Deck 39: Care of Men with Reproductive Disorders

Question 1

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.Which problem does the nurse suspect?

A) Hydrocele
B) Varicocele
C) Prostatitis
D) Testicular torsion

Answer 1

Testicular torsion

Question 2

The nurse is educating a patient about testicular self-examination.Which information is most important for the nurse to include?

A) Report any lumps larger than a pea to the health care provider.
B) Perform weekly self-examinations on the same day of the week.
C) Perform self-examinations after bathing when scrotal skin is relaxed.
D) Pinch skin for at least 5 seconds.

Answer 2

Perform self-examinations after bathing when scrotal skin is relaxed.

Question 3

On the first postoperative day,a patient with a TURP complains of abdominal pain.The nurse finds that the bladder is greatly distended.What should the nurse do next?

A) Inform the charge nurse.
B) Irrigate the indwelling catheter with 20 to 30 mL of normal saline.
C) Increase the continuous bladder irrigation flow rate.
D) Turn the patient to the right side.

Answer 3

Irrigate the indwelling catheter with 20 to 30 mL of normal saline.

Question 4

When developing a teaching plan for a young man who is undergoing fertility studies,which information is most important for the nurse to include?

A) Engage in intercourse in the evening when testosterone levels are highest.
B) Relax in a hot bath or Jacuzzi nightly to relieve stress.
C) Wear boxer shorts instead of jockey shorts.
D) Only engage in intercourse during your partner's fertile period.

Question 5

The nurse has provided discharge instructions to a patient who underwent a vasectomy.Which statement indicates the patient understands the nurse's teaching?

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 6

A patient who is 3 days postoperative after suprapubic prostatectomy asks,"When can I get rid of this other catheter?" Which data best indicates that nurse can discontinue the suprapubic catheter as ordered?

A) Pain is adequately controlled with acetaminophen.
B) Urine in the urethral catheter bag is clear with a pink tinge.
C) The patient consumed 80% of his lunch.
D) The urine residual after voiding is 50 mL.

Question 7

A young man who has been diagnosed as sterile says to the nurse,"I am not much of a man or a husband." Which response is most therapeutic?

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 8

The nurse is interviewing a patient who is seeking assistance at the urology clinic for erectile dysfunction.Which statement is the best way to open the interview?

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 9

In counseling a man with erectile dysfunction about a prescription for sildenafil (Viagra),when should the nurse suggest a different treatment?

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

Question 10

The nurse is teaching a patient with BPH who has a new prescription for finasteride (Proscar).Which information is most important for the nurse to include?

A) "It may take several months for this medication to work."
B) "This medication has multiple side effects.
C) "This medication will reduce the size of the prostate."
D) "This medication is known as a 5-Alpha-reductase inhibitor (ARIs)."

Question 11

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 statement accurately interprets these laboratory findings?

A) The patient is making testosterone and has decreased spermatogenesis.
B) The patient is not making testosterone and has decreased spermatogenesis.
C) The patient is making testosterone and has high spermatogenesis.
D) The patient is not making testosterone and has high spermatogenesis.

Question 12

When teaching a high school boys' health class,which information about latex condoms is most important for the nurse to include?

A) Use petroleum jelly as a lubricant.
B) Leave room at the condom tip for a reservoir for semen.
C) Discard condoms after three uses.
D) Apply the condom immediately before ejaculation.

Question 13

The nurse is aware that of the known infertility causes,approximately what percentage is due to male factors?

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

Question 14

The nurse is educating a patient who has been given a prescription for tadalafil (Cialis).The nurse warns the patient about which potential complication?

A) Priapism
B) Obstructed urethra
C) Hydronephrosis
D) Urethritis

Question 15

The nurse is caring for a patient who returns to the unit after undergoing a transurethral resection of the prostate (TURP).The nurse observes a few small clots and pieces of tissue returning in the indwelling catheter bag.What should the nurse do next?

A) Document the finding.
B) Notify the surgeon immediately.
C) Adjust the bladder irrigation flow rate.
D) Apply traction to the catheter.

Question 16

The health care provider has recommended that a patient undergo transurethral microwave thermotherapy (TUMT).Which statement correctly explains this procedure?

A) The doctor uses a surgical instrument called a resectoscope to trim away excess prostatic tissue.
B) The doctor uses a probe with an antenna that releases microwave energy to heat and coagulate prostatic tissue.
C) The doctor uses a cystoscope to guide using radiofrequency needles to coagulate prostate tissue.
D) The doctor vaporizes and desiccates prostatic tissue.

Question 17

The nurse understands that the clinical definition of infertility is failure to conceive after frequent,unprotected sex over what period of time?

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

Question 18

The nurse is caring for an older male patient.Which patient statement would alert the nurse to a probable presence of benign prostatic hyperplasia (BPH)?

A) "It takes a long time for me to be able to urinate."
B) "I feel a burning sensation when I urinate."
C) "I have a throbbing pain in my groin."
D) "I have noticed that my urine is very foamy."

Question 19

A postoperative prostatectomy patient is discouraged that he is still dribbling and wearing a protective pad 1 month after surgery.Which action should the nurse suggest?

A) Eat a low-residue diet to reduce urinary retention.
B) Drink grapefruit juice to tighten the urinary sphincter.
C) Acquire an indwelling catheter to prevent leakage.
D) Practice Kegel exercises several times a day.

Question 20

The nurse reminds a 68-year-old man that a man of any age can reproduce if he is able to perform which function?

A) Maintain an erection
B) Ejaculate
C) Maintain a high sperm count
D) Participate in intercourse

Question 21

The patient considering a vasectomy tells the nurse he is afraid he will be impotent after the surgery.Which statement(s)accurately describe expected outcomes of the procedure?

A) The procedure will cause sterility without changes in potency.
B) The procedure will have a minor impact on libido.
C) The procedure will not impact performance.
D) The procedure will not impact ejaculate volume.
E) The procedure will leave some sperm for several weeks.

Question 22

The nurse is planning discharge instruction for a patient who just had a vasectomy.Which information is most important for the nurse to include?

A) Use a scrotal support for comfort.
B) Apply an ice pack to the scrotum for the first 24 hours.
C) Wait 3 days before resuming sexual intercourse.
D) Use a backup birth control method until the sperm count is negative.
E) Return for a follow-up sperm count in 6 months.

Question 23

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 contents compose semen?

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

Question 24

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 disease
E)Torsion

Question 25

Which possible complication(s)may result from benign prostatic hyperplasia (BPH)?

A) Urinary tract infection (UTI)
B) Bladder cancer
C) Hydroureter
D) Hydronephrosis
E) Renal failure

Question 26

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 disease
E)Torsion

Question 27

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?

A) History of iron deficiency anemia
B) History of treatment for irritable bowel syndrome (IBS)
C) History of medications to manage hypertension
D) History of insulin-dependent diabetic
E) History of bipolar disorder

Question 28

Which factor(s)increase a patient's risk for developing benign prostatic hyperplasia (BPH)?

A) Increasing age
B) Smoking
C) Functioning testes
D) Infrequent ejaculation
E) Neurogenic bladder

Question 29

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 disease
E)Torsion

Question 30

Which changes in the male reproductive tract result from age?

A) Increasingly pendulous scrotum
B) Enlarged prostate
C) Decreased testosterone
D) Increased ejaculate volume
E) Shortened arousal time

Question 31

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 disease
E)Torsion

Question 32

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 disease
E)Torsion

Question 33

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 indicates the patient understands the nurse's teaching?

A) "I will be discharged home in about 6 hours."
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) "I should report any bladder spasm immediately because it may indicate a serious complication."