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Management Of Men With Reproductive Disorders

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Question 1
Free
Multiple Choice

A client is admitted to the hospital for a transurethral resection of the prostate (TURP). To learn more about the client's concerns regarding this surgery and his sexual functioning, the nurse might say

Choose correct answer/s
A

"Did you talk to anyone about how this surgery will affect your sex life?"

B

"It is not unusual for a man to worry about how this surgery will affect his sex life. What are some of your concerns?"

C

"This surgery may affect your sex life. Would you like to talk about this?"

D

"You may have heard about some side effects of surgery. Are you worried about how this surgery will affect your sex life?"

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Question 2
Free
Multiple Choice

For a client with mild benign prostatic hypertrophy (BPH) who will be treated conservatively, the nurse would advise the client to

Choose correct answer/s
A

avoid alcoholic beverages.

B

limit fluid intake.

C

limit sexual intercourse.

D

void every couple of hours.

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Question 3
Free
Multiple Choice

To provide protection against development of BPH, the nurse would encourage men in a community health education class to increase their intake of

Choose correct answer/s
A

citrus juices.

B

dairy products.

C

red meat.

D

yellow vegetables.

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Question 4
Free
Multiple Choice

The statement by the client scheduled for TURP that would indicate the need for further preoperative teaching is

Choose correct answer/s
A

"I will have a catheter after surgery."

B

"I will need to drink a lot after surgery."

C

"My incision will probably be painful."

D

"My urine will be red after surgery."

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Question 5
Free
Multiple Choice

A client developed retrograde ejaculation after prostate surgery. In responding to the client's questions regarding this complication, the nurse would be aware that

Choose correct answer/s
A

the client will not be able to experience orgasm.

B

the problem can be repaired surgically.

C

this condition is a risk of surgery.

D

this condition is usually temporary.

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Question 6
Multiple Choice

After a transurethral resection, the nurse notices that the client's urine in the Foley catheter bag is bright red, has numerous clots, and is viscous. The priority nursing action at this time is to

Choose correct answer/s
A
add fluid to the balloon end of the catheter.
B
call the physician immediately.
C
force fluids for the next 8 hours.
D
irrigate the catheter with sterile saline.
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Question 7
Multiple Choice

After a transurethral resection, the nurse notes that the client's urinary catheter is blocked and his bladder is overdistended. The initial nursing action should be to

Choose correct answer/s
A
change the catheter.
B
irrigate the catheter.
C
milk the catheter tubing.
D
notify the physician.
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Question 8
Multiple Choice

After the urinary catheter is removed on the fourth day following a transurethral resection, the client is upset because he is dribbling urine. The most appropriate nursing intervention in this situation is to

Choose correct answer/s
A
help keep the client dry, explaining that it may take some time to clear up.
B
obtain urine for culture, because he may have a urinary tract infection.
C
remind him to void every hour to prevent dribbling.
D
tell him the problem will clear up in a few days.
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Question 9
Multiple Choice

Because a client is receiving antispasmodics for bladder spasms, the nurse should be sure that the client

Choose correct answer/s
A
increases fluid intake.
B
is assessed frequently for bleeding.
C
receives stool softeners.
D
remains on bed rest.
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Question 10
Multiple Choice

On the first day after prostatectomy, a client complains of pain that is caused by bladder spasm. The priority action by the nurse is to

Choose correct answer/s
A
administer antispasmodic drugs as ordered.
B
administer pain medication as ordered.
C
assess urethral catheter for patency.
D
encourage the client to use relaxation techniques.
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Question 11
Multiple Choice

A client tells the nurse that on discharge following the client's transurethral resection, his wife is going to drive him to his daughter's house 3 hours away to recuperate. The nurse's most appropriate response would be

Choose correct answer/s
A
"During the drive, be sure to stop every hour to void."
B
"I'm glad you have someone to help you after your operation."
C
"Try to limit fluid intake before the drive to avoid problems."
D
"You need to avoid prolonged sitting for 2 weeks; can you plan something else?"
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Question 12
Multiple Choice

The nurse preparing health teaching information about the etiology of prostate cancer would omit factors related to

Choose correct answer/s
A
diet.
B
heredity.
C
race.
D
vasectomies.
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Question 13
Multiple Choice

For a client with radioactive iodine seeds implanted for local control of a prostate tumor, the nurse would address radiation precautions by

Choose correct answer/s
A
isolating the client while the implants are intact.
B
limiting time spent with the client.
C
not allowing children to sit on his lap.
D
treating all urine as radioactive.
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Question 14
Multiple Choice

Considering the potential long-term side effects of a radical prostectomy, the nurse would make the nursing diagnosis of

Choose correct answer/s
A
Deficient Fluid Volume
B
Impaired Urinary Elimination
C
Risk for Sexual Dysfunction
D
Social Isolation
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Question 15
Multiple Choice

Nursing management of a client with acute bacterial prostatitis would include

Choose correct answer/s
A
catheterizing as needed.
B
encouraging ambulation.
C
limiting fluid intake.
D
providing fiber and fluid intake.
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Question 16
Multiple Choice

Because a client's mother took diethylstilbestrol (DES) during pregnancy, a nurse should advise a client to maintain screening practices for which associated health risk?

Choose correct answer/s
A
Decreased sperm count
B
High risk of erectile dysfunction
C
Increased chance of bladder cancer
D
Increased risk of testicular cancer
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Question 17
Multiple Choice

In counseling a couple who want to conceive, the appropriate recommendation that the nurse would make to the man is

Choose correct answer/s
A
avoid using recreational drugs and alcohol.
B
have intercourse every 24 hours during ovulation.
C
take hot, soaking baths several times a week.
D
wear jockey shorts instead of boxer type.
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Question 18
Multiple Choice

A nurse counsels a client who smokes cigarettes and uses alcohol daily that he should be aware that these substances have been known to cause

Choose correct answer/s
A
decreased erectile ability.
B
decreased sperm count.
C
gynecomastia.
D
increased ejaculatory ability.
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Question 19
Multiple Choice

A 45-year-old client says to the nurse, "I'm really worried about occasional impotence." The most appropriate response by the nurse would be

Choose correct answer/s
A
"Do you feel you should see a sex therapist?"
B
"Impotence is usually caused by psychogenic causes."
C
"This is not unusual after age 40."
D
"You should see your doctor to determine if the cause is physical."
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Question 20
Multiple Choice

A nurse teaches a client who underwent insertion of a prostatic stent 5 weeks ago to be sure to tell all care providers about this procedure. When the client asks about the reason for this instruction, the nurse would reply that

Choose correct answer/s
A
increased frequency of assessment for prostatic cancer is needed.
B
ongoing antibiotic therapy will be needed for 1 year.
C
the client should not be catheterized through the stent for at least 3 months.
D
the client should not undergo magnetic resonance imaging.
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