Question 1

The nurse is caring for a patient with continuous bladder irrigation after a transurethral resection of the prostate (TURP).Which assessment finding should take priority?

Accepted Answer

10 mL in an hour is not normal and signifies either a kidney problem or,more likely,an obstructed catheter.A,C,and D are all common after TURP and are easily treated.

Question 2

A 30-year-old male patient has just received a diagnosis of testicular cancer.He appears sad and states,"I always wanted to have children.Now it will be impossible." What nursing intervention would be most helpful?

Accepted Answer

If a diagnosis of cancer has been made,provide emotional support for the patient.If the patient wants to have children,he should be encouraged to make deposits in a sperm bank before any surgery or treatment is started.A.Pastoral care may be helpful if the patient wishes,but they will not be able to inform the patient about sperm bank donations.B.Providing adoption literature is inappropriate at this time.C.Having children is possible even with the diagnosis of testicular cancer.

Question 3

The nurse is caring for a man diagnosed with prostatitis.What symptom should the nurse expect when collecting data from the patient?

Accepted Answer

The most common symptoms are the same ones that occur with any urinary tract infection (UTI): complaints of urgency,frequency,hesitancy,and dysuria.Because of the location and role of the prostate gland,the patient may complain of low back,perineal,and post-ejaculation pain; he may also have a fever and chills.B.D.Polyuria and glycosuria are symptoms of diabetes mellitus.C.Hematuria is not common with prostatitis but may signal a more serious disorder.

Question 4

A patient is diagnosed with excessive fluid in the scrotal sac.What term should the nurse use when discussing the health problem with the patient?

Accepted Answer

A hydrocele is a collection of fluid in the scrotal sac.D.Epididymitis is inflammation or infection of the epididymis that may be caused by bacteria,viruses,parasites,chemicals,or trauma.C.A varicocele is a condition sometimes called varicose veins of the scrotum.A.Orchitis is a rare inflammation or infection of the testes.

Question 5

The nurse has just removed an indwelling catheter from a patient following transurethral resection of the prostate.What action by the nurse is most important?

Accepted Answer

Serial urine samples may be collected after the Foley catheter has been removed.To do this,each time the patient urinates,save some of the urine in a transparent cup,and make sure to line up the cups in order (usually on a shelf in the bathroom).This way the nurse or physician can see whether the urine is becoming progressively less bloody and clearer with each void.A.Vital signs are always important but are not specific to removing a catheter.B.Bladder spasms are more likely early while the catheter is in place.D.Offering the urinal every 15 minutes is not necessary.

Question 6

The nurse is assisting with teaching a patient who will be discharged with a catheter after a prostatectomy.Which patient statement indicates the need for further teaching?

Accepted Answer

B.The meatus should be washed with soap and water,but antibiotic ointment is usually not necessary.C.The bag must be kept below the level of the bladder to prevent return of urine to the bladder,which may increase risk of infection.A.Bleeding should be reported.

Question 7

The nurse is caring for a patient with prostatitis.Which manifestation should the nurse attend to immediately?

Accepted Answer

All of the symptoms provided are physiological,so the nurse needs to look at which could be life or health threatening.Inability to urinate could lead to a ruptured bladder or other serious complications and must be attended to first.A.C.D.Priorities after urination would include pain,fever,and chills.

Question 8

The nurse is providing care for a patient admitted with epididymitis.Which intervention is most appropriate?

Accepted Answer

Depending on the severity of the pain,the patient may be placed on bedrest with the scrotum elevated,possibly on ice packs,and also given analgesics.B.Pressure would increase pain.A.Ambulation might be painful.D.Warm packs will not reduce the pain of the health problem

Question 9

A patient is discharged home after a prostatectomy.Two days later,he calls the nurse and says his bleeding has increased.The nurse asks what he has been doing since discharge.Which activity reported by the patient indicates the need for teaching by the nurse?

Accepted Answer

Activity can increase bleeding,and raking is strenuous.A.C.D.Sitting,walking,and taking an opioid should not increase bleeding.

Question 10

The nurse is assisting with teaching a 56-year-old office manager who reports engaging in a variety of activities.Which one should the nurse explain most likely increased his risk for developing prostatitis?

Accepted Answer

Ways to prevent the development of prostatitis are regular and complete emptying of the bladder to prevent urinary tract infection,avoiding excess alcohol,and avoiding certain high-risk sexual practices.A.Sitting may play a role in infertility but not necessarily prostatitis.D.Sexual intercourse with a spouse is not high risk.B.Bowling and other exercise are not risk factors.

Question 11

A patient who has just returned from a transurethral resection of the prostate (TURP)asks the nurse why he needs a urinary catheter.What is the correct explanation?

Accepted Answer

As the tissue is removed during TURP,bleeding occurs.A Foley catheter is left in place with 30 to 60 mL of sterile water inflating the balloon.The balloon is overfilled and may be secured tightly to the leg or abdomen to tamponade (compress)the prostate area and stop the bleeding.D.Irrigation solution generally flows continuously; manual irrigation may be done for the first 24 hours to help maintain catheter patency by removing clots and chips.C.The health care provider (HCP)will remove the Foley catheter after the danger of hemorrhage has passed.A.Antibiotics are not routine.

Question 12

The nurse is providing pre-operative care for an 80-year-old patient who is scheduled to have prostate surgery.The patient says,"I know a man who was impotent after this surgery.Will that happen to me?" Which response by the nurse is most appropriate?

Accepted Answer

Some types of prostate procedures can lead to erectile dysfunction.The physician needs to address this risk with the patient.A.B.C.It is inappropriate for the nurse to talk about treatments,because it is not known from the information given if the patient is having a high-risk procedure.There is no reason to alarm the patient unnecessarily.

Question 13

The nurse is teaching a male patient the early warning signs of testicular cancer.What should this instruction include?

Accepted Answer

Early warning signs of cancer can include a small,usually painless lump on the testicle.The patient may also notice that the scrotum is swollen and feels heavy.Some tumors produce hormones that cause breast enlargement and tenderness.A.The skin of the scrotal sac is not red in color with testicular cancer.C.D.Rugae on the scrotal sac and cooler in temperature are normal findings.

Question 14

A patient diagnosed with benign prostatic hyperplasia is prescribed the alpha-blocking medication terazosin (Hytrin)to reduce symptoms.For which side effect should the nurse monitor this patient?

Accepted Answer

Alpha-blocking medications dilate vessels,so the nurse should monitor the patient for hypotension.A.B.D.Headache,dry mouth,and urinary frequency are also possible but are not life or health threatening.

Question 15

A patient is using a suction device and penile ring to treat erectile dysfunction.What instructions must the patient receive to prevent tissue damage?

Accepted Answer

Suction devices are another nonsurgical treatment option.This is an external cylinder vacuum device that fits over the penis and draws the blood up into the corporeal bodies,causing an erection.A penile ring is then slipped onto the base of the penis.Once the cylinder is removed,sexual intercourse can begin.Special care must be taken to remove the penile ring within 15 to 20 minutes to prevent tissue damage.A.B.Removing or loosening the ring as soon as the erection occurs risks losing the erection.D.An hour can cause circulatory impairment and tissue damage.

Question 16

A male patient is experiencing erectile dysfunction.For which medication classification should the nurse assess if the patient is prescribed?

Accepted Answer

Antihypertensive agents often affect the autonomic nervous system and affect erection.A,B,C,Antibiotics,antidiabetics,and NSAIDs do not commonly cause erectile dysfunction.

Question 17

A male client comes into the emergency department experiencing a painful prolonged erection.What term should the nurse use to document this patient's problem?

Accepted Answer

Priapism is a painful erection that lasts too long.D.Peyronie's disease often gives the penis a curved or crooked look when it is erect.D.Paraphimosis occurs when the uncircumcised foreskin is pulled back,during intercourse or bathing,and not immediately replaced in a forward position.This causes constriction of the dorsal veins,which leads to edema and pain.A.Orchitis is a rare inflammation or infection of the testes.

Question 18

A patient has just received a new prescription for a transurethral suppository for erectile dysfunction.What instructions should the nurse provide about this medication?

Accepted Answer

The patient is instructed to urinate before use of the suppository.C.A tiny pellet (microsuppository)is inserted into the urethra using a specialized single-dose applicator.The medication usually begins to work in 5 to 10 minutes,and the effects last for approximately 30 to 60 minutes.D.Two hours is too long to insert before having intercourse.B.The suppository will be absorbed and is not removable.

Question 19

A 70-year-old male arrives in the emergency department and says,"I haven't urinated in 24 hours.I feel like I have to go,but I can't." What care should the nurse anticipate providing first?

Accepted Answer

First,the patient must be assisted to empty his bladder to avoid rupture or other complications.A.IV fluids will further add to his need to urinate.B.D.Preparation for tests would wait until he is safe from immediate harm.

Question 20

The nurse is bathing an older male patient who has never been circumcised.What is proper care of the uncircumcised penis?

Accepted Answer

Care of the male patient who has never been circumcised includes pulling the foreskin back carefully,wash with mild soap and water,and replace the foreskin to its normal position.D.Leaving the foreskin retracted can impair circulation.A.It must be retracted for adequate hygiene and then replaced.B.Alcohol is not necessary and may be irritating.

Quiz 43: Nursing Care of Male Patients With Genitourinary Disorders

The nurse is caring for a patient with continuous bladder irrigation after a transurethral resection of the prostate (TURP) .Which assessment finding should take priority?