Question 1

The nurse is caring for a client who had a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation with symptoms of painful bladder spasms. The nurse observes a decrease in urine output and clots in the urine. Which of thefollowing actions should the nurse take first?

Accepted Answer

A) Increase the flow rate of the bladder irrigation. 
B) Administer the prescribed IV morphine sulphate. 
C) Give the client the prescribed belladonna and opium suppository. 
D) Manually instill and then withdraw 50 mL of saline into the catheter.

Question 2

Which of the following information should the nurse include when teaching a client who has a diagnosis of chronic prostatitis?

Accepted Answer

A) Ibuprofen should provide good pain control. 
B) Prescribed antibiotics should be taken for 7-10 days. 
C) Sexual intercourse and masturbation will help relieve symptoms. 
D) Cold packs should be used every 4 hours to reduce inflammation.

Question 3

The nurse is providing education for a client who has been diagnosed with orchitis. Which of the following information should the nurse include in the teaching plan?

Accepted Answer

A) Pain management 
B) Emergency surgical repair 
C) Aspiration of fluid from the scrotal sac 
D) Application of warm packs to the scrotum

Question 4

The nurse is caring for a client who had a perineal radical prostatectomy for prostatic cancer. In the immediate postoperative period, which of the following etiologies best relates to the nursing diagnosis of risk for infection?

Accepted Answer

A) Urinary stasis 
B) Urinary incontinence 
C) Fecal contamination of the surgical wound 
D) Placement of a suprapubic catheter into the bladder

Question 5

The nurse is admitting a client with benign prostatic hyperplasia (BPH) who has urinary retention and new onset elevations in blood urea nitrogen (BUN) and creatinine. Which of the following prescribed therapies should the nurse implement first?

Accepted Answer

A) Schedule an abdominal computed tomography (CT) scan. 
B) Insert a urinary retention catheter. 
C) Draw blood for a complete blood count. 
D) Infuse normal saline at 50 mL/hour.

Question 6

The nurse is caring for a client with prostate cancer and is prescribed abiraterone. Which of the following adverse effects should the nurse teach the client about this medication? (Select all that apply.)

Accepted Answer

A) Fluid retention 
B) Loss of libido 
C) Breast pain 
D) Hot flashes 
E) Erectile dysfunction

Question 7

The nurse is conducting a focused health history for a client with possible testicular cancer. Which of the following topics should the nurse include in the assessment?

Accepted Answer

A) Sexually transmitted infections (STIs) 
B) Testicular trauma 
C) Testicular torsion 
D) Undescended testicles

Exam 57: Nursing Management Male Reproductive Problems