Exam 26: Male Genitourinary System

During a follow-up appointment with a 68-year-old male patient who had surgery for prostate cancer, he tells the nurse that he is concerned because "every time I sneeze some urine leaks out." The nurse will document that he is experiencing:

The nurse is examining the glans and knows which finding is normal for this area?

Which of these questions is most appropriate when the nurse is obtaining a genitourinary history from an older adult male?

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

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, which is known as:

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.The nurse should:

The nurse is performing a genitourinary assessment on a 50-year-old male labourer, who is obese.On examination, the nurse notices a painless round swelling close to the pubis in the area of the internal inguinal ring that is easily reduced when the individual is supine.These findings are most consistent with a(n) __________ hernia.

During a health history, a patient tells the nurse that he has trouble starting urination.This problem is known as:

A male patient with possible fertility problems asks the nurse where sperm is produced.The nurse knows that sperm production occurs in the:

The nurse is performing a genital examination on a male patient and notices urethral drainage.When collecting urethral discharge for microscopic examination and culture, the nurse should:

A 2-year-old boy has been diagnosed with physiological cryptorchidism.Considering this diagnosis, during assessment the nurse will most likely observe:

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 complains of pain when straining.The nurse knows that this description is most consistent with a(n) __________ hernia.

A 15-year-old boy is seen in the clinic for complaints of "dull pain and pulling" in the scrotal area.On examination, the nurse palpates a soft, irregular mass posterior to and above the testis on the left.This mass collapses when the patient is supine and refills when he is upright.This description is consistent with:

During an examination, the nurse notices that a male patient has a red, round, superficial ulcer with a yellowish serous discharge on his penis.On palpation, the nurse finds a nontender base that feels like a small button between the thumb and fingers.At this point the nurse suspects that this patient has:

During the health history interview with a 40-year-old male patient who was raised in South Korea, the patient mentions that he has undescended testes that had not been corrected in his childhood and is concerned about getting cancer.The nurse informs the patient that:

An accessory glandular structure for the male genital organs is the:

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, the nurse would:

When assessing the scrotum of a male patient, the nurse notices the presence of multiple firm, nontender, yellow, 1-cm nodules.The nurse knows that these nodules are most likely:

During an examination of a70-year-old male patient, the nurse recognizes that normal changes to expect would be:

When the nurse is performing a genital examination on a male patient, the patient has an erection.The nurse's most appropriate action or response is to: