Question 1

The physician orders an alpha-adrenergic blocker for a client with benign prostatic hypertrophy. The nurse understands that this drug acts to achieve which of the following?
A) Prevent urinary tract infections
B) Relieve urinary symptoms
C) Slow the prostatic enlargement
D) Block testosterone conversion

Accepted Answer

Alpha-adrenergic blockers act to relieve urinary symptoms by relaxing smooth muscle in the bladder neck and prostate, allowing for improved urine flow.

Question 2

Which of the following recommendations would a nurse advocate during infancy and childhood to help reduce potential adult complications such as orchitis?
A) Ensure immunizations against infectious diseases such as mumps.
B) Engage in activities and exercises that minimize heavy lifting.
C) Encourage the consumption of foods that are rich in fat and starch.
D) Urge the limited intake of foods and fluids containing caffeine.

Accepted Answer

Orchitis is a potential complication of mumps, a viral infection that can lead to inflammation of the testicles. Ensuring immunizations against mumps during infancy and childhood can help prevent this complication. Engaging in activities that minimize heavy lifting, encouraging the consumption of foods that are rich in fat and starch, or urging limited intake of foods and fluids containing caffeine do not have a direct correlation to the prevention of orchitis.

Question 3

A client comes to the Emergency Department complaining of sudden sharp testicular pain. Further examination reveals torsion of the spermatic cord. Which of the following would the nurse expect to do next?
A) Apply a scrotal support
B) Prepare the client for surgery
C) Apply a dressing over the scrotum
D) Prepare the client for circumcision

Accepted Answer

Testicular torsion is a medical emergency that requires surgical intervention to untwist the spermatic cord and restore blood flow to the affected testicle. Applying a scrotal support or dressing the area will not address the underlying issue and circumcision is not relevant in this situation.

Question 4

Which of the following would a nurse include in a teaching plan for a client with benign prostatic hyperplasia who is not yet a candidate for surgery?
A) Maintaining optimal bladder emptying
B) Using appropriate coping to allay anxiety
C) Performing deep breathing exercises periodically
D) Doing leg exercises at least daily

Accepted Answer

The nurse should include information about maintaining optimal bladder emptying in the teaching plan for a client with benign prostatic hyperplasia who is not yet a candidate for surgery. This may include techniques such as double voiding, scheduling regular bathroom breaks, and avoiding bladder irritants. Choices B, C, and D may also be appropriate to include in the plan, but option A is the best choice because it directly addresses the client's condition.

Question 5

The nurse is obtaining a medication history from a client who is reporting erectile dysfunction. Which medication would the nurse identify as being least likely to contribute to the client's condition?
A) Spironolactone
B) Cimetidine
C) Ibuprofen
D) Methyldopa

Accepted Answer

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) and is not known to contribute to erectile dysfunction. Spironolactone, cimetidine, and methyldopa are medications that have been associated with erectile dysfunction as a potential side effect.

Question 6

Which of the following would the nurse expect to find when assessing a client with phimosis?
A) Severe edema accompanied by chronic inflammation at the glans penis
B) Pain with erection and intercourse and difficulty cleaning under the foreskin
C) Painful swelling of the glans penis and prepuce
D) Urinary retention accompanied by burning sensations in the urinary tract

Accepted Answer

Phimosis is a condition in which the foreskin of the penis cannot be retracted, causing difficulty in cleaning and painful erections and intercourse. Severe edema, chronic inflammation, painful swelling, and urinary retention are not typical symptoms of phimosis.

Question 7

A client with erectile dysfunction has opted to self-administer a urethral suppository as a means to produce an erection. Which of the following agents would most likely be used?
A) Sildenafil
B) Vardenafil
C) Alprostadil
D) Papaverine

Accepted Answer

Alprostadil is a prostaglandin E1 analogue that can be administered as a urethral suppository to promote the dilation of the penile arteries and produce an erection. Sildenafil and vardenafil are oral medications that belong to the class of phosphodiesterase type 5 inhibitors and are usually taken about an hour before sexual activity. Papaverine is a smooth muscle relaxant that can be injected directly into the penis, but it is less commonly used due to the risk of prolonged erections and fibrosis of the penile tissue.

Question 8

A client is diagnosed with stage II cancer of the prostate. The nurse interprets this as indicating which of the following?
A) Cancer is small with no symptoms.
B) Tumor is confined to the prostate gland.
C) Tumor has spread beyond the prostrate.
D) Tumor has expanded to the bladder.

Accepted Answer

Stage II cancer of the prostate means that the tumor is still confined to the prostate gland and has not spread beyond it.

Question 9

The nurse is preparing a presentation for a local community group about prostate cancer and possible dietary risk factors. Which of the following would the nurse most likely include?
A) High-iron
B) High-calorie
C) High fiber
D) High-fat diet

Accepted Answer

High-fat diets have been associated with an increased risk of prostate cancer. This is because diets high in fat can lead to obesity and increased levels of certain hormones that may promote cancer growth.

Question 10

After teaching a group of students about erectile dysfunction, the instructor determines that the teaching was successful when the students identify which of the following as true?
A) Erectile dysfunction is unrelated to anxiety or depression.
B) Erectile dysfunction is primarily a normal response to aging.
C) Erectile dysfunction may be due to testosterone insufficiency.
D) Erectile dysfunction rarely occurs in clients with diabetes mellitus.

Accepted Answer

Erectile dysfunction can be caused by multiple factors, including hormonal imbalances such as testosterone insufficiency. Anxiety and depression can also contribute to erectile dysfunction. While aging can increase the risk of erectile dysfunction, it is not a normal response and can often be treated. Diabetes mellitus is a common cause of erectile dysfunction.

Question 11

A client diagnosed with epididymitis is being discharged from the Emergency Department. Which of the following would be most important for the nurse to include as part of the client's discharge teaching?
A) "Apply ice to the top of your scrotum to help reduce the swelling."
B) "Engage in sexual intercourse frequently to help drain the area."
C) "If you have a fever, call the physician so he can order an antibiotic right away."
D) "Keep your scrotum elevated on a folded towel until the swelling goes down."

Accepted Answer

Keeping the scrotum elevated on a folded towel can help reduce swelling and promote healing. Applying ice can also help, but it should be applied with a barrier such as a towel to prevent damage to the skin. Engaging in frequent sexual activity is not recommended as it may aggravate the condition. If the client develops a fever, they should contact their physician, but this is not specifically related to discharge teaching for epididymitis.

Question 12

A nurse is instructing a client in testicular self-examination. Which client statement indicates the need for additional teaching?
A) "I should do this exam at least once a week."
B) "A good place to do this is when I'm showering."
C) "It's normal for one testis to be larger than the other."
D) "My thumb goes on top and my index and middle fingers go under the testis."

Accepted Answer

The answer of A nurse is instructing a client in...

Question 13

Which of the following would a nurse include in the teaching plan for a client who has had surgery for cancer of the testes?
A) Refraining from any sexual activity until impotency is ruled out.
B) Consuming a well-balanced diet with adequate fluids.
C) Measuring the quantity of urine for at least 3 months after surgery.
D) Masturbating regularly to drain the prostate gland.

Accepted Answer

Consuming a well-balanced diet with adequate fluids is important for post-operative healing and overall health. Refraining from sexual activity until impotency is ruled out is not necessary and measuring urine quantity for 3 months is not specific to testicular cancer surgery. Masturbating regularly to drain the prostate gland is not applicable to clients who have had surgery for testicular cancer.

Question 14

When assessing a client with benign prostatic hypertrophy, which of the following would the nurse expect the client to report as the initial complaint?
A) Urinary frequency
B) Increased effort to void
C) Narrowing of urinary stream
D) Nocturia

Accepted Answer

The answer of When assessing a client with benign prostatic...

Question 15

Which of the following should nurses teach all men, especially those who have had cryptorchidism?
A) Need for blood tests to measure serum acid phosphatase levels.
B) Importance of regular monitoring of prostate-specific antigen (PSA) levels.
C) Need to undergo a baseline and follow up lymph node biopsies.
D) How to perform a testicular self-examination.

Accepted Answer

All men, especially those with a history of cryptorchidism, should be taught how to perform testicular self-examinations. This is important for identifying any changes or abnormalities in the testicles, which could indicate testicular cancer. Blood tests to measure serum acid phosphatase levels or regular monitoring of PSA levels would not be relevant to men with cryptorchidism unless they had additional medical concerns. Lymph node biopsies would not be a standard screening or follow-up procedure for men with cryptorchidism.

Question 16

After examination, a client is found to have a prostatic nodule and is scheduled for prostatic-specific antigen (PSA) testing. When reviewing the results, which of the following would indicate that the nodule is malignant?
A) 4 ng/mL
B) 7 ng/mL
C) 9 ng/mL
D) 12 ng/mL

Accepted Answer

PSA levels greater than or equal to 10 ng/mL are strongly indicative of prostate cancer, and a PSA level of 12 ng/mL is even further above this threshold. Therefore, a PSA level of 12 ng/mL would indicate that the prostatic nodule is likely malignant.

Question 17

A client with erectile dysfunction who had a penile implant inserted has been taught how to identify malfunction of the device. Which of the following if stated by the client as indicative of malfunction would indicate to the nurse that the client has understood the teaching?
A) Erosion of penile or urethral tissue
B) Underinflation or bulging of the cylinders during inflation
C) Erosion of scrotal, bowel, or bladder tissue
D) Migration of the cylinders, pump, or reservoir from their intended location

Accepted Answer

Underinflation or bulging of the cylinders during inflation could indicate malfunction of the penile implant, as the cylinders need to inflate evenly for proper function. The other options listed describe complications of the implant, not necessarily malfunction.

Question 18

A client who comes to the clinic complaining of perineal pain, dysuria and fever is diagnosed with prostatitis. The nurse understands that which of the following organisms would be the most likely cause?
A) Staphylococcus
B) Streptococcus
C) Escherichia coli
D) Paramyxovirus

Accepted Answer

Prostatitis is commonly caused by bacterial infections and the most common bacterial organism causing it is Escherichia coli. Staphylococcus and Streptococcus can also cause prostatitis, but they are less common than E. coli. Paramyxovirus is a type of virus and is not a common cause of prostatitis.

Question 19

A client who has had a right orchiectomy is scheduled to undergo a retroperitoneal lymph node dissection. The client states, "I'm afraid Iwill have problems with impotency afterwards." Which of the following responses would be most appropriate?
A) "Since you only had one testis removed, your sex drive and ability to have an erection should be preserved."
B) "It sounds like you're concerned that you won't be able to have children; maybe sperm banking is a possibility."
C) "I wouldn't worry about this. The most important thing is that you're alive and that you'll be cancer-free."
D) "There are plenty of drugs on the market that can help with this problem. Check with your physician."

Accepted Answer

This response is most appropriate as it directly addresses the client's concern about impotency and provides reassurance that the client's sex drive and ability to have an erection should not be affected by the procedure. Response B addresses concerns about fertility, but the client's primary concern is impotency. Response C may be dismissive of the client's concerns, and response D suggests medication without exploring other options or reassuring the client about the likelihood of impotency.

Question 20

After teaching a client with prostatitis about care measures, which statement indicates successful teaching?
A) "My partner doesn't need to get treatment."
B) "I need to avoid sexual intercourse for a week."
C) "I might need to take the antibiotic for up to a month."
D) "Caffeine will help to flush the bacteria from my system."

Accepted Answer

Antibiotics are a cornerstone of prostatitis treatment, and depending on the severity and type of infection, a prolonged course of antibiotics, sometimes up to a month or longer, may be necessary to fully eradicate the infection. This reflects an understanding of the treatment regimen for prostatitis.

Quiz 55: Caring Forclients With Disorders of the Male Reproductive System

The physician orders an alpha-adrenergic blocker for a client with benign prostatic hypertrophy. The nurse understands that this drug acts to achieve which of the following?

Which of the following recommendations would a nurse advocate during infancy and childhood to help reduce potential adult complications such as orchitis?

A client comes to the Emergency Department complaining of sudden sharp testicular pain. Further examination reveals torsion of the spermatic cord. Which of the following would the nurse expect to do next?

Which of the following would a nurse include in a teaching plan for a client with benign prostatic hyperplasia who is not yet a candidate for surgery?

The nurse is obtaining a medication history from a client who is reporting erectile dysfunction. Which medication would the nurse identify as being least likely to contribute to the client's condition?

Which of the following would the nurse expect to find when assessing a client with phimosis?

A client with erectile dysfunction has opted to self-administer a urethral suppository as a means to produce an erection. Which of the following agents would most likely be used?

A client is diagnosed with stage II cancer of the prostate. The nurse interprets this as indicating which of the following?

The nurse is preparing a presentation for a local community group about prostate cancer and possible dietary risk factors. Which of the following would the nurse most likely include?

After teaching a group of students about erectile dysfunction, the instructor determines that the teaching was successful when the students identify which of the following as true?

A client diagnosed with epididymitis is being discharged from the Emergency Department. Which of the following would be most important for the nurse to include as part of the client's discharge teaching?

A nurse is instructing a client in testicular self-examination. Which client statement indicates the need for additional teaching?

Which of the following would a nurse include in the teaching plan for a client who has had surgery for cancer of the testes?

When assessing a client with benign prostatic hypertrophy, which of the following would the nurse expect the client to report as the initial complaint?

Which of the following should nurses teach all men, especially those who have had cryptorchidism?

After examination, a client is found to have a prostatic nodule and is scheduled for prostatic-specific antigen (PSA) testing. When reviewing the results, which of the following would indicate that the nodule is malignant?

A client with erectile dysfunction who had a penile implant inserted has been taught how to identify malfunction of the device. Which of the following if stated by the client as indicative of malfunction would indicate to the nurse that the client has understood the teaching?

A client who comes to the clinic complaining of perineal pain, dysuria and fever is diagnosed with prostatitis. The nurse understands that which of the following organisms would be the most likely cause?

A client who has had a right orchiectomy is scheduled to undergo a retroperitoneal lymph node dissection. The client states, "I'm afraid Iwill have problems with impotency afterwards." Which of the following responses would be most appropriate?

After teaching a client with prostatitis about care measures, which statement indicates successful teaching?