Chapter 54: Male Reproductive and Genital Problems

MULTIPLE CHOICE

1. Question: To determine the severity of the symptoms for a 68-year-old patient with benign prostatic hyperplasia (BPH) the nurse will ask the patient about
2. Question: A 58-year-old patient who has been recently diagnosed with benign prostatic hyperplasia (BPH) tells the nurse that he does not want to have a transurethral resection of the prostate (TURP) because it might affect his ability to maintain an erection during intercourse. Which action should the nurse take?
3. Question: The health care provider prescribes finasteride (Proscar) for a 67-year-old patient who has benign prostatic hyperplasia (BPH). When teaching the patient about the drug, the nurse informs him that
4. Question: The nurse will anticipate that a 61-year-old patient who has an enlarged prostate detected by digital rectal examination (DRE) and an elevated prostate specific antigen (PSA) level will need teaching about
5. Question: Which information about continuous bladder irrigation will the nurse teach to a patient who is being admitted for a transurethral resection of the prostate (TURP)?
6. Question: The nurse will plan to teach the patient scheduled for photovaporization of the prostate (PVP)
7. Question: A 53-year-old man is scheduled for an annual physical exam. The nurse will plan to teach the patient about the purpose of
8. Question: A patient returning from surgery for a perineal radical prostatectomy will have a nursing diagnosis of risk for infection related to
9. Question: A 57-year-old patient is incontinent of urine following a radical retropubic prostatectomy. The nurse will plan to teach the patient
10. Question: A 70-year-old patient who has had a transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH) is being discharged from the hospital today, The nurse determines that additional instruction is needed when the patient says which of the following?
11. Question: The nurse will inform a patient with cancer of the prostate that side effects of leuprolide (Lupron) may include
12. Question: Which information will the nurse teach a patient who has chronic prostatitis?
13. Question: The nurse performing a focused examination to determine possible causes of infertility will assess for
14. Question: Which information will the nurse plan to include when teaching a community health group about testicular self-examination?
15. Question: A 27-year-old man who has testicular cancer is being admitted for a unilateral orchiectomy. The patient does not talk to his wife and speaks to the nurse only to answer the admission questions. Which action is best for the nurse to take?
16. Question: When performing discharge teaching for a patient after a vasectomy, the nurse instructs the patient that he
17. Question: A 52-year-old man tells the nurse that he decided to seek treatment for erectile dysfunction (ED) because his wife is losing patience with the situation. The most appropriate nursing diagnosis for the patient is
18. Question: A patient with urinary obstruction from benign prostatic hyperplasia (BPH) tells the nurse, My symptoms are much worse this week. Which response by the nurse is most appropriate?
19. Question: The nurse taking a focused health history for a patient with possible testicular cancer will ask the patient about a history of
20. Question: The nurse will plan to provide teaching for a 67-year-old patient who has been diagnosed with orchitis about
21. Question: A 71-year-old patient who has benign prostatic hyperplasia (BPH) with urinary retention is admitted to the hospital with elevated blood urea nitrogen (BUN) and creatinine. Which prescribed therapy should the nurse implement first?
22. Question: The nurse in the clinic notes elevated prostate specific antigen (PSA) levels in the laboratory results of these patients. Which patients PSA result is most important to report to the health care provider?
23. Question: After a transurethral resection of the prostate (TURP), a 64-year-old patient with continuous bladder irrigation complains of painful bladder spasms. The nurse observes clots in the urine. Which action should the nurse takefirst?
24. Question: A 22-year-old man tells the nurse at the health clinic that he has recently had some problems with erectile dysfunction. Which question should the nurse ask first to assess for possible etiologic factors?
25. Question: A 58-year-old man with erectile dysfunction (ED) tells the nurse he is interested in using sildenafil (Viagra). Which action should the nurse take first?
26. Question: The nurse in a health clinic receives requests for appointments from several patients. Which patient should be seen by the health care provider first?
27. Question: Which assessment information is most important for the nurse to report to the health care provider when a patient asks for a prescription for testosterone replacement therapy (TRT)?
28. Question: A 76-year-old patient who has been diagnosed with stage 2 prostate cancer chooses the option of active surveillance. The nurse will plan to
29. Question: The health care provider prescribes the following interventions for a patient with acute prostatitis caused by E. coli. Which intervention should the nurse question?
30. Question: Several patients call the urology clinic requesting appointments with the health care provider as soon as possible. Which patient will the nurse schedule to be seen first?
31. Question: When obtaining the pertinent health history for a man who is being evaluated for infertility, which question is most important for the nurse to ask?
32. Question: The following male patients recently arrived in the emergency department. Which one should the nurse assess first?
33. Question: Which action by the unlicensed assistive personnel (UAP) who are assisting with the care of patients with male reproductive problems indicates that the nurse should provide more teaching?
34. Question: When caring for a patient with continuous bladder irrigation after having transurethral resection of the prostate, which action could the nurse delegate to unlicensed assistive personnel (UAP)?
35. Question: After reviewing the electronic medical record shown in the accompanying figure for a patient who had transurethral resection of the prostate the previous day, which information requires the most rapid action by the nurse?