Question 1

A nurse is caring for a patient 2 hours after a transurethral resection and immediately reports to the charge nurse the presence of large clots in the catheter and drainage bag.What should the nurse anticipate the physician will order?

Accepted Answer

A)   Instill ice water into the bladder.
B)   Decrease the amount of fluid in the balloon of the indwelling catheter.
C)   Apply traction to the catheter by taping it to the patient's thigh.
D)   Prescribe a potent vasoconstrictor to reduce hemorrhage. C

Question 2

A nurse is reviewing the drugs taken by a 50-year-old male patient.What medication should the nurse recognize as the most probable cause of erectile dysfunction (ED)?

Accepted Answer

A)   Vasodilator for hypertension
B)   Antibiotic for an upper respiratory infection
C)   Antihistamine for allergies
D)   Glucophage for type 2 diabetes A

Question 3

A nurse is formulating a teaching plan for a patient with acute prostatitis.What information should be included regarding treatment?

Accepted Answer

A)   There will be a 2-week period with a temporary catheter and the instillation of antibiotics in the bladder.
B)   There will be a 6-week course of antibiotics and anti-inflammatory drugs.
C)   There will be a 6-week course of broad-spectrum antibiotics followed by a prostatectomy.
D)   There will be a 16-week protocol of sitz baths and the use of a sturdy scrotal support. B

Question 4

Which statement by a patient indicates he understands the teaching relative to how to perform a testicular self-examination?

Accepted Answer

A)   "It's not necessary to feel the testes; just look at them in a mirror."
B)   "The best time to do a self-examination is after a shower, when my body is warm."
C)   "It doesn't really matter when I do it; just do it sometime."
D)   "The physician is really the best person to check this for me."

Question 5

A male student comes to the campus clinic complaining of painful scrotal edema, nausea, vomiting, chills, and fever.What should the nurse recognize these signs and symptoms as being associated with?

Accepted Answer

A)   Orchitis
B)   Epididymitis
C)   Urethritis
D)   Cystitis

Question 6

A nurse is assessing a young man who is being treated for sterility and inquires whether the young man had any common childhood disease that may be the cause of sterility.What childhood disease might result in sterility?

Accepted Answer

A)   Mumps
B)   Chickenpox
C)   Measles
D)   Scarlet fever

Question 7

A mother of a newborn with cryptorchidism asks if this condition will be permanent.What is the nurse's best response?

Accepted Answer

A)   "Yes, but your child can develop normally with hormone replacement therapy."
B)   "No, several medical and surgical remedies can be performed after your baby's first birthday."
C)   "Yes, but the undescended testicle is still able to function in a normal manner."
D)   "No, the process of sexual maturity will cause it to descend at puberty."

Question 8

A patient is recovering after surgery to correct a testicular torsion.Which possibility should the nurse caution the young patient about?

Accepted Answer

A)   Reoccurrence
B)   Infertility
C)   Orchiditis
D)   Significant risk of prostatic hypertrophy

Question 9

Which instruction should increase the comfort of a patient who is recovering from prostatitis?

Accepted Answer

A)   Avoid bathing for 2 days
B)   Exercise
C)   Take stool softeners
D)   Limit fluid intake

Question 10

What can men who have sustained spinal cord injuries with resultant ED use to aid in the ability to have sexual intercourse?

Accepted Answer

A)   Testosterone injections
B)   Papaverine penile injections
C)   Inflatable penile implants
D)   Antihypertensives

Question 11

After an accident at a track meet, a young male runner is brought to the emergency department complaining of intense pain in his scrotum and nausea and vomiting.What should the nurse suspect based on these initial findings?

Accepted Answer

A)   Cryptorchidism
B)   Testicular torsion
C)   Varicocele
D)   Epididymitis

Question 12

What should instructions relate to for a discharge teaching plan for a patient after undergoing a prostatectomy? (Select all that apply.)

Accepted Answer

A)   Remedy for bladder spasm
B)   Catheter care
C)   Delay of sexual activity for 3 months
D)   Perineal exercises
E)   Avoidance of heavy lifting

Question 13

A patient has an elevation in the prostatic-specific antigen (PSA)level from 4 to 6 ng/L.What should the nurse suspect to be the cause?

Accepted Answer

A)   Possibility of prostatic cancer
B)   ED
C)   Probability of orchiditis
D)   Significant indication of Peyronie disease

Question 14

A 60-year-old man who had a prostatectomy 3 weeks earlier asks if the ongoing incontinence will ever stop.What should the nurse understand about this procedure in order to answer the patient?

Accepted Answer

A)   Postprostatectomy incontinence is usually permanent.
B)   Postprostatectomy incontinence usually clears up in 6 months.
C)   Although the constant dribbling will stop, stress incontinence will continue.
D)   Postprostatectomy incontinence frequently requires a second surgery to correct the problem.

Question 15

After a physician has left the room of a 30-year-old man who has been diagnosed with testicular cancer, the patient covers his face with both hands and sighs.What is the nurse's most therapeutic intervention at this time?

Accepted Answer

A)   Ask the patient, "Do you want to talk about your cancer?"
B)   Leave the room and pull the door closed.
C)   Go to the nurse's station and call the patient's wife.
D)   Complete the patient care as quickly as possible.

Question 16

What should a patient's home instructions following a vasectomy include?

Accepted Answer

A)   Postoperative care consists of warm sitz baths.
B)   Vasectomies should be seen as usually permanent but are sometimes reversible.
C)   Sexual intercourse should be delayed for up to 3 months.
D)   The surgical procedure may interfere with ejaculation.

Exam 54: Male Reproductive Disorders