Exam 43: Nursing Care of Male Patients With Genitourinary Disorders

A male patient seeks medical advice about intermittent erectile dysfunction. Which comment by the patient prompts the nurse to collect additional information?

The nurse in the emergency department is providing care for a male client with priapism, which has lasted for 6 hours. For which serious condition will the nurse monitor the patient?

The nurse reviews orders from the HCP for a patient recovering from a TURP. The patient is prescribed for bladder irrigation, antispasmodic medication, and IV antibiotics every 6 hours. Which potential complications are these orders specifically addressing? (Select all that apply.)

A patient arrives in the emergency department with pain in the scrotum. The scrotal skin is tender, red, and warm to the touch. Which information will cause the nurse to suspect the patient has epididymitis?

The nurse is collecting a medication history from a man with erectile dysfunction. For which class of medication and lifestyle substances should the nurse focus because they can cause erectile dysfunction? (Select all that apply.)

A patient diagnosed with benign prostatic hyperplasia is prescribed the alpha-blocking medication tamsulosin to reduce symptoms. For which side effect does the nurse monitor this patient?

The nurse is providing care for a male patient diagnosed with acute prostatitis. Which intervention is unnecessary for the nurse to discuss with this patient?

A male patient reports that manifestations of benign prostatic hyperplasia (BPH) have been occurring for several years. On which problems related to this condition does the nurse focus when collecting health information? (Select all that apply.)

A 30-year-old male patient has just received a diagnosis of testicular cancer. He appears sad and states, "I always wanted to have children. Now it will be impossible." Which information does the nurse provide to assist the patient?

A male patient expresses the desire to have a vasectomy reversed that was performed 5 years ago. Which information about vasectomy reversal does the nurse recognize as the most likely cause of an unsuccessful surgery?

The parent of a newborn male is informed of a condition called cryptorchidism. The HCP states if the condition does not resolve within a few months, surgery will be required before the age of 1 year. The parent asks the nurse why surgery is so important. Which reason does the nurse provide in support of the surgery?

The nurse is reviewing a patient's understanding about a scheduled vasectomy. Which statement by the patient indicates the need for additional teaching?

A male patient has been diagnosed with acute epididymitis. The HCP has prescribed bedrest, elevation of the scrotum on ice packs, and antibiotics. The nurse is aware that which complication is least likely to develop with the patient's diagnosis?

A male patient in an HCP's office, tells the nurse, "I am impotent and cannot have a fulfilling sex life with my spouse." In which way can the nurse support the patient?

A 70-year-old male arrives in the emergency department and says, "I haven't urinated in 24 hours. I feel like I have to go, but I can't." Which care does the nurse anticipate providing first?

A male patient reports that he is uncircumcised and has been having a problem retracting his foreskin for several months. The penis now looks reddened with a noticeable discharge. Which is the most likely reason the patient has delayed reporting the condition?

A male patient is unable to achieve or maintain a penile erection long enough for ejaculation. The erectile dysfunction is considered the reason for the patient's infertility. Which treatment does the nurse expect the HCP to prescribe initially?

A patient has just returned from a transurethral resection of the prostate (TURP). Which explanation does the nurse provide if the patient asks why he needs a urinary catheter?

A male patient who is 60 years old is diagnosed with prostate cancer. Which condition does the nurse recognize as the best indication for a radical prostatectomy?

The nurse is contributing to patient teaching for a patient who is not circumcised and diagnosed with penile cancer. The small red lesion was removed by laser surgery. Which postprocedure information does the nurse recognize as being least beneficial?