Question 1

While providing care to the parents of a baby boy who has the chromosomal makeup of XXY, which of the following should be included in the teaching plan?

Accepted Answer

Babies with XXY chromosomal makeup have Klinefelter syndrome, which can result in altered development of secondary sex characteristics. They may have decreased muscle mass, small testicles, and enlarged breasts. Option B is incorrect because an enlarged penis and scrotum are not typically associated with XXY chromosomal makeup. Option C is also incorrect because the risk of testicular cancer is not significantly increased in individuals with Klinefelter syndrome. Option D is partially correct as some individuals with Klinefelter syndrome may be sterile, but not all.

Question 2

Which of the following nursing actions should be in the plan of care of a patient who had a prostatectomy and whose urine in the urinary irrigation drainage bag is very dark red?  Select all that apply.

Accepted Answer

The answer of Which of the following nursing actions should...

Question 3

Which of the following are risk factors for the development of cancer of the penis?  Select all that apply.

Accepted Answer

The answer of Which of the following are risk factors...

Question 4

Teaching for the patient who is going home with an indwelling urinary catheter should include which of the following?  Select all that apply.

Accepted Answer

The larger urinary drainage bag is used at night for increased capacity. It should be kept below bladder level for gravity drainage. The leg bag should not be strapped too tightly to avoid circulation issues, and a soft cloth can prevent skin irritation.

Question 5

Bases on a review of this patient's record, what does the nurse suspect as the cause of this patient's condition? $\begin{array}{|l|l|l|}
\hline \text { History } & \text { Objective Data } & \text { Subjective Data } \
\hline \text { Denies trauma to the scrotal } & \text { T: } 102 & \text { "My ears and throat hurt a } \
\text { area, recent urinary tract } & \text { WBC results: } 20,000 / \mathrm{mm}^{3} & \text { couple of days ago." } \
\text { infection, STls, or rashes. } & \text { Bilateral scrotal swelling } & \text { "My kids were sick, too,, } \
\text { States he uses condoms. } & \text { and redness. } & \text { with the same thing." } \
& \begin{array}{l}
\text { Lung sounds clear } \
\text { bilaterally. }
\end{array} & \
\hline
\end{array}$

Accepted Answer

The patient's symptoms, including fever, scrotal swelling, and recent ear and throat pain, along with a high white blood cell count, suggest mumps, which can lead to orchitis (inflammation of the testicles) as a complication. The mention of the children being sick with similar symptoms also supports a viral infection like mumps.

Question 6

The nurse is placing an indwelling urinary catheter in an uncircumcised male patient and replaces the foreskin after insertion. What is the rationale for this nursing action?

Accepted Answer

After catheter insertion in an uncircumcised male patient, it is crucial to replace the foreskin over the glans to prevent paraphimosis. Paraphimosis can occur as a result of long-term retraction of the foreskin causing ischemia of the glans. The foreskin acts as a natural covering of the glans and retraction may cause swelling, constriction and painful entrapment of the glans.

Question 7

The patient undergoing radiation therapy for prostate cancer is being given instructions for home care. Which of the following statements by the patient indicates a need for clarification?

Accepted Answer

Patients undergoing radiation therapy, especially with brachytherapy, may need to avoid close physical contact, including sleeping in the same bed with others, to prevent radiation exposure to their partners.

Question 8

Based on a review of the patient's record, which manifestation confirms a diagnosis of prostatodynia? $$\begin{array} { | l | l | l | } 
\hline \text { History } & \text { Objective Data } & \text { Subjective Data } \
\hline \text { Denies history of urinary } & \text { T: } 98.7 & \text { "My lower back hurts." } \
\text { tract infection or STDs. } & \text { Urine culture negative } & \text { "I just feel such a heaviness } \
\text { Prostatic secretions clear. } & & \text { in my rectum." } \
& & \text { "It feels like something is } \
& & \text { stopping my urine when I } \
& & \text { have to urinate." } \
& & \text { Rates pain } 4 \text { on pain scale } \
& & \text { of } 1 / 10 . \
\hline
\end{array}$$

Accepted Answer

Prostatodynia is characterized by pelvic or perineal pain without evidence of urinary tract infection, which is confirmed by a negative urine culture.

Question 9

Which of the following conditions does the nurse suspect is occurring in this patient? $$\begin{array} { | l | l | l | } 
\hline \text { History } & \text { Objective Data } & \text { Subjective Data } \
\hline \text { Client: age } 18 & \text { T: } 98.8 & \text { Rates pain as } 7 \text { on } 1 / 10 \text { pain } \
\text { Had been playing soccer } & \text { P: } 88 & \text { scale. } \
\text { and described being kicked } & \text { R: } 18 & \
\text { in the scrotum. } & \text { BP: } 112 / 68 & \
\text { Was not wearing a scrotal } & \text { Bruising noted on inner } & \
\text { support or protective } & \text { aspect of right thigh and } & \
\text { device. } & \text { right groin area. } & \
\text { Denies recent sexual } & \text { Cleat marks apparent in } & \
\text { activity or use of condoms. } & \text { areas of bruising. } & \
\text { No history of recent illness. } & \text { Scrotum edematous, dark } \
& \text { blue in color on right side } & \
& \text { and painful to palpation. } & \
\hline
\end{array}$$

Accepted Answer

The patient's symptoms of acute pain, edema, and discoloration of the scrotum following trauma, along with the absence of symptoms typical of infection or other conditions, suggest testicular torsion. This condition requires immediate attention to prevent testicular damage.

Question 10

A patient reports to the clinic with an open area on his penis. Which question is most important for the nurse to include in the data collection?

Accepted Answer

Knowing when the patient initially noticed the open area can help determine the duration of the lesion, which can help identify the possible cause and guide further assessment and treatment.

Answer: D 
 Asking whether the patient had sexual intercourse recently can help identify the possible mode of transmission of the lesion and guide further assessment and treatment. Questions B and C can also be relevant, but they may not be as specific and informative as question A and D in this scenario.

Question 11

The nurse is caring for a patient who had a prostatectomy and is now having bladder spasms. What are appropriate actions by the nurse?  Select all that apply.

Accepted Answer

Belladonna and opium (B&O) suppositories are prescribed to relieve bladder spasms. Checking the urinary catheter is important to ensure it is draining properly. Asking the patient if he feels the need to have a bowel movement is important because a full rectum can put pressure on the bladder and cause spasms.

Question 12

When teaching a community education class on prostate cancer, the nurse asks which of the following menus would reflect a diet consistent with lowering the risk of prostate cancer?

Accepted Answer

Option A is the correct choice because it includes a diet high in fruits, vegetables, and whole grains, which are associated with a lower risk of prostate cancer. Foods like tomatoes (rich in lycopene), fruits, and vegetables are known for their potential cancer-fighting properties.

Question 13

A patient is scheduled to undergo a prostate biopsy. When providing education concerning postoperative care related to a prostate biopsy, which of the following information should the nurse include?

Accepted Answer

The answer of A patient is scheduled to undergo a...

Question 14

A patient who was recently diagnosed with prostate cancer comes to the clinic with his wife. She says, "My husband said he has a stage 1 tumor. Can you explain what this means?" What is the most appropriate response by the nurse?

Accepted Answer

Stage I prostate cancer means the cancer is confined to the prostate gland itself, and the treatment options often include surgery and radiation, among others.

Question 15

Which information should the nurse provide to the patient learning to perform a testicular self-examination?

Accepted Answer

Any painful lump should be reported immediately to the healthcare provider as this could be a sign of testicular cancer.

Answer: B 
 Tenderness of the scrotal sac contents should also be reported as this could be a sign of infection or inflammation.

Answer: C 
 Most men have two testicles that are similar in size. Providing incorrect information could lead to confusion and delay in seeking medical attention if there is a concerning change in testicular size.

Answer: D 
 There is no specific time of day that makes a testicular self-examination more effective. It should be done at least once a month, preferably at the same time to establish a routine.

Question 16

A male patient reports concern about his recent increase in breast tissue. The nurse can best assist this patient by doing which of the following?

Accepted Answer

Reviewing the patient's health history is crucial as it can help identify any underlying conditions or medications that might be contributing to the increase in breast tissue, known as gynecomastia. This approach allows for a comprehensive understanding of the patient's health and potential factors influencing his condition.

Question 17

The nurse is completing the health history of a patient with documented androgen deficiency and erectile dysfunction (ED). Which patient response would be a contraindication for this patient's use of hormone replacement therapy to treat his ED?

Accepted Answer

Hormone replacement therapy is contraindicated in patients with prostate cancer as androgen therapy can lead to cancer growth or recurrence.

Question 18

Which of the following discharge instructions should be given to the patient following prostate surgery?  Select all that apply.

Accepted Answer

Following prostate surgery, patients are typically advised not to drive for a period (to avoid pressure and strain from sitting and operating a vehicle), to abstain from sexual activity for a specified time to allow healing (sexual intercourse can put strain on the surgical site), and to report any signs of complications such as swelling and tenderness in the scrotum, which could indicate infection or other postoperative issues. NSAIDs and Aspirin can increase bleeding risk and may not be recommended immediately post-surgery, and the timeline for returning to work can vary based on the individual's recovery and the nature of their job.

Question 19

Which patient in this illustration has a hydrocele? Mark an "X" on the appropriate image.

Accepted Answer

The answer of Which patient in this illustration has a...

Question 20

During a health history interview of a patient complaining of recent-onset impotence, which question is most appropriate for the nurse to ask to identify a potential cause of the manifestation?

Accepted Answer

The answer of During a health history interview of a...

Quiz 48: Nursing Care of Men with Reproductive and Breast Disorders

While providing care to the parents of a baby boy who has the chromosomal makeup of XXY, which of the following should be included in the teaching plan?

Which of the following nursing actions should be in the plan of care of a patient who had a prostatectomy and whose urine in the urinary irrigation drainage bag is very dark red? Select all that apply.

Which of the following are risk factors for the development of cancer of the penis? Select all that apply.

Teaching for the patient who is going home with an indwelling urinary catheter should include which of the following? Select all that apply.