Question 1

The nurse is caring for a patient who had a prostatectomy and is now having bladder spasms. What actions should the nurse take?

Accepted Answer

The answer of The nurse is caring for a patient...

Question 2

A patient who was recently diagnosed with hypertension and placed on propranolol (Inderal) is seen in the clinic for an unrelated issue. When the nurse notes that his blood pressure is elevated, she asks if the patient has been taking his medication and he says he quit because "I didn't like how I felt when I took it." Based on this statement, what would be an appropriate response?

Accepted Answer

BPropranolol, a beta-blocker, can cause side effects such as altered libido and impotence, which may lead patients, especially males, to discontinue its use. It's important to openly discuss these concerns (A). Also, abruptly stopping the medication without consulting a healthcare provider can have serious consequences, so advising against this is crucial (B).

Question 3

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 for ED is contraindicated in patients with a history of prostate or breast cancer.

Question 4

A male patient with breast cancer is being seen at the cancer center, and one of the nurses says, "I'm not sure what to do for this patient. He doesn't have the same issues as a woman!" What is the most appropriate response?

Accepted Answer

The statement "Caring for the man with breast cancer is essentially the same as for the woman with breast cancer" is the most appropriate response because while there may be some differences in treatment and management, the overall care and support can be similar. It is important not to underestimate the impact of breast cancer on a male patient and to provide appropriate care and resources to meet their unique needs.

Question 5

The patient undergoing brachytherapy for prostate cancer is being given instructions for home care. Which patient statement indicates a need for clarification?

Accepted Answer

Brachytherapy involves placing radioactive material inside the body, and patients are often advised to avoid close contact with others, including sleeping in the same bed as their partner, to minimize radiation exposure to others.

Question 6

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

Accepted Answer

The symptoms of ear and throat pain, fever, and bilateral scrotal swelling suggest mumps, a viral infection that can cause orchitis (inflammation of the testicles) and is known to spread among family members.

Question 7

The nurse is teaching a community education class on prostate cancer. Which menu should the nurse use to reflect a diet consistent with lowering the risk of prostate cancer?

Accepted Answer

The answer of The nurse is teaching a community education...

Question 8

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

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

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

Accepted Answer

The history, objective data, and subjective data suggest testicular torsion. The patient is a young male who experienced trauma to the scrotum during physical activity and presents with pain, bruising, edema, and discoloration of the scrotum. These symptoms are consistent with a twisting of the testicle, which can cut off blood supply and lead to tissue damage if not immediately treated. Varicocele and orchitis are less likely given the presentation, and an indirect inguinal hernia would present differently.

Question 10

During a health history interview the nurse learns that a patient is experiencing 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 the nurse...

Question 11

After prostate surgery a patient is being discharged with an indwelling urinary catheter in place. What teaching should the nurse provide to this patient?

Accepted Answer

The nurse should instruct the patient to use the larger urinary drainage bag at night for increased capacity, keep it at a level that allows gravity drainage to prevent backflow, ensure the leg bag is not strapped too tightly to avoid circulation issues, and place a soft cloth between the leg bag and skin to prevent irritation.

Question 12

A male patient is concerned about a recent increase in breast tissue. What should the nurse do to assist this patient?

Accepted Answer

The nurse should review the patient's health history to assess for any potential factors contributing to the increase in breast tissue, such as medications or hormonal imbalances. This information can assist in determining any next steps or referrals. Options B, C, and D are not appropriate without further assessment and evaluation.

Question 13

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

Replacement of the foreskin after insertion of the indwelling urinary catheter in an uncircumcised male patient is important to prevent paraphimosis, which may occur as a result of long-term retraction of the foreskin causing ischemia of the glans. Paraphimosis is a medical emergency that requires immediate treatment to prevent further complications.

Question 14

The wife of a patient who is scheduled for a radical prostatectomy calls the clinic to ask the nurse if this impending surgery is going to affect "their sex life." What is the nurse's most appropriate response?

Accepted Answer

This response acknowledges the patient's concerns and invites them to discuss their questions with a healthcare professional. It also respects the patient's privacy and allows for a joint discussion with the spouse. Option B is not appropriate because it dismisses the patient's concerns and it is not clear who the patient should talk to. Option C is not appropriate because it violates the patient's privacy and autonomy. Option D is not appropriate because it does not provide a clear answer and does not encourage engagement in the decision-making process.

Question 15

A patient recovering from prostate surgery is being discharged. What should the nurse include in this patient's instructions?

Accepted Answer

Driving, sexual activity, and returning to work after prostate surgery are activities that typically have specific restrictions to ensure proper healing. Driving is often restricted for a period (e.g., two weeks) to avoid stress on the surgical site and due to the potential impact of pain medications. Sexual intercourse is usually advised against for a period (e.g., six weeks) to allow healing of the surgical area. Swelling and tenderness of the scrotum can indicate complications such as infection or hematoma, and thus it's important to contact a physician if these symptoms occur. NSAIDs and aspirin can increase bleeding risk and are generally not recommended immediately following surgery without specific advice from a healthcare provider.

Question 16

The nurse is caring for a patient recovering from prostate surgery. Which actions should the nurse take if the patient's urine in the urinary irrigation drainage bag is very dark red?

Accepted Answer

The answer of The nurse is caring for a patient...

Question 17

The nurse is concerned that a patient is at risk for developing cancer of the penis. What did the nurse assess to make this clinical determination?

Accepted Answer

The answer of The nurse is concerned that a patient...

Question 18

The nurse is caring for a patient with a hydrocele. Which diagram should the nurse use to explain this disorder to the patient? Mark an "X" on the appropriate image.

Accepted Answer

The answer of The nurse is caring for a patient...

Question 19

The nurse is instructing a patient on testicular self-examination. What information should the nurse include in this teaching?

Accepted Answer

Any painful lump should be reported immediately as it could potentially be a sign of testicular cancer.

Answer: B 
 Tenderness of the scrotal sac contents should also be reported to a healthcare provider.

Answer: C 
 This statement is incorrect and should not be included in the teaching. Most men have testicles that are similar in size.

Answer: D 
 The best time for the examination is not specified as it can be done at any time but should be done on a regular basis.

Question 20

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 I tumor. Can you explain what this means?" What is the most appropriate response by the nurse?

Accepted Answer

Stage I prostate cancer means that the cancer is localized to the prostate gland and has not spread to nearby tissues or lymph nodes. Surgery, radiation, or active surveillance may be recommended for treatment. The nurse can provide further information and guidance to the couple.

Quiz 48: Nursing Care of Men With Reproductive System and Breast Disorders

The nurse is caring for a patient who had a prostatectomy and is now having bladder spasms. What actions should the nurse take?

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?

A male patient with breast cancer is being seen at the cancer center, and one of the nurses says, "I'm not sure what to do for this patient. He doesn't have the same issues as a woman!" What is the most appropriate response?

The patient undergoing brachytherapy for prostate cancer is being given instructions for home care. Which patient statement indicates a need for clarification?

The nurse is teaching a community education class on prostate cancer. Which menu should the nurse use to reflect a diet consistent with lowering the risk of prostate cancer?

During a health history interview the nurse learns that a patient is experiencing recent-onset impotence. Which question is most appropriate for the nurse to ask to identify a potential cause of the manifestation?

After prostate surgery a patient is being discharged with an indwelling urinary catheter in place. What teaching should the nurse provide to this patient?

A male patient is concerned about a recent increase in breast tissue. What should the nurse do to assist this patient?

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?

The wife of a patient who is scheduled for a radical prostatectomy calls the clinic to ask the nurse if this impending surgery is going to affect "their sex life." What is the nurse's most appropriate response?

A patient recovering from prostate surgery is being discharged. What should the nurse include in this patient's instructions?

The nurse is caring for a patient recovering from prostate surgery. Which actions should the nurse take if the patient's urine in the urinary irrigation drainage bag is very dark red?

The nurse is concerned that a patient is at risk for developing cancer of the penis. What did the nurse assess to make this clinical determination?

The nurse is caring for a patient with a hydrocele. Which diagram should the nurse use to explain this disorder to the patient? Mark an "X" on the appropriate image.

The nurse is instructing a patient on testicular self-examination. What information should the nurse include in this teaching?

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 I tumor. Can you explain what this means?" What is the most appropriate response by the nurse?