Question 1

The nurse is caring for a male patient of Japanese descent who is experiencing urinary retention.The patient asks the nurse if it is possible that he is experiencing benign prostatic hyperplasia (BPH).Which response by the nurse is the most appropriate?

Accepted Answer

The most appropriate response is to acknowledge the patient's concern and provide information about the possibility of BPH. Option A is dismissive and incorrect, as age is not the only factor that contributes to BPH. Option B is not accurate, as urinary retention is a common symptom of BPH. Option D is not a therapeutic response and does not provide the patient with any meaningful information. Option C recognizes the patient's concern while also providing information about the likelihood of BPH.

Question 2

The nurse is preparing an educational program on risk factors for the development of prostate cancer.Which information will the nurse include as being the greatest risk factor for developing prostate cancer?

Accepted Answer

Age is the greatest risk factor for developing prostate cancer, with the risk increasing significantly as men get older, particularly after the age of 50.

Question 3

The nurse is planning care for a patient with erectile dysfunction.What should the nurse include in this patient's plan of care?

Accepted Answer

Including information on types of devices and surgeries available to help with erectile dysfunction would be appropriate in a plan of care for a patient with this condition. Providing names of psychologists or information on the exact cause may not be relevant or necessary depending on the individual patient's needs and situation. Identifying medication as the cause may also not be appropriate as there may be numerous factors contributing to the patient's condition.

Question 4

The nurse is conducting a health history with a patient diagnosed with erectile dysfunction.Which finding could provide a possible cause for the patient's problem?

Accepted Answer

Excessive alcohol intake is a known cause of erectile dysfunction as it can lead to nerve and vascular damage. Choices A, B, and D are not commonly associated with causing erectile dysfunction.

Question 5

The nurse is preparing to discharge a patient recovering from prostate surgery for cancer.What should the nurse emphasize when providing discharge instructions for this patient?

Accepted Answer

The answer of The nurse is preparing to discharge a...

Question 6

The nurse is caring for a patient who returns to the unit following transurethral resection of the prostate due to prostate cancer with a three-way Foley catheter in place.The patient states that he has the urge to urinate and wants the catheter removed.Which response by the nurse is the most appropriate?

Accepted Answer

The patient's sensation of needing to urinate is an expected finding after the procedure and does not necessarily mean that the Foley catheter needs to be removed. The catheter is in place to remove any clots that may form and obstruct urine flow. The nurse should explain to the patient the purpose of the catheter and reassure him that the sensation is normal.

Question 7

The nurse is caring for a patient who has a continuous bladder irrigation running following a prostatectomy.During the shift,a total of 1500 mL of irrigant is infused.The Foley bag is emptied twice for the shift with totals of 850 mL and 950 mL.What is the patient's actual urine output for the shift?

Accepted Answer

The total output from the Foley bag is 850 mL + 950 mL = 1800 mL. Subtract the 1500 mL of irrigant infused to find the actual urine output: 1800 mL - 1500 mL = 300 mL.

Question 8

While receiving discharge teaching,an adult patient recovering from a prostatectomy is distressed to learn that episodes of incontinence may occur.Which should the nurse teach the patient to help minimize incontinence?

Accepted Answer

Kegel exercises can help strengthen the muscles that control urination and may help minimize episodes of incontinence. Proper administration of incontinence medication and changing the Foley catheter bag every day may not be applicable to a patient who has had a prostatectomy and is recovering from it. Fluid restriction may cause dehydration and should not be recommended without proper assessment by the healthcare provider.

Question 9

A patient is scheduled to undergo a prostate biopsy.The patient asks the nurse what is expected immediately following the procedure.Which response by the nurse is the most appropriate?

Accepted Answer

Discomfort and mild bleeding are common following a prostate biopsy. The patient may also be advised to avoid strenuous activity for a few days and avoid sexual activity for several days. However, there is no need to notify sexual partners unless the patient experiences any unusual symptoms.

Question 10

During a health history,the nurse learns that a patient has a recent onset of impotence.Which question will help identify a potential cause of this manifestation?

Accepted Answer

The patient's medical history may reveal a disease or disorder that is causing the impotence.

Question 11

A patient with prostate cancer is being discharged from the hospital.Which educational topic is inappropriate for this patient?

Accepted Answer

Providing information on doses of complementary herbs is inappropriate as it could interfere with the patient's medical treatment and may not be recommended or approved by the healthcare provider. It is important for patients to discuss any complementary therapies with their healthcare team before trying them.

Question 12

A nursing instructor is teaching a group of student nurses about the cultural implications of prostate cancer.Which statement will the nursing instructor include in the teaching session?

Accepted Answer

Prostate cancer is more common in older men, with a significant number of cases diagnosed in men aged 70 and older.

Question 13

A nurse is caring for a patient who is prescribed a selective phosphodiesterase type 5 inhibitor for the treatment of erectile dysfunction.The nurse should include which statement when educating the patient regarding this medication?

Accepted Answer

The action of some selective phosphodiesterase type 5 inhibitors, like tadalafil, can last up to 36 hours.

Question 14

A nurse is treating a patient with diabetes mellitus who reports erectile dysfunction (ED).Which hormonal cause contributes to ED?

Accepted Answer

The answer of A nurse is treating a patient with...

Question 15

A patient is concerned about becoming impotent because of the inability to sustain an erection and a history of a sexually transmitted infection as a young adult.What is the nurse's best response to this patient's concerns?

Accepted Answer

An occasional incident of erectile dysfunction is common and not necessarily a cause for concern.

Question 16

The nurse is assessing a patient for symptoms of prostate cancer.Which symptoms would indicate the patient is experiencing an enlarged prostate?

Accepted Answer

Dysuria, or difficulty in urination, is a common symptom of an enlarged prostate. Nerve pain, bone pain, and bowel dysfunction are not typically associated with an enlarged prostate.

Question 17

The nurse is caring for a patient diagnosed with benign prostatic hyperplasia (BPH)who is experiencing an increase in symptoms.Which statement by the patient would best explain the source of the increased symptoms?

Accepted Answer

Many over-the-counter cold medications contain antihistamines and decongestants, which can exacerbate BPH symptoms by causing urinary retention.

Question 18

A male patient tells the nurse that he has no idea why his wife wants to stay married to him because he has not been able to "perform" sexually since his prostate surgery.Which diagnosis would be appropriate for this patient?

Accepted Answer

The patient's statement about not being able to perform sexually since his prostate surgery indicates a problem with his self-esteem in a specific situation (in this case, his marital relationship). This suggests Situational Low Self-Esteem as an appropriate diagnosis. The other options do not fit as well, as Ineffective Coping would require more information about coping strategies and Hormonal Imbalance would need further assessment and testing to confirm. Sexual Dysfunction may be a contributing factor, but the patient's statement emphasizes the impact on his self-esteem and relationship with his wife, suggesting a primary issue with self-esteem.

Question 19

The nurse is instructing a patient about the medication sildenafil (Viagra).Which patient statement indicates teaching has been effective?

Accepted Answer

Sildenafil (Viagra) should not be taken more than once in a 24-hour period to avoid potential side effects and complications.

Question 20

A patient asks for a prescription for tadalafil (Cialis).What would be important for the nurse know prior to planning interventions for this patient?

Accepted Answer

It is important for the nurse to know if the patient uses nitroglycerine because tadalafil should not be taken with nitrates due to the potential for severe hypotension. The other options may be pertinent to the patient's overall health and sexual history, but do not have a direct impact on the use of tadalafil.

Quiz 66: Coordinating Care for Male Patients With Reproductive and Breast Disorders

The nurse is caring for a male patient of Japanese descent who is experiencing urinary retention.The patient asks the nurse if it is possible that he is experiencing benign prostatic hyperplasia (BPH) .Which response by the nurse is the most appropriate?