefore, option C is the most appropriate response as it acknowledges the patient's concerns and offers to seek more information from the surgeon.

Question 13

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?

Accepted Answer

A urine output of 10 mL/hour is significantly below normal and indicates a potential blockage or complication from the procedure, requiring immediate attention.

Question 14

The nurse is providing care for a patient admitted with epididymitis. Which of the following interventions is most appropriate?

Accepted Answer

Elevating the scrotum can help to reduce inflammation and swelling. Warm packs can also be used for comfort, but they do not have the same therapeutic benefit as elevation. Pressure to the scrotum and frequent ambulation are not recommended interventions for epididymitis.

Question 15

The nurse is working in a urology clinic, where a patient has just received a new prescription for a transurethral suppository for erectile dysfunction. What instructions should the nurse provide?

Accepted Answer

Urinating before inserting the suppository helps to lubricate the urethra, making insertion of the medication easier and more comfortable. This practice is specific to the administration of a transurethral suppository for erectile dysfunction, such as alprostadil (MUSE), which is inserted directly into the urethra.

Question 16

A patient diagnosed with benign prostatic hyperplasia is prescribed an alpha-blocking medication (terazosin [Hytrin]) to reduce symptoms. What side effect should the nurse be most alert for?

Accepted Answer

Alpha-blocking medications like terazosin may cause hypotension, as they work by dilating blood vessels and can result in decreased blood pressure. The nurse should monitor patients for signs of orthostatic hypotension, including lightheadedness and dizziness, especially during the initial dosing period. Headaches, dry mouth, and urinary frequency are less commonly associated with alpha-blockers.

Question 17

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

Accepted Answer

The patient must be instructed to remove the penile ring within 15 to 20 minutes of putting it on to prevent tissue damage. Leaving the ring on for too long may cause necrosis, or tissue death, which can result in permanent damage to the penis. The patient should also be instructed to use the suction device and penile ring only as directed by their healthcare provider.

Question 18

What drug class is most likely to cause erectile dysfunction?

Accepted Answer

Antihypertensives, particularly beta blockers and diuretics, are known to frequently cause erectile dysfunction. Antibiotics, antidiabetics, and NSAIDs do not commonly cause this side effect.

Question 19

A 70-year-old man 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?

Accepted Answer

The first priority for a patient who has not urinated in 24 hours is to relieve the urinary obstruction. This can be achieved by inserting an indwelling catheter to drain the bladder. Emergency preparation for diagnostic or therapeutic procedures such as IVP or cystoscopy or administering IV fluids can be done after the urinary obstruction has been relieved.

Question 20

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

Accepted Answer

Applying antibiotic ointment to the meatus twice a day is not recommended, as it can lead to bacterial resistance and skin irritation. The other statements are all correct and indicate that the patient has understood the post-operative care instructions related to urinary catheterization.

Quiz 43: Nursing Care of Male Patients With Genitourinary Disorders