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?

Accepted Answer

The most therapeutic intervention at this time is to offer the patient an opportunity to talk about his cancer. This allows the patient to express his feelings and concerns, which can help him feel supported and understood. Leaving the room or completing the patient care quickly sends the message that the nurse is not interested in the patient's emotional well-being. Calling the patient's wife may be appropriate at a later time, but it is not the most immediate intervention.

Question 2

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

Accepted Answer

Taking stool softeners can help increase the comfort of a patient recovering from prostatitis by easing bowel movements and reducing strain on the prostate area.

Question 3

What should instructions relate to for a discharge teaching plan for a patient after undergoing a prostatectomy? (Select all that apply.)

Accepted Answer

After a prostatectomy, patients need guidance on managing bladder spasms and caring for any catheter that may be in place. Perineal exercises can help strengthen the pelvic floor muscles and improve urinary control. Avoiding heavy lifting is crucial to prevent strain on the surgical site and ensure proper healing. Delaying sexual activity for a specific time like 3 months is not a standard instruction and can vary based on individual recovery and doctor's advice.

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?

Accepted Answer

Applying traction to the catheter can help tamponade the bleeding site and reduce bleeding after a transurethral resection.

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?

Accepted Answer

The answer of A male student comes to the campus...

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)?

Accepted Answer

Vasodilators are commonly used to treat hypertension but they can also cause ED by reducing blood flow to the genital region.

Question 7

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

Accepted Answer

The correct time to perform a testicular self-examination is after a warm shower because the scrotum is relaxed and it is easier to feel any irregularities. Option A is incorrect because feeling the testes is important in detecting irregularities. Option C is incorrect because it is important to perform the self-examination regularly. Option D is incorrect because it is important for individuals to perform self-examinations and report any irregularities to their physician.

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?

Accepted Answer

Testicular torsion is a medical emergency that involves the twisting of the spermatic cord, which can result in reduced blood flow to the testicles and severe pain. Nausea and vomiting are common symptoms, and pain in the scrotum is expected. Cryptorchidism, varicocele, and epididymitis do not typically present with these symptoms.

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?

Accepted Answer

An elevation in PSA level from 4 to 6 ng/L could indicate the possibility of prostatic cancer. Further investigation and diagnostic tests may be required.

Question 10

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

Accepted Answer

Treatment for acute prostatitis typically involves a 6-week course of antibiotics and anti-inflammatory drugs. A temporary catheter and bladder instillation of antibiotics may be necessary for severe cases, but this is not the standard treatment. Prostatectomy is a last resort for chronic prostatitis and is not typically done for acute cases. Sitz baths and scrotal support may provide symptomatic relief, but are not a cure for the infection.

Question 11

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

Accepted Answer

Cryptorchidism is the medical term for undescended testicles. It is a common condition in newborns and preterm infants where the testicles fail to move from the abdomen or groin down into the scrotum. In most cases, the undescended testicle will descend on its own within the first few months of life. However, if the testicle has not descended by the time the child is one year old, medical or surgical intervention may be necessary. Therefore, option B is the best response as it accurately describes the treatment options available for cryptorchidism. Hormone replacement therapy may be considered in some cases, but it is not always effective. Option C is incorrect because an undescended testicle may be at risk for infertility or testicular cancer, and monitoring is typically recommended. Option D is also incorrect as there is no guarantee that the testicle will descend at puberty, and in some cases, surgical intervention may still be required.

Question 12

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

Accepted Answer

Vasectomies are generally considered a permanent form of birth control, but reversals are possible, though not always successful. The other options are incorrect: warm sitz baths are not a standard postoperative instruction for vasectomies, sexual activity can usually resume much sooner than 3 months as long as comfort allows, and vasectomies do not interfere with ejaculation, only with the sperm content of the ejaculate.

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?

Accepted Answer

Mumps is a viral illness that can lead to swelling of the testicles (orchitis) in males who have reached puberty. This can cause temporary or permanent infertility. Chickenpox, measles, and scarlet fever do not typically result in sterility.

Question 14

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

Accepted Answer

The answer of A patient is recovering after surgery to...

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?

Accepted Answer

Postprostatectomy incontinence is common after the procedure but usually resolves within 6 months. However, some patients may experience some degree of incontinence long-term.

Question 16

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

Accepted Answer

Inflatable penile implants are often the most effective option for men with spinal cord injuries and resultant ED. Testosterone injections may increase libido but do not directly address the issue of erectile dysfunction. Papaverine penile injections can be effective but may cause pain and scarring at the injection site. Antihypertensives are not a treatment option for ED.

Quiz 54: Male Reproductive Disorders