Exam 25: Male Genitourinary System

When performing a genital examination on a 25-year-old man, the nurse notices deeply pigmented, wrinkled scrotal skin with large sebaceous follicles. On the basis of this information, how should the nurse proceed?

The mother of a 10-year-old boy asks the nurse about the recognition of puberty. How should the nurse reply?

When the nurse is conducting a sexual history from a male adolescent, which statement would be most appropriate to use at the beginning of the interview?

A 55-year-old man is experiencing severe pain of sudden onset in the scrotal area. It is somewhat relieved by elevation. On examination the nurse notices an enlarged, red scrotum that is very tender to palpation. Distinguishing the epididymis from the testis is difficult, and the scrotal skin is thick and edematous. What do these findings suggest?

Which of these statements is true regarding the penis?

When the nurse is performing a genital examination on a male patient, the patient has an erection. How should the nurse respond?

When performing a genitourinary assessment on a 16-year-old male adolescent, the nurse notices a swelling in the scrotum that increases with increased intra-abdominal pressure and decreases when he is lying down. The patient reports pain when straining. What do these findings indicate?

A 55-year-old man is in the clinic for a yearly checkup. He is worried because his father died of prostate cancer. The nurse knows which tests should be performed at this time? (Select all that apply.)

What is a common assessment finding in a boy younger than 2 years old?

The nurse is providing patient teaching about an erectile dysfunction drug. One of the drug's potential side effects is prolonged, painful erection of the penis without sexual stimulation. What is the medical term for this condition?

Which statement concerning the testes is true?

During a genital examination, the nurse notices that a male patient has clusters of small vesicles on the glans, surrounded by erythema. What does this finding suggest?

A 2-month-old uncircumcised infant has been brought to the clinic for a well-baby checkup. How would the nurse proceed with the genital examination?

A male patient with possible fertility problems asks the nurse where sperm is produced. Which answer should the nurse give the patient?

When the nurse is performing a testicular examination on a 25-year-old man, which finding is considered normal?

A 16-year-old boy is brought to the clinic for a problem that he refused to let his mother see. The nurse examines him, and finds that he has scrotal swelling on the left side. He had the mumps the previous week, and the nurse suspects that he has orchitis. Which of the following assessment findings support this diagnosis? (Select all that apply.)

During an examination of an aging man, the nurse recognizes that which finding is an expected or normal change?

The nurse is performing a genital examination on a male patient and notices urethral drainage. What should the nurse do when collecting urethral discharge for microscopic examination and culture?

Which of these statements is most appropriate when the nurse is obtaining a genitourinary history from an older man?

A 62-year-old man states that his physician told him that he has an "inguinal hernia." He asks the nurse to explain what a hernia is. Which response by the nurse is best?