Question 1

A 58-year-old patient who has been recently diagnosed with benign prostatic hyperplasia (BPH)tells the nurse that he does not want to have a transurethral resection of the prostate (TURP)because it might affect his ability to maintain an erection during intercourse.Which action should the nurse take?

Accepted Answer

A)   Provide teaching about medications for erectile dysfunction (E
D)  .
B)   Discuss that TURP does not commonly affect erectile function.
C)   Offer reassurance that sperm production is not affected by TURP.
D)   Discuss alternative methods of sexual expression besides intercourse. B

Question 2

The nurse will plan to provide teaching for a 67-year-old patient who has been diagnosed with orchitis about

Accepted Answer

A)   pain management.
B)   emergency surgical repair.
C)   application of heat to the scrotum.
D)   aspiration of fluid from the scrotal sac. A

Question 3

The health care provider prescribes the following interventions for a patient with acute prostatitis caused by E.coli.Which intervention should the nurse question?

Accepted Answer

A)   Instruct patient to avoid sexual intercourse until treatment is complete.
B)   Administer ibuprofen (Advil)  400 mg every 8 hours as needed for pain.
C)   Catheterize the patient as needed if symptoms of urinary retention develop.
D)   Give trimethoprim/sulfamethoxazole (Bactrim)  DS 1 tablet daily for 28 days. C

Question 4

A 71-year-old patient who has benign prostatic hyperplasia (BPH)with urinary retention is admitted to the hospital with elevated blood urea nitrogen (BUN)and creatinine.Which prescribed therapy should the nurse implement first?

Accepted Answer

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

Question 5

The nurse in a health clinic receives requests for appointments from several patients.Which patient should be seen by the health care provider first?

Accepted Answer

A)   A 48-year-old man who has perineal pain and a temperature of 100.4° F
B)   A 58-year-old man who has a painful erection that has lasted over 6 hours
C)   A 38-year-old man who states he had difficulty maintaining an erection last night
D)   A 68-year-old man who has pink urine after a transurethral resection of the prostate (TURP)  3 days ago

Question 6

The nurse performing a focused examination to determine possible causes of infertility will assess for

Accepted Answer

A)   hydrocele.
B)   varicocele.
C)   epididymitis.
D)   paraphimosis.

Question 7

When caring for a patient with continuous bladder irrigation after having transurethral resection of the prostate,which action could the nurse delegate to unlicensed assistive personnel (UAP)?

Accepted Answer

A)   Teach the patient how to perform Kegel exercises.
B)   Report any complaints of pain or spasms to the nurse.
C)   Monitor for increases in bleeding or presence of clots.
D)   Increase the flow rate of the irrigation if clots are noted.

Question 8

Several patients call the urology clinic requesting appointments with the health care provider as soon as possible.Which patient will the nurse schedule to be seen first?

Accepted Answer

A)   22-year-old who has noticed a firm, nontender lump on his scrotum
B)   35-year-old who is concerned that his scrotum "feels like a bag of worms"
C)   40-year-old who has pelvic pain while being treated for chronic prostatitis
D)   70-year-old who is reporting frequent urinary dribbling after a prostatectomy

Question 9

To determine the severity of the symptoms for a 68-year-old patient with benign prostatic hyperplasia (BPH)the nurse will ask the patient about

Accepted Answer

A)   blood in the urine.
B)   lower back or hip pain.
C)   erectile dysfunction (E
D)  .
D)   force of the urinary stream.

Question 10

A 70-year-old patient who has had a transurethral resection of the prostate (TURP)for benign prostatic hyperplasia (BPH)is being discharged from the hospital today,The nurse determines that additional instruction is needed when the patient says which of the following?

Accepted Answer

A)   "I should call the doctor if I have incontinence at home."
B)   "I will avoid driving until I get approval from my doctor."
C)   "I will increase fiber and fluids in my diet to prevent constipation."
D)   "I should continue to schedule yearly appointments for prostate exams."

Question 11

The nurse will inform a patient with cancer of the prostate that side effects of leuprolide (Lupron)may include

Accepted Answer

A)   flushing.
B)   dizziness.
C)   infection.
D)   incontinence.

Question 12

A patient with urinary obstruction from benign prostatic hyperplasia (BPH)tells the nurse,"My symptoms are much worse this week." Which response by the nurse is most appropriate?

Accepted Answer

A)   "Have you been taking any over-the-counter (OT
C)   medications recently?"
B)   "I will talk to the doctor about ordering a prostate specific antigen (PS
A)   test."
C)   "Have you talked to the doctor about surgery such as transurethral resection of the prostate (TURP) ?"
D)   "The prostate gland changes in size from day to day, and this may be making your symptoms worse."

Question 13

The nurse in the clinic notes elevated prostate specific antigen (PSA)levels in the laboratory results of these patients.Which patient's PSA result is most important to report to the health care provider?

Accepted Answer

A)   A 38-year-old who is being treated for acute prostatitis
B)   A 48-year-old whose father died of metastatic prostate cancer
C)   A 52-year-old who goes on long bicycle rides every weekend
D)   A 75-year-old who uses saw palmetto to treat benign prostatic hyperplasia (BPH)

Question 14

The nurse will anticipate that a 61-year-old patient who has an enlarged prostate detected by digital rectal examination (DRE)and an elevated prostate specific antigen (PSA)level will need teaching about

Accepted Answer

A)   cystourethroscopy.
B)   uroflowmetry studies.
C)   magnetic resonance imaging (MRI) .
D)   transrectal ultrasonography (TRUS) .

Question 15

Which assessment information is most important for the nurse to report to the health care provider when a patient asks for a prescription for testosterone replacement therapy (TRT)?

Accepted Answer

A)   The patient has noticed a decrease in energy level for a few years.
B)   The patient's symptoms have increased steadily over the last few years.
C)   The patient has been using sildenafil (Viagra)  several times every week.
D)   The patient has had a gradual decrease in the force of his urinary stream.

Question 16

After a transurethral resection of the prostate (TURP),a 64-year-old patient with continuous bladder irrigation complains of painful bladder spasms.The nurse observes clots in the urine.Which action should the nurse take first?

Accepted Answer

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

Question 17

Which action by the unlicensed assistive personnel (UAP)who are assisting with the care of patients with male reproductive problems indicates that the nurse should provide more teaching?

Accepted Answer

A)   The UAP apply a cold pack to the scrotum for a patient with mumps orchitis.
B)   The UAP help a patient who has had a prostatectomy to put on antiembolism hose.
C)   The UAP leave the foreskin pulled back after cleaning the glans of a patient who has a retention catheter.
D)   The UAP encourage a high oral fluid intake for patient who had transurethral resection of the prostate yesterday.

Question 18

A 22-year-old man tells the nurse at the health clinic that he has recently had some problems with erectile dysfunction.Which question should the nurse ask first to assess for possible etiologic factors?

Accepted Answer

A)   "Do you experience an unusual amount of stress?"
B)   "Do you use any recreational drugs or drink alcohol?"
C)   "Do you have chronic cardiovascular or peripheral vascular disease?"
D)   "Do you have a history of an erection that lasted for 6 hours or more?"

Question 19

A 76-year-old patient who has been diagnosed with stage 2 prostate cancer chooses the option of active surveillance.The nurse will plan to

Accepted Answer

A)   vaccinate the patient with sipuleucel-T ( Provenge) .
B)   provide the patient with information about cryotherapy.
C)   teach the patient about placement of intraurethral stents.
D)   schedule the patient for annual prostate-specific antigen testing.

Question 20

When performing discharge teaching for a patient after a vasectomy,the nurse instructs the patient that he

Accepted Answer

A)   should continue to use other methods of birth control for 6 weeks.
B)   should not have sexual intercourse until his 6-week follow-up visit.
C)   may have temporary erectile dysfunction (E
D)   because of swelling.
D)   will notice a decrease in the appearance and volume of his ejaculate.

Exam 51: Nursing Management: Male Reproductive Problems

The nurse will plan to provide teaching for a 67-year-old patient who has been diagnosed with orchitis about

The health care provider prescribes the following interventions for a patient with acute prostatitis caused by E.coli.Which intervention should the nurse question?

A 71-year-old patient who has benign prostatic hyperplasia (BPH) with urinary retention is admitted to the hospital with elevated blood urea nitrogen (BUN) and creatinine.Which prescribed therapy should the nurse implement first?

The nurse in a health clinic receives requests for appointments from several patients.Which patient should be seen by the health care provider first?

The nurse performing a focused examination to determine possible causes of infertility will assess for

When caring for a patient with continuous bladder irrigation after having transurethral resection of the prostate,which action could the nurse delegate to unlicensed assistive personnel (UAP) ?

Several patients call the urology clinic requesting appointments with the health care provider as soon as possible.Which patient will the nurse schedule to be seen first?

To determine the severity of the symptoms for a 68-year-old patient with benign prostatic hyperplasia (BPH) the nurse will ask the patient about

A 70-year-old patient who has had a transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH) is being discharged from the hospital today,The nurse determines that additional instruction is needed when the patient says which of the following?

The nurse will inform a patient with cancer of the prostate that side effects of leuprolide (Lupron) may include

A patient with urinary obstruction from benign prostatic hyperplasia (BPH) tells the nurse,"My symptoms are much worse this week." Which response by the nurse is most appropriate?

The nurse in the clinic notes elevated prostate specific antigen (PSA) levels in the laboratory results of these patients.Which patient's PSA result is most important to report to the health care provider?

The nurse will anticipate that a 61-year-old patient who has an enlarged prostate detected by digital rectal examination (DRE) and an elevated prostate specific antigen (PSA) level will need teaching about

Which assessment information is most important for the nurse to report to the health care provider when a patient asks for a prescription for testosterone replacement therapy (TRT) ?

After a transurethral resection of the prostate (TURP) ,a 64-year-old patient with continuous bladder irrigation complains of painful bladder spasms.The nurse observes clots in the urine.Which action should the nurse take first?

Which action by the unlicensed assistive personnel (UAP) who are assisting with the care of patients with male reproductive problems indicates that the nurse should provide more teaching?

A 22-year-old man tells the nurse at the health clinic that he has recently had some problems with erectile dysfunction.Which question should the nurse ask first to assess for possible etiologic factors?

A 76-year-old patient who has been diagnosed with stage 2 prostate cancer chooses the option of active surveillance.The nurse will plan to

When performing discharge teaching for a patient after a vasectomy,the nurse instructs the patient that he