Question 1

The patient considering a vasectomy tells the nurse he is afraid he will be impotent after the surgery.Which statement(s)accurately describe expected outcomes of the procedure?

Accepted Answer

Expected results of a vasectomy include sterility without changes in potency,performance,or ejaculate volume; residual sperm may remain for several weeks.The procedure should not impact libido.

Question 2

The nurse is planning discharge instruction for a patient who just had a vasectomy.Which information is most important for the nurse to include?

Accepted Answer

The patient should use a scrotal support for comfort,apply an ice pack to reduce swelling in the first 12 to 24 hours postprocedure,and use a backup birth control method until the sperm count is negative.The patient should delay intercourse for 1 week,and the follow-up visit should occur 1 year after the sperm count is negative to confirm that the vas deferens is not intact.

Question 3

The nurse is conducting a presentation to a health class for male high school students.A student questions the nurse about what semen "really is." Which contents compose semen?

Accepted Answer

Semen content includes a thick,fructose-filled fluid from seminal vesicles,prostaglandins for sperm motility,thin,milky secretions from the prostate gland,and spermatozoa.Mucus from the bulbourethral gland is not part of the semen.

Question 4

The nurse teaches helpful terminology related to male reproductive disorders to a patient.Match the condition with the characteristic that best describes it.

-Prolonged erection associated with sickle cell anemia

Accepted Answer

Priapism is a prolonged and painful erection, usually unrelated to sexual stimulation. It can be associated with sickle cell anemia.

Answer: None of the other choices
 Hydrocele is a fluid-filled sac around the testicle, varicocele is an enlarged vein in the scrotum, Peyronie disease is a curvature of the penis during erection, and torsion is the twisting of the spermatic cord, which can cause sudden and severe testicular pain.

Question 5

Which possible complication(s)may result from benign prostatic hyperplasia (BPH)?

Accepted Answer

BPH occurs when the prostate gland enlarges and extends into the bladder neck,causing obstruction of urine flow.UTIs can result from urinary stasis,as the retained urine acts as a medium for organism growth.Gradual dilation of the ureter (hydroureter)and kidneys (hydronephrosis)can occur.Nitrogen products can accumulate in the blood (azotemia)and cause renal failure if the urinary obstruction is not relieved.
Bladder cancer is not a complication of BPH.

Question 6

The nurse teaches helpful terminology related to male reproductive disorders to a patient.Match the condition with the characteristic that best describes it.

-Painful left-sided scrotal edema from clumping and dilation of vessels of the spermatic vein

Accepted Answer

The condition described is varicocele, which is characterized by pain and swelling on one side of the scrotum due to the clumping and dilation of the spermatic vein. A hydrocele is a buildup of fluid in the scrotum, priapism is a prolonged erection, Peyronie disease is a condition where scar tissue forms inside the penis causing it to curve, and torsion is a twisting of the testicle that can cause severe pain and swelling.

Question 7

The nurse is collecting data from a patient who has come to the ambulatory care clinic with complaints of erectile dysfunction.When reviewing the patient's health history,which finding(s)would provide support for this condition?

Accepted Answer

Medications and health conditions may predispose the patient to erectile dysfunction.Medications used in the management of hypertension may be associated with erectile dysfunction.Vascular changes experienced by the patient with diabetes may be associated with difficulty having and/or maintaining an erection.Depression may result in difficulty attaining an erection.Sickle cell anemia and not iron deficiency anemia is associated with erectile dysfunction.IBS does not heighten the risk for developing erectile dysfunction.

Question 8

Which factor(s)increase a patient's risk for developing benign prostatic hyperplasia (BPH)?

Accepted Answer

Major risk factors for BPH include increasing age in conjunction with functioning testes.Smoking,infrequent ejaculation,and neurogenic bladder are not significant risk factors for BPH.

Question 9

The nurse teaches helpful terminology related to male reproductive disorders to a patient.Match the condition with the characteristic that best describes it.

-Erection curving upward preventing vaginal penetration

Accepted Answer

Peyronie disease is characterized by an erection that curves upward, preventing vaginal penetration.

Answer: A
 Hydrocele is a fluid-filled sac surrounding a testicle that causes swelling in the scrotum, but it does not affect erections.

Answer: C
 Priapism is a prolonged and painful erection that can last for hours and is not related to curvature or swelling.

Answer: B
 Varicocele is characterized by the enlargement of veins within the scrotum, but it does not affect erections.

Answer: E
 Torsion is a twisting of the testicle which can cause severe pain and swelling, but it does not affect erections or curvature.

Question 10

Which changes in the male reproductive tract result from age?

Accepted Answer

Age-related changes in the male reproductive system include a more pendulous scrotum,an enlarged prostate,and decreased testosterone levels.Ejaculate volume decreases over time,while arousal time lengthens.

Question 11

The nurse teaches helpful terminology related to male reproductive disorders to a patient.Match the condition with the characteristic that best describes it.

-Twisting of testes and spermatic cord

Accepted Answer

Torsion refers to the twisting of the testes and spermatic cord, which can cause a lack of blood flow and require urgent surgery to prevent permanent damage to the testes.

Answer: A
 Hydrocele is a buildup of fluid around the testicle, causing swelling and discomfort.

Answer: B
 Varicocele is an enlargement of the veins within the scrotum, similar to varicose veins in the legs.

Answer: C
 Priapism is a prolonged and painful erection that lasts for several hours and is not related to sexual stimulation.

Answer: D
 Peyronie disease involves the development of scar tissue within the penis, causing curvature and often pain during erections.

Question 12

The nurse teaches helpful terminology related to male reproductive disorders to a patient.Match the condition with the characteristic that best describes it.

-Painless enlargement of the scrotum from fluid accumulation

Accepted Answer

Painless enlargement of the scrotum from fluid accumulation is a characteristic of hydrocele. Varicocele is the enlargement of veins in the scrotum, priapism is a prolonged erection lasting more than 4 hours, Peyronie disease is the development of fibrous scar tissue inside the penis causing painful and curved erections, and torsion is the twisting of the testicle and spermatic cord.

Question 13

The nurse is caring for a patient in the initial hours after having surgery to manage an enlarged prostate.The patient's postoperative care includes continuous bladder irrigation.Which statement indicates the patient understands the nurse's teaching?

Accepted Answer

The patient will require continuous bladder irrigation or approximately 2 to 3 days.The patient will stay in the hospital for several days.Bloody urine that is red,pink,or watermelon colored is normal during the initial postoperative period.Tea color urine is not associated with this surgical procedure.Bladder spasms are normal and do not necessarily signal complications.

Quiz 39: Care of Men with Reproductive Disorders

The patient considering a vasectomy tells the nurse he is afraid he will be impotent after the surgery.Which statement(s) accurately describe expected outcomes of the procedure?

The nurse is planning discharge instruction for a patient who just had a vasectomy.Which information is most important for the nurse to include?

The nurse is conducting a presentation to a health class for male high school students.A student questions the nurse about what semen "really is." Which contents compose semen?

The nurse teaches helpful terminology related to male reproductive disorders to a patient.Match the condition with the characteristic that best describes it. -Prolonged erection associated with sickle cell anemia

Which possible complication(s) may result from benign prostatic hyperplasia (BPH) ?

The nurse teaches helpful terminology related to male reproductive disorders to a patient.Match the condition with the characteristic that best describes it. -Painful left-sided scrotal edema from clumping and dilation of vessels of the spermatic vein

The nurse is collecting data from a patient who has come to the ambulatory care clinic with complaints of erectile dysfunction.When reviewing the patient's health history,which finding(s) would provide support for this condition?

Which factor(s) increase a patient's risk for developing benign prostatic hyperplasia (BPH) ?

The nurse teaches helpful terminology related to male reproductive disorders to a patient.Match the condition with the characteristic that best describes it. -Erection curving upward preventing vaginal penetration

Which changes in the male reproductive tract result from age?

The nurse teaches helpful terminology related to male reproductive disorders to a patient.Match the condition with the characteristic that best describes it. -Twisting of testes and spermatic cord

The nurse teaches helpful terminology related to male reproductive disorders to a patient.Match the condition with the characteristic that best describes it. -Painless enlargement of the scrotum from fluid accumulation

The nurse is caring for a patient in the initial hours after having surgery to manage an enlarged prostate.The patient's postoperative care includes continuous bladder irrigation.Which statement indicates the patient understands the nurse's teaching?