Exam 72: Care of Patients with Male Reproductive Problems

A client is diagnosed with metastatic prostate cancer.The client asks the nurse the purpose of his treatment with the luteinizing hormone-releasing hormone (LH-RH)agonist leuprolide (Lupron)and the bisphosphonate pamidronate (Aredia).Which statement by the nurse is most appropriate?

A 34-year-old client comes to the clinic with concerns about an enlarged left testicle and heaviness in his lower abdomen.Which diagnostic test would the nurse expect to be ordered to confirm testicular cancer?

A client is interested in learning about the risk factors for prostate cancer.Which factors does the nurse include in the teaching? (Select all that apply.)

A 55-year-old African-American client is having a visit with his health care provider.What test should the nurse discuss with the client as an option to screen for prostate cancer,even though screening is not routinely recommended?

The nurse is teaching a client with benign prostatic hyperplasia (BPH).What statement indicates a lack of understanding by the client?

A nurse and an unlicensed assistive personnel (UAP)are caring for a client with an open radical prostatectomy.Which comfort measure could the nurse delegate to the UAP?

A 70-year-old client returned from a transurethral resection of the prostate 8 hours ago with a continuous bladder irrigation.The nurse reviews his laboratory results as follows: What action by the nurse is the most appropriate?

Post transurethral resection of the prostate,a client has a three-way catheter with a continuous bladder irrigation.Over the last 12 hours,there has been 1400 mL of irrigation solution infused and 2000 mL measured in output from the drainage bag.What is the recording of the urinary output for the 12-hour period? (Record your answer using a whole number.)____ mL

A 55-year-old male client is admitted to the emergency department with symptoms of a myocardial infarction.Which question by the nurse is the most appropriate before administering nitroglycerin?

A client came to the clinic with erectile dysfunction.What are some possible causes of this condition that the nurse could discuss with the client during history taking? (Select all that apply.)

A client is diagnosed with benign prostatic hyperplasia and seems sad and irritable.After assessing the client's behavior,which statement by the nurse would be the most appropriate?

The nurse is administering sulfamethoxazole-trimethoprim (Bactrim)to a client diagnosed with bacterial prostatitis.Which finding causes the nurse to question this medication for this client?

The nurse is administering finasteride (Proscar)and doxazosin (Cardura)to a 67-year-old client with benign prostatic hyperplasia.What precautions are related to the side effects of these medications? (Select all that apply.)

The nurse is conducting a history on a male client to determine the severity of symptoms associated with prostate enlargement.Which finding is cause for prompt action by the nurse?

A 25-year-old client has recently been diagnosed with testicular cancer and is scheduled for radiation therapy.Which intervention by the nurse is best?

The nurse is teaching an uncircumcised 65-year-old client about self-management of a urinary catheter in preparation for discharge to his home.What statement indicates a lack of understanding by the client?

A client has returned from a transurethral resection of the prostate with a continuous bladder irrigation.Which action by the nurse is a priority if bright red urinary drainage and clots are noted 5 hours after the surgery?