Deck 38: Management of Men with Reproductive Disorders

Question 1

A nurse teaches a client who underwent insertion of a prostatic stent 5 weeks ago to be sure to tell all care providers about this procedure. When the client asks about the reason for this instruction, the nurse would reply that

A) increased frequency of assessment for prostatic cancer is needed.
B) ongoing antibiotic therapy will be needed for 1 year.
C) the client should not be catheterized through the stent for at least 3 months.
D) the client should not undergo magnetic resonance imaging.

Answer 1

the client should not be catheterized through the stent for at least 3 months.

Question 2

A nurse counsels a client who smokes cigarettes and uses alcohol daily that he should be aware that these substances have been known to cause

A) decreased erectile ability.
B) decreased sperm count.
C) gynecomastia.
D) increased ejaculatory ability.

Answer 2

decreased erectile ability.

Question 3

The statement by the client scheduled for TURP that would indicate the need for further preoperative teaching is

A) "I will have a catheter after surgery."
B) "I will need to drink a lot after surgery."
C) "My incision will probably be painful."
D) "My urine will be red after surgery."

Answer 3

"My incision will probably be painful."

Question 4

The nurse preparing health teaching information about the etiology of prostate cancer would omit factors related to

A) diet.
B) heredity.
C) race.
D) vasectomies.

Question 5

Because a client is receiving antispasmodics for bladder spasms, the nurse should be sure that the client

A) increases fluid intake.
B) is assessed frequently for bleeding.
C) receives stool softeners.
D) remains on bed rest.

Question 6

After a transurethral resection, the nurse notes that the client's urinary catheter is blocked and his bladder is overdistended. The initial nursing action should be to

A) change the catheter.
B) irrigate the catheter.
C) milk the catheter tubing.
D) notify the physician.

Question 7

For a client with mild benign prostatic hypertrophy (BPH) who will be treated conservatively, the nurse would advise the client to

A) avoid alcoholic beverages.
B) limit fluid intake.
C) limit sexual intercourse.
D) void every couple of hours.

Question 8

For a client with radioactive iodine seeds implanted for local control of a prostate tumor, the nurse would address radiation precautions by

A) isolating the client while the implants are intact.
B) limiting time spent with the client.
C) not allowing children to sit on his lap.
D) treating all urine as radioactive.

Question 9

After the urinary catheter is removed on the fourth day following a transurethral resection, the client is upset because he is dribbling urine. The most appropriate nursing intervention in this situation is to

A) help keep the client dry, explaining that it may take some time to clear up.
B) obtain urine for culture, because he may have a urinary tract infection.
C) remind him to void every hour to prevent dribbling.
D) tell him the problem will clear up in a few days.

Question 10

A client is admitted to the hospital for a transurethral resection of the prostate (TURP). To learn more about the client's concerns regarding this surgery and his sexual functioning, the nurse might say

A) "Did you talk to anyone about how this surgery will affect your sex life?"
B) "It is not unusual for a man to worry about how this surgery will affect his sex life. What are some of your concerns?"
C) "This surgery may affect your sex life. Would you like to talk about this?"
D) "You may have heard about some side effects of surgery. Are you worried about how this surgery will affect your sex life?"

Question 11

Nursing management of a client with acute bacterial prostatitis would include

A) catheterizing as needed.
B) encouraging ambulation.
C) limiting fluid intake.
D) providing fiber and fluid intake.

Question 12

On the first day after prostatectomy, a client complains of pain that is caused by bladder spasm. The priority action by the nurse is to

A) administer antispasmodic drugs as ordered.
B) administer pain medication as ordered.
C) assess urethral catheter for patency.
D) encourage the client to use relaxation techniques.

Question 13

A client developed retrograde ejaculation after prostate surgery. In responding to the client's questions regarding this complication, the nurse would be aware that

A) the client will not be able to experience orgasm.
B) the problem can be repaired surgically.
C) this condition is a risk of surgery.
D) this condition is usually temporary.

Question 14

In counseling a couple who want to conceive, the appropriate recommendation that the nurse would make to the man is

A) avoid using recreational drugs and alcohol.
B) have intercourse every 24 hours during ovulation.
C) take hot, soaking baths several times a week.
D) wear jockey shorts instead of boxer type.

Question 15

A client tells the nurse that on discharge following the client's transurethral resection, his wife is going to drive him to his daughter's house 3 hours away to recuperate. The nurse's most appropriate response would be

A) "During the drive, be sure to stop every hour to void."
B) "I'm glad you have someone to help you after your operation."
C) "Try to limit fluid intake before the drive to avoid problems."
D) "You need to avoid prolonged sitting for 2 weeks; can you plan something else?"

Question 16

A 45-year-old client says to the nurse, "I'm really worried about occasional impotence." The most appropriate response by the nurse would be

A) "Do you feel you should see a sex therapist?"
B) "Impotence is usually caused by psychogenic causes."
C) "This is not unusual after age 40."
D) "You should see your doctor to determine if the cause is physical."

Question 17

After a transurethral resection, the nurse notices that the client's urine in the Foley catheter bag is bright red, has numerous clots, and is viscous. The priority nursing action at this time is to

A) add fluid to the balloon end of the catheter.
B) call the physician immediately.
C) force fluids for the next 8 hours.
D) irrigate the catheter with sterile saline.

Question 18

To provide protection against development of BPH, the nurse would encourage men in a community health education class to increase their intake of

A) citrus juices.
B) dairy products.
C) red meat.
D) yellow vegetables.

Question 19

Because a client's mother took diethylstilbestrol (DES) during pregnancy, a nurse should advise a client to maintain screening practices for which associated health risk?

A) Decreased sperm count
B) High risk of erectile dysfunction
C) Increased chance of bladder cancer
D) Increased risk of testicular cancer

Question 20

Considering the potential long-term side effects of a radical prostectomy, the nurse would make the nursing diagnosis of

A) Deficient Fluid Volume
B) Impaired Urinary Elimination
C) Risk for Sexual Dysfunction
D) Social Isolation

Question 21

A client is very upset that he recently had a vasectomy but his wife got pregnant anyway. When taking a history on this client, which question should the nurse specifically ask?

A) "After the operation, did you use ice for more than 2 days?"
B) "Did you return for a follow-up sperm count?"
C) "Have you considered paternity testing?"
D) "Were you told about the lifting restrictions?"

Question 22

A client who had prostate surgery asks the nurse when the suprapubic catheter will be removed. The nurse would reply that it will be left in place until

A) about 2 weeks after the surgery.
B) antibiotic therapy is completed.
C) no pain medication is necessary.
D) the client is voiding well.

Question 23

A nurse is collecting a history on a young client being treated for epididymitis. For which past medical condition should the nurse ask if the client has received treatment?

A) Frequent urinary tract infections
B) History of testicular torsion at puberty
C) Problems with erectile dysfunction
D) Sexually transmitted diseases

Question 24

A young man presents to the emergency department with sudden onset of scrotal swelling and acute pain. The nurse would plan care suspecting treatment for this client will consist of

A) admission and IV antibiotics.
B) emergency surgery.
C) ice, analgesics, and scrotal support.
D) NSAIDs and local heat.

Question 25

The nurse explains that if left untreated, BPH could result in (Select all that apply).

A) bladder cancer.
B) prostatic cancer.
C) renal failure.
D) upper urinary tract infection.

Question 26

The nurse providing client teaching about prostate cancer would tell a group of male clients 52 to 67 years old that screening includes

A) colonoscopy.
B) cystoscopy.
C) digital rectal exam.
D) monthly self-examination.

Question 27

A client had a prostatectomy and is asking the nurse about the medications he is getting. He becomes alarmed when the nurse lists sildenafil (Viagra), saying "But that's for ED! I was told I wouldn't have ED with this procedure!" The best response by the nurse is

A) "ED is a possible complication after all types of prostatectomies."
B) "It's being prescribed during your recovery to keep the blood flow to the penis."
C) "Oh, I didn't realize you weren't told about this. I'll call the doctor."
D) "Taking it regularly will help prevent ED after prostate surgery."

Question 28

A client has ED after a prostatectomy. Which of the following would be the most helpful statement by the nurse?

A) "Have you ever heard of vacuum erection devices?"
B) "I can refer you to a qualified sex therapist who can be very helpful."
C) "Many men get ED after prostate surgery, but it's really a shame."
D) "Well there are several medications made to treat these problems."

Question 29

A client comes to the emergency department in obvious distress, holding his groin. He refuses to get undressed to be examined. Which statement or question by the nurse is most appropriate?

A) "I'll leave the room if that makes you feel better. When you are undressed, put on the call light."
B) "If you don't let us examine you to see what the problem is, you may lose blood supply to your genital area."
C) "No one can help you if we can't see what's going on. So please take off your clothes."
D) "Sometimes men get painful erections that won't go away or problems with their testicles. If that's the problem, we can help you."

Question 30

A client is having a penile shaft resection for advanced penile cancer. Which nursing diagnosis would be most important for the nurse to consider when planning care?

A) Altered Body Image
B) Anxiety
C) Risk for Incontinence
D) Risk for Sexual Dysfunction