Question 1

A 60-year-old man who had a prostatectomy 3 weeks earlier asks if the ongoing incontinence will ever stop.The nurse's most helpful response would be based on the knowledge that the:

Accepted Answer

Postprostatectomy incontinence clears up in approximately 6 months in most patients.

Question 2

When reviewing the drugs taken by the 50-year-old male patient,the nurse recognizes that the drug that is most probably causing erectile dysfunction (ED)is the:

Accepted Answer

Vasodilators taken for the control of hypertension frequently cause ED.

Question 3

When a patient is placed on diethylstilbestrol (DES)for prostate cancer,the nurse explains the possible side effect of the medication might be:

Accepted Answer

Gynecomastia is a side effect of DES.

Question 4

A male student comes to the campus clinic complaining of painful scrotal edema,nausea,vomiting,chills,and fever.The nurse recognizes these signs and symptoms as being associated with:

Accepted Answer

Signs and symptoms of epididymitis are painful scrotal edema,nausea,vomiting,chills,and fever.

Question 5

When conducting an initial assessment on a 65-year-old male patient,the nurse assesses a mass in the left testicle that on transillumination glows red.The nurse notes the presence of:

Accepted Answer

A hydrocele will glow red on transillumination,but a hematocele will not.Phimosis is a foreskin that will not retract over the glans,and smegma is a cheeselike substance found under the foreskin.

Question 6

A patient has been prescribed flutamide (Eulexin)for the treatment of prostate cancer.The nurse reminds the patient that a side effect might be:

Accepted Answer

Hot flashes,ED,edema,hypertension,and confusion are some of the side effects of flutamide.

Question 7

A patient's home instructions after a vasectomy should include that:

Accepted Answer

Although a vasectomy can sometimes be successfully reversed,it should be considered permanent.

Question 8

The nurse takes into account in making a teaching plan for a patient with acute prostatitis that treatment will include a:

Accepted Answer

Acute bacterial prostatitis is treated with antibiotics,analgesics,antiinflammatory drugs,and Sitz baths for a period of 4 weeks.Chronic prostatitis requires a 16-week period of antibiotic therapy.

Question 9

The nurse explains to a young man being treated for infertility that the semen analysis will:

Accepted Answer

Analysis of the semen is performed to assess male fertility based on number,appearance,and motility of the sperm.

Question 10

The nurse should explain that the purpose of the urethral smear is to:

Accepted Answer

A sterile swab is inserted into the urethra to obtain a specimen to detect sexually transmitted infections.

Question 11

After surgery to correct a testicular torsion,the nurse cautions the young patient that there is a:

Accepted Answer

After testicular torsion is corrected,lower sperm counts and infertility may follow.

Question 12

A patient with a spinal cord injury complains to the nurse of the inability to experience an erection.The nurse explains,"The _______________ component of the nervous system has been affected by your injury."

Accepted Answer

Parasympathetic nerves release neurotransmitters,which cause the cavernosal arteriole walls to relax.

Question 13

After the 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.The nurse's most therapeutic intervention at this time would be to:

Accepted Answer

You can help the patient through active listening,providing information,and referring him for counseling as needed.

Question 14

The nurse caring for a patient 2 hours after a transurethral resection (TUR)immediately reports to the charge nurse the presence of large clots in the catheter and drainage bag.The nurse anticipates that the physician will:

Accepted Answer

Applying traction to the catheter may reduce the bleeding.An increase of fluid in the catheter balloon is also helpful,but ice water will have no better effect than the continuous bladder irrigation that is already in place.

Question 15

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.Based on these initial findings,the nurse suspects:

Accepted Answer

Symptoms of testicular torsion are intense pain,often accompanied by nausea and vomiting.

Question 16

The instruction that will increase the comfort of a patient who is recovering from prostatitis is to suggest that the patient:

Accepted Answer

Stool softeners may be prescribed to prevent constipation,which is painful with prostatitis.Fluid intake is also encouraged to reduce the risk of constipation.

Question 17

Men who have suffered spinal cord injuries with resultant ED can have sexual intercourse with the use of:

Accepted Answer

Penile implants may be prescribed for patients with the inability to initiate,fill,or restore an erection.

Question 18

The nurse informs the 50-year-old patient who has been prescribed nilutamide (Nilandron),a testosterone blocker,that while on this drug he should expect:

Accepted Answer

The drug nilutamide (Nilandron)is hepatoxic.While on the drug the patient will have to have periodic evaluations of his liver function.The patient should also be informed to report any jaundice or darkening of the urine.

Question 19

The mother of a newborn with cryptorchidism asks if this condition will be permanent.The nurse's best response would be:

Accepted Answer

Partial or incomplete descent of the testicles may be resolved by medical or surgical implementation.Medical implementation starts between the first and second years of life.

Question 20

The statement by the patient that indicates he understands the teaching relative to how to perform a testicular self-examination is:

Accepted Answer

The examination is best done after a warm bath or shower.

Quiz 48: Male Reproductive Disorders