Question 1

The nurse is caring for a client with prostate cancer and is prescribed abiraterone. Which of the following adverse effects should the nurse teach the client about this medication? (Select all that apply.)

Accepted Answer

Adverse effects of abiraterone include joint swelling, fluid retention, muscle discomfort, hot flashes and diarrhea. Loss of libido, breast pain, and erectile dysfunction are possible adverse effects of androgen receptor blockers (e.g., bicalutamide).

Question 2

The nurse is caring for a client who had a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation with symptoms of painful bladder spasms. The nurse observes a decrease in urine output and clots in the urine. Which of thefollowing actions should the nurse take first?

Accepted Answer

The assessment suggests that obstruction by a clot is causing the bladder spasms, and the nurse's first action should be to irrigate the catheter manually and to try to remove the clots. IV morphine will not decrease the spasm, although pain may be reduced. Increasing the flow rate of the irrigation will further distend the bladder and may increase spasms.
The belladonna and opium suppository will decrease bladder spasms but will not remove the obstructing blood clot.

Question 3

The nurse is assessing a 22-year-old male client at the health clinic with symptoms of erectile dysfunction. When assessing for possible etiological factors, which of the following questions should the nurse ask first?

Accepted Answer

A common etiological factor for erectile dysfunction (ED) in younger men is use of recreational drugs or alcohol. Stress, priapism, and cardiovascular illness also contribute to ED, but they are not common etiologic factors in younger men.

Question 4

The clinic nurse is reviewing client laboratory results on the following four clients. Which of the following clients is priority to report to the health care provider?

Accepted Answer

The family history (first degree relative) and elevation of PCA3 in the 48-year-old indicate that further evaluation of the client for prostate cancer is most needed for this client. The 52-year-old who goes on long bicycle rides every weekend and has a positive PCA3 test would be next priority. The elevations for the other clients are not unusual.

Question 5

The nurse is admitting a client with benign prostatic hyperplasia (BPH) who has urinary retention and new onset elevations in blood urea nitrogen (BUN) and creatinine. Which of the following prescribed therapies should the nurse implement first?

Accepted Answer

The client data indicate that the client may have acute renal failure caused by the BPH. The initial therapy will be to insert a catheter. The other actions also are appropriate, but they can be implemented after the acute urinary retention is resolved.

Question 6

The nurse working in a health clinic receives calls from all these clients. Which of the following clients should be seen by the health care provider first?

Accepted Answer

Priapism can cause complications such as necrosis or hydronephrosis, and this client should be treated immediately. The other clients do not require immediate action to prevent serious complications.

Question 7

The nurse is assessing a 53-year-old man who has been having increasing problems with erectile dysfunction (ED) for several years and is interested in using sildenafil. Which of the following actions should the nurse take first?

Accepted Answer

Because some medications can cause ED and clients using nitrates should not take sildenafil, the nurse should first assess for prescription drug use. The nurse may want to teach the client about realistic expectations and adverse effects of sildenafil therapy, but this should not be the first action. Although ED does increase with aging, it may be secondary to medication use or cardiovascular disease in a 53-year-old.

Quiz 57: Nursing Management Male Reproductive Problems