Question 1

A patient is being treated for prostatitis.What instructions should the nurse provide to help this patient? (Select all that apply.)

Accepted Answer

A)  "Avoid tub baths." 
B)  "Empty your bladder frequently." 
C)  "Avoid products that contain caffeine." 
D)  "Try to increase the amount of fiber in your diet." 
E)  "Increase your fluid intake to nearly 3000 mL/day."
F) "Take your antibiotics until your symptoms have completely resolved."

Question 2

The nurse is caring for a patient with continuous bladder irrigation after a transurethral resection of the prostate (TURP).Which assessment finding should take priority?

Accepted Answer

A)  Pink-tinged urine 
B)  10-mL urine output in an hour 
C)  Patient report of bladder spasms 
D)  Leakage of small amounts of urine around the catheter

Question 3

A male client comes into the emergency department experiencing a painful prolonged erection.What term should the nurse use to document this patient's problem?

Accepted Answer

A)  Orchitis 
B)  Priapism 
C)  Paraphimosis 
D)  Peyronie's disease

Question 4

The nurse is assisting with teaching a 56-year-old office manager who reports engaging in a variety of activities.Which one should the nurse explain most likely increased his risk for developing prostatitis?

Accepted Answer

A)  Sitting for long periods in his office 
B)  Bowling once a week with the office team 
C)  Drinking three to four martinis each night after work 
D)  Having sexual intercourse with his wife once a week

Question 5

A male patient has infertility caused by an endocrine problem.For which type of problem should the nurse plan care for this patient?

Accepted Answer

A)  Testicular 
B)  Pretesticular 
C)  Post-testicular 
D)  Chronic testicular

Question 6

A patient has just received a new prescription for a transurethral suppository for erectile dysfunction.What instructions should the nurse provide about this medication?

Accepted Answer

A)  "Urinate before you insert the suppository into your urethra." 
B)  "Remove the suppository after you are finished having intercourse." 
C)  "Lubricate the suppository well, and insert it into your rectum before intercourse." 
D)  "Insert the suppository into the urethra at least 2 hours before anticipated intercourse."

Question 7

The nurse is reviewing a patient's prescribed medications.Which medications are used to treat cancer by suppressing or blocking testosterone? (Select all that apply.)

Accepted Answer

A)  Leuprolide (Lupron) 
B)  Finasteride (Proscar) 
C)  Dutasteride (Avodart) 
D)  Diethylstilbesterol (DES) 
E)  Goserelin (Zoladex)

Question 8

The nurse has just removed an indwelling catheter from a patient following transurethral resection of the prostate.What action by the nurse is most important?

Accepted Answer

A)  Monitor vital signs. 
B)  Watch for bladder spasms. 
C)  Offer the urinal every 15 minutes. 
D)  Collect serial samples of urine to monitor for color.

Question 9

A male patient has a curved penis.What term should the nurse use to document this observation?

Accepted Answer

A)  Priapism 
B)  Phimosis 
C)  Paraphimosis 
D)  Peyronie's disease

Question 10

A male patient explains that manifestations of benign prostatic hyperplasia (BPH)have been occurring for several years.For which adverse effects of this health problem should the nurse consider when planning this patient's caring? (Select all that apply.)

Accepted Answer

A)  Urosepsis 
B)  Bladder cancer 
C)  Renal insufficiency 
D)  Evidence of hydronephrosis 
E)  Recurrent urinary tract infections

Question 11

A patient who has just returned from a transurethral resection of the prostate (TURP)asks the nurse why he needs a urinary catheter.What is the correct explanation?

Accepted Answer

A)  "The catheter keeps your bladder empty to reduce risk for infection. It is important to leave it in for at least 72 hours." 
B)  "The catheter is keeping pressure on the area to prevent bleeding. We will remove it when the risk for bleeding has passed." 
C)  "We can take the catheter out when you are able to urinate on your own. I'll ask the physician if we can remove it later today." 
D)  "The catheter is being used to irrigate your bladder with antibiotics. It is important to continue this until you can take antibiotics orally."

Question 12

The nurse is providing care for a patient admitted with epididymitis.Which intervention is most appropriate?

Accepted Answer

A)  Frequent ambulation 
B)  Pressure to the scrotum 
C)  Elevation of the scrotum 
D)  Warm packs to the scrotum

Question 13

The nurse is collecting a medication history from a man with erectile dysfunction.For what medication classes and lifestyle substances should the nurse assess because they can cause erectile dysfunction? (Select all that apply.)

Accepted Answer

A)  Alcohol 
B)  Caffeine 
C)  Antibiotics 
D)  Antihistamines 
E)  Beta-blocking agents
F) Oral hypoglycemic agents

Question 14

The mother is upset to learn that her son's testes have not descended into the scrotum.At what age should the mother consider surgery for her son's health problem?

Accepted Answer

A)  1 
B)  2 
C)  3 
D)  4

Question 15

The nurse is assisting with a urology clinic intake assessment on a patient who reports erectile dysfunction.He has tried several treatments without success.He states,"I'm pretty useless to my wife now.I might as well become a monk." Which nursing diagnosis should take priority in guiding the nurse's care?

Accepted Answer

A)  Anxiety related to uncertain future 
B)  Powerlessness related to inability to fulfill role functions 
C)  Noncompliance related to use of treatments for erectile dysfunction 
D)  Knowledge Deficit related to lack of knowledge about treatments for erectile dysfunction

Question 16

The nurse is collecting admission data from a patient recently diagnosed with benign prostatic hyperplasia.Which symptoms should the nurse expect the patient to report? (Select all that apply.)

Accepted Answer

A)  Low back pain 
B)  Dribbling after urination 
C)  Difficulty initiating an erection 
D)  Difficulty maintaining an erection 
E)  Difficulty starting the urine stream

Question 17

The nurse is assisting with teaching a patient who will be discharged with a catheter after a prostatectomy.Which patient statement indicates the need for further teaching?

Accepted Answer

A)  "I should call you if the bleeding increases." 
B)  "I need to wash around the meatus with soap and water each day." 
C)  "I should keep the drainage bag below the level of my bladder at all times." 
D)  "Applying antibiotic ointment to the meatus twice a day will prevent skin breakdown."

Question 18

The nurse is reviewing the male reproductive system with a couple being evaluated for infertility.What concentration of sperm should the nurse instruct this couple as being needed for normal conception to occur?

Accepted Answer

A)  5 million sperm per mL of semen 
B)  10 million sperm per mL of semen 
C)  15 million sperm per mL of semen 
D)  20 million sperm per mL of semen

Question 19

A patient is discharged home after a prostatectomy.Two days later,he calls the nurse and says his bleeding has increased.The nurse asks what he has been doing since discharge.Which activity reported by the patient indicates the need for teaching by the nurse?

Accepted Answer

A)  The patient took an opioid for pain. 
B)  The patient raked leaves in the yard. 
C)  The patient took a walk around the block. 
D)  The patient has been sitting in a recliner watching television.

Question 20

The nurse is assisting with the preparation of materials for a patient who is at risk for prostatitis.What should the nurse include in this teaching? (Select all that apply.)

Accepted Answer

A)  Practice safe sex 
B)  Ensure good personal hygiene 
C)  Avoid urinary catheterizations 
D)  Avoid excessive intake of citrus juices 
E)  Avoid excessive intake of animal products

Exam 43: Nursing Care of Male Patients With Genitourinary Disorders