Deck 40: Care of Men With Reproductive Disorders

Question 1

The main symptom that alerts a person to the presence of benign prostatic hyperplasia (BPH) is:

A)difficulty voiding.
B)hematuria.
C)pain in scrotum.
D)pain on voiding.

Answer 1

difficulty voiding.

Question 2

The nurse understands that the clinical definition of sterility is failure to conceive after _____ months of frequent,unprotected sex.

A)6
B)12
C)18
D)24

Answer 2

12

Question 3

The nurse is aware that of the known infertility causes approximately ____% are due to male factors.

A)15
B)25
C)35
D)45

Answer 3

25

Question 4

A young man who has been diagnosed as sterile says to the nurse,"I am not much of a man or a husband." The nurse's most therapeutic response would be:

A)"I know you feel awful, but you can always adopt."
B)"How do you feel about artificial insemination?"
C)"What about this sterility diagnosis concerns you the most?"
D)"Sterility isn't the end of the world, is it?"

Question 5

The wife of a patient who has just returned to the unit after a TURP is alarmed about the blood clots and pieces of tissue returning in the indwelling catheter bag.The nurse's best response is:

A)"Don't worry. All these patients bleed. It's no big deal."
B)"Blood clots and tissue are expected for the first few days."
C)"I'll notify the surgeon immediately. He will be able to stop this hemorrhage."
D)"Bleeding will completely clear up in about 8 hours."

Question 6

The nurse explains to a patient considering various methods to relieve his hypertrophied prostate that transurethral microwave thermotherapy (TUMT)removes prostatic tissue by:

A)cauterizing prostatic tissue with a resectoscope.
B)coagulating prostatic tissue with a transurethral probe.
C)using radiofrequency needles to coagulate the prostate.
D)vaporizing and desiccating prostatic tissue.

Question 7

The nurse reminds a 68-year-old man that a man of any age can reproduce if he:

A)can maintain an erection.
B)can ejaculate.
C)has a high sperm count.
D)can participate in intercourse.

Question 8

In counseling a man with erectile dysfunction about a prescription for sildenafil (Viagra),the nurse would suggest a different remedy if the patient was:

A)over 50 years of age.
B)taking nitroglycerin for angina.
C)more than 50 pounds overweight.
D)a long-term diabetic.

Question 9

The nurse cautions a boys' health class at the high school that,when using a latex condom,one should:

A)use petroleum jelly as a lubricant.
B)leave room at the tip for a reservoir for semen.
C)if intercourse does not occur, remove and reuse the condom.
D)apply the condom immediately before ejaculation.

Question 10

On the first postoperative day,a patient with a TURP complains of abdominal pain and the bladder is greatly distended.The nurse should:

A)inform the charge nurse of this complication.
B)irrigate the indwelling catheter with 20 to 30 mL of normal saline.
C)increase continuous bladder irrigation flow rate to flush out the clot.
D)turn the patient to the right side.

Question 11

As part of a teaching plan for a young man who is undergoing fertility studies,the nurse would include:

A)engaging in intercourse in the evening when testosterone levels are high.
B)relaxing in a hot bath or Jacuzzi to stimulate spermatogenesis.
C)wearing boxer shorts instead of jockey shorts.
D)not engaging in intercourse except during the fertile period of the partner.

Question 12

The nurse has provided discharge instructions to a patient who has just had a vasectomy.Which statement by the patient indicates the need for further instruction?

A)"I can use a heating pad this evening for my discomfort."
B)"Taking aspirin every 4 hours will help with my pain."
C)"I should leave the compression dressing on for the first 24 hours."
D)"I should ice my scrotum once I get home."

Question 13

A postoperative prostatectomy patient is discouraged that he is still dribbling and wearing a protective pad 1 month after surgery.Which suggestion by the nurse would be most helpful to the patient?

A)Eating a low-residue diet to reduce the amount of urine
B)Drinking grapefruit juice to tighten the urinary sphincter of the bladder
C)Acquiring an indwelling catheter to prevent leakage
D)Practicing Kegel exercises several times a day

Question 14

In interviewing a patient who is seeking assistance at the urology clinic for erectile dysfunction,the nurse might begin the interview by saying:

A)"When was the last time you were impotent?"
B)"Do you attempt to have intercourse every week?"
C)"What medications have you tried previously?"
D)"What experiences have you had with erectile dysfunction?"

Question 15

The nurse reinforces the physician's instructions to a person with BPH who is taking the 5-alpha-reductase inhibitor finasteride (Proscar)that the drug will:

A)relax the prostate.
B)reduce prostate size.
C)reduce urine production.
D)relax smooth muscle.

Question 16

The nurse advises a patient that the best time to perform his monthly testicular self-examination is:

A)in the morning when testosterone level is high.
B)12 to 24 hours after ejaculation has occurred.
C)after bathing when scrotal skin is relaxed.
D)in the evening when testosterone level is low.

Question 17

A patient who had a suprapubic prostatectomy is depressed that he still has the suprapubic catheter in place.He asks,"When can I get rid of this catheter?" The nurse's most informative response would be that the suprapubic catheter will be removed when the urine residual after voiding has decreased to _____ mL.

A)150
B)125
C)95
D)75

Question 18

The nurse explains to a male patient undergoing infertility studies that his luteinizing hormone (LH)is low and his follicle-stimulating hormone (FSH)is high,which indicates that the patient is _____ testosterone and has _____ spermatogenesis.

A)making; decreased
B)not making; decreased
C)making; high
D)not making; high

Question 19

After a fall on a bicycle,a 15-year-old boy is brought to the emergency department complaining of nausea and sudden and acute scrotal pain.There is an absence of the cremasteric reflex.The nurse interprets these findings as being indicative of:

A)hydrocele.
B)varicocele.
C)orchiditis.
D)torsion of testicle.

Question 20

The patient who has been given a prescription for tadalafil (Cialis)is warned about the possibility of the complication of:

A)priapism.
B)obstructed urethra.
C)hydronephrosis.
D)urethritis.

Question 21

Matching
The nurse teaches helpful terminology related to male reproductive disorders to a patient.Match the condition with the characteristic that best describes it.

Twisting of testes and spermatic cord

A)Hydrocele
B)Varicocele
C)Priapism
D)Peyronie's disease
E)Torsion

Question 22

The nurse lists the age-related changes in the male reproductive tract,which include: (Select all that apply.)

A)pendulous scrotum.
B)prostate enlargement.
C)decrease in testosterone.
D)increase in ejaculate volume.
E)shortened arousal time.

Question 23

Matching
The nurse teaches helpful terminology related to male reproductive disorders to a patient.Match the condition with the characteristic that best describes it.

Prolonged erection associated with sickle cell anemia

A)Hydrocele
B)Varicocele
C)Priapism
D)Peyronie's disease
E)Torsion

Question 24

The nurse outlines the possible complications from benign prostatic hyperplasia (BPH),which include: (Select all that apply.)

A)urinary tract infection.
B)renal failure.
C)dilation of ureters.
D)cancer of the bladder.
E)hydronephrosis.

Question 25

The patient considering a vasectomy tells the nurse he is afraid he will be impotent after the surgery.The nurse lists the expected outcome(s)of the procedure as: (Select all that apply.)

A)remaining potent, but sterile.
B)having a minor impact on libido.
C)incurring no effect on performance.
D)having no effect on amount of ejaculate.
E)retaining some sperm for several weeks.

Question 26

Matching
The nurse teaches helpful terminology related to male reproductive disorders to a patient.Match the condition with the characteristic that best describes it.

Painful left-sided scrotal edema from clumping and dilation of vessels of the spermatic vein

A)Hydrocele
B)Varicocele
C)Priapism
D)Peyronie's disease
E)Torsion

Question 27

The nurse is conducting a presentation to a health class for male high school students.A student questions the nurse about what semen "really is." Which characteristic(s)should be included in the response about the content of semen? (Select all that apply.)

A)A thick, fructose-filled fluid from seminal vesicles
B)Prostaglandins for sperm motility
C)Thin, milky secretions from prostate gland
D)Mucus from bulbourethral gland for lubrication
E)Spermatozoa

Question 28

Matching
The nurse teaches helpful terminology related to male reproductive disorders to a patient.Match the condition with the characteristic that best describes it.

Painless enlargement of the scrotum from fluid accumulation

A)Hydrocele
B)Varicocele
C)Priapism
D)Peyronie's disease
E)Torsion

Question 29

The nurse is caring for a patient in the initial hours after having surgery to manage an enlarged prostate.The patient's postoperative care includes continuous bladder irrigation.Which statement by the patient indicates understanding of the postoperative period?

A)"I will likely have to have this bladder irrigation for the first 5 to 7 days."
B)"My urine will likely be a dark tea color as a result of the blood it contains."
C)"I will need to have my bladder irrigated for the first 2 to 3 days."
D)"Bladder spasms should be reported as they can often signal serious complications."

Question 30

The nurse is aware that the main risk factors for benign prostatic hyperplasia (BPH)include: (Select all that apply.)

A)increasing age.
B)smoking.
C)functioning testes.
D)infrequent ejaculation.
E)neurogenic bladder.

Question 31

Matching
The nurse teaches helpful terminology related to male reproductive disorders to a patient.Match the condition with the characteristic that best describes it.

Erection curving upward preventing vaginal penetration

A)Hydrocele
B)Varicocele
C)Priapism
D)Peyronie's disease
E)Torsion

Question 32

The nurse planning discharge instruction for a patient who just had a vasectomy would include: (Select all that apply.)

A)using a scrotal support for comfort.
B)applying an ice pack to the scrotum for the first 24 hours.
C)resuming sexual intercourse immediately.
D)using another method of birth control until the sperm count is negative.
E)returning for a follow-up sperm count in 6 months.

Question 33

The nurse is collecting data from a patient who has come to the ambulatory care clinic with complaints of erectile dysfunction.When reviewing the patient's health history,which finding(s)would provide support for this condition? (Select all that apply.)

A)The patient has a history of iron deficiency anemia.
B)The patient has been treated for irritable bowel syndrome.
C)The patient is taking medications to manage hypertension.
D)The patient is an insulin-dependent diabetic.
E)The patient has a history of bipolar disorder.