Nursing Management Male Reproductive Problems

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Question 1
Free
Multiple Choice

The nurse is assessing a client with benign prostatic hyperplasia (BPH). Which of the following symptoms should the nurse assess to determine the severity of the BPH?

Choose correct answer/s
A

Blood in the urine

B

Lower back or hip pain

C

Erectile dysfunction (ED)

D

Strength of the urinary stream

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Question 2
Free
Multiple Choice

The nurse is caring for a client recently diagnosed with benign prostatic hyperplasia (BPH) who tells the nurse that he does not want to have a transurethral resection of the prostate (TURP) because he is afraid it might affect his ability to have intercourse.Which of the following actions should the nurse take?

Choose correct answer/s
A

Offer reassurance that sperm production is not affected by TURP.

B

Discuss alternative methods of sexual expression besides intercourse.

C

Provide education about the use of medications for erectile dysfunction (ED).

D

Teach that erectile dysfunction (ED) is unlikely following a TURP.

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Question 3
Free
Multiple Choice

The health care provider prescribes finasteride for a client who has benign prostatic hyperplasia (BPH). Which of the following information should the nurse include when teaching the client about the drug?

Choose correct answer/s
A

Change position from lying to standing slowly.

B

Sexual activity interest may decrease while he is taking the medication.

C

Improvement in the obstructive symptoms should occur within about 2 weeks.

D

Required to monitor blood pressure frequently to assess for hypertension.

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Question 4
Free
Multiple Choice

The nurse is preparing a teaching plan for a client who has an enlarged prostate detected by digital rectal examination (DRE) and an elevated prostate specific antigen (PSA) level. Which of the following procedures should the nurse include in the teaching plan?

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A

Cystourethroscopy

B

Uroflowmetry studies

C

Magnetic resonance imaging (MRI)

D

Transrectal ultrasonography (TRUS)

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Question 5
Free
Multiple Choice

The nurse is teaching a client who is scheduled for a transurethral resection of the prostate (TURP) about continuous bladder irrigation. Which of the following information should the nurse include?

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A

Bladder irrigation decreases the risk of postoperative bleeding.

B

Hydration and urine output are maintained by bladder irrigation.

C

Bladder irrigation prevents obstruction of the catheter after surgery.

D

Antibiotics are infused on a continuous basis with bladder irrigation.

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Question 6
Multiple Choice

The nurse is preparing a teaching plan for a client with symptomatic benign prostatic hyperplasia (BPH) who is scheduled for photovaporization of the prostate (PVP) at an outpatient surgical centre. Which of the following information should the nurse include in the teaching plan?

Choose correct answer/s
A
How to care for an in-dwelling urinary catheter?
B
The urine will appear bloody for several days.
C
Complications associated with urethral stenting
D
Symptom improvement will occur in 2-3 weeks.
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Question 7
Multiple Choice

A51-year-old male client is scheduled for an annual physical exam at the outpatient clinic. Which of the following diagnostic tests should the nurse plan to teach to the client?

Choose correct answer/s
A
Urinalysis collection
B
Uroflowmetry studies
C
Digital rectal exam (DRE)
D
Transrectal ultrasound scanning (TRUS)
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Question 8
Multiple Choice

The nurse is caring for a client who had a perineal radical prostatectomy for prostatic cancer. In the immediate postoperative period, which of the following etiologies best relates to the nursing diagnosis of risk for infection?

Choose correct answer/s
A
Urinary stasis
B
Urinary incontinence
C
Fecal contamination of the surgical wound
D
Placement of a suprapubic catheter into the bladder
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Question 9
Multiple Choice

The nurse is caring for a client following a radical retropubic prostatectomy for prostate cancer and is incontinent of urine. Which of the following information should the nurse include in the teaching plan?

Choose correct answer/s
A
Restrict oral fluid intake.
B
Pelvic floor muscle exercises
C
Use belladonna and opium suppositories.
D
Perform intermittent self-catheterization.
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Question 10
Multiple Choice

The nurse has completed discharge teaching for a client who had a transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH). Which of the following client statements indicate that additional instruction is required?

Choose correct answer/s
A
"I will avoid driving until I get approval from my doctor."
B
"I should call the doctor if I have any incontinence at home."
C
"I will increase fibre and fluids in my diet to prevent constipation."
D
"I should continue to schedule yearly appointments for prostate exams."
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Question 11
Multiple Choice

The nurse is providing teaching for a client with cancer of the prostate who has been prescribed leuprolide. Which of the following adverse effects should the nurse include in the teaching plan about this drug?

Choose correct answer/s
A
Dizziness
B
Hot flashes
C
Urinary incontinence
D
Increased infection risk
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Question 12
Multiple Choice

Which of the following information should the nurse include when teaching a client who has a diagnosis of chronic prostatitis?

Choose correct answer/s
A
Ibuprofen should provide good pain control.
B
Prescribed antibiotics should be taken for 7-10 days.
C
Sexual intercourse and masturbation will help relieve symptoms.
D
Cold packs should be used every 4 hours to reduce inflammation.
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Question 13
Multiple Choice

The nurse is assessing a couple at the infertility clinic because they have not been able to conceive. When performing a focused examination to determine possible causes for infertility, which of the following risk factors should the nurse assess in themaleclient?

Choose correct answer/s
A
Hydrocele
B
Varicocele
C
Epididymitis
D
Paraphimosis
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Question 14
Multiple Choice

Which of the following information should the nurse plan to include when teaching a client to perform testicular self-examination?

Choose correct answer/s
A
Testicular self-examination should be done in a warm area.
B
The only structure normally felt in the scrotal sac is the testis.
C
Testicular self-examination should be done at least every week.
D
Call the health care provider if one testis is larger than the other.
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Question 15
Multiple Choice

The nurse is admitting a client scheduled for a unilateral orchiectomy for testicular cancer. The nurse notes that the client does not talk to his partner and speaks to the nurse only to answer the admission questions. Which of the following actions isbest for the nurse to take?

Choose correct answer/s
A
Ask the client if he has any questions or concerns about the diagnosis and treatment.
B
Document the client's lack of communication on the chart and continue preoperative care.
C
Assure the client's partner that concerns about sexual function are common with this diagnosis.
D
Teach the client and the partner that impotence is rarely a problem after unilateral orchiectomy.
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Question 16
Multiple Choice

The nurse is conducting discharge teaching with a client who has undergone a vasectomy in the health care provider's office. Which of the following information should the nurse include in the discharge instructions?

Choose correct answer/s
A
May have temporary erectile dysfunction (ED) because of postoperative swelling.
B
Should continue to use other methods of birth control for 6 weeks.
C
Should not have sexual intercourse until his 6-week follow-up visit.
D
Will notice a decrease in the appearance and volume of his ejaculate.
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Question 17
Multiple Choice

The nurse is caring for a client with erectile dysfunction (ED) following treatment for benign prostatic hyperplasia (BPH) who tells the nurse that he decided to seek treatment because his wife "is losing patience with the situation." Which of the following nursing diagnoses is best for the client?

Choose correct answer/s
A
Ineffective role performance related to alteration in body image
B
Anxiety related to threat to current status (inability to have sexual intercourse)
C
Situational low self-esteem related to alteration in body image
D
Ineffective sexuality pattern related to skill deficit about alternatives related to sexuality
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Question 18
Multiple Choice

The nurse is caring for a client who has benign prostatic hyperplasia (BPH) with mild obstruction and tells the nurse, "My symptoms have gotten a lot worse this week." Which of the following responses by the nurse is best?

Choose correct answer/s
A
"I will talk to the health care provider about ordering a prostate specific antigen (PSA) test."
B
"Have you been taking any over-the-counter (OTC) medications recently?"
C
"Have you talked to the doctor about surgical procedures such as transurethral resection of the prostate (TURP)?"
D
"The prostate gland changes slightly in size from day to day, and this may be making your symptoms worse."
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Question 19
Multiple Choice

The nurse is conducting a focused health history for a client with possible testicular cancer. Which of the following topics should the nurse include in the assessment?

Choose correct answer/s
A
Sexually transmitted infections (STIs)
B
Testicular trauma
C
Testicular torsion
D
Undescended testicles
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Question 20
Multiple Choice

The nurse is providing education for a client who has been diagnosed with orchitis. Which of the following information should the nurse include in the teaching plan?

Choose correct answer/s
A
Pain management
B
Emergency surgical repair
C
Aspiration of fluid from the scrotal sac
D
Application of warm packs to the scrotum
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