Chapter 43 Nursing care of Male patients with Genitourinary disorders
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Questions and Answers

The nurse is providing care for a patient diagnosed with acute prostatitis. What should the nurse include with teaching?

  • Prevention of transmission
  • Routine bladder emptying (correct)
  • Elimination of acidotic foods
  • Need for urethral culture
  • A patient diagnosed with benign prostatic hyperplasia is prescribed the alpha-blocking medication to reduce symptoms. Which side effect is the most concerning?

  • Dry mouth
  • Headaches
  • Hypotension (correct)
  • Urinary frequency
  • An older adult male arrives in the emergency department and says, "I haven't urinated in 24 hours. I feel like I have to go but I can't" What is the nurse's priority action?

  • Administration of IV fluids
  • Immediate preparation for a cystoscopy
  • Insertion of an indwelling catheter (correct)
  • Immediate preparation for an IV pyelogram(IVP)
  • The nurse is providing preoperative care for an older adult patient who is scheduled to have prostate surgery. The patient says, "I know a man who was impotent after this surgery. Will that happen to me?" Which response by the nurse is most appropriate?

    <p>Prostate surgery can cause erectile dysfunction. I'll ask your surgeon to explain the risks to you</p> Signup and view all the answers

    A patient has just returned from a transurethral resection of the prostate(TURP). The patient asks about the reason for a urinary catheter with fluid running into it. How should the nurse reply?

    <p>The catheter is keeping pressure on the surgery area to prevent bleeding</p> Signup and view all the answers

    A patient is diagnosed with prostate cancer. In which situation will a radical prostatectomy be considered as treatment?

    <p>The patient is experiencing bone pain</p> Signup and view all the answers

    The nurse in the emergency department is providing care for a client with priapism, which has lasted for 5 hours. What care is priority

    <p>Monitoring the ability to urinate</p> Signup and view all the answers

    A young adult patient has been diagnosed with acute epididymitis. The HCP has prescribed bedrest, elevation of the scrotum on ice packs, and antibiotics. Which complication is a concern?

    <p>Sterility</p> Signup and view all the answers

    A young adult patient has just received a diagnosis of testicular cancer. He appears sad and states, "I always wanted to have children. Now it will be impossible." Which information does the nurse provide to assist the patient?

    <p>The possibility of banking sperm before treatment</p> Signup and view all the answers

    The nurse is reviewing a patient's understanding about a scheduled vasectomy. Which statement by the patient indicates the need for additional teaching?

    <p>Sperm will no longer be produced once healing is competed</p> Signup and view all the answers

    A patient in a HCP's office tells the nurse, "I am impotent and cannot have a fulfilling sex life with my spouse. Is there something wrong with me?" How should the nurse reply?

    <p>This is a common condition with a variety of causes and treatments available</p> Signup and view all the answers

    A patient has just received a new prescription for a transurethral suppository for erectile dysfunction. Which instruction should the nurse provide regarding the use of this medication?

    <p>Urinate before you insert the suppository into your urethra</p> Signup and view all the answers

    The nurse is reviewing the report on fertility testing for a young adult patient. The report designates the cause of infertility as a low sperm count with no other identified physiological disorders. How should the nurse document these findings?

    <p>Testicular factor</p> Signup and view all the answers

    The nurse is participating in the care of a patient in the emergency department for an episode of hypotension. The patient takes sildenafil for erectile dysfunction and has a medical history of hypertension and diabetes for which he takes medications. What considerations should the nurse anticipate from the HCP?

    <p>Consideration of herbs for erectile dysfunction</p> Signup and view all the answers

    The nurse is told by a patient during a physical examination that he has a curved penis during erection. Which term does the nurse use to document this finding?

    <p>Peyronie disease</p> Signup and view all the answers

    The nurse is contributing to patient teaching for an uncircumcised patient who had laser surgery for penile cancer. What should be included?

    <p>Your partners should be tested for human papillomavirus</p> Signup and view all the answers

    The parent of a newborn is informed of a condition called cryptorchidism. The HCP states if the condition does not resolve within a few months, surgery will be required before the age of 1 year. The parents ask the nurse while leaving the office what happens if they decide not to have the surgery. How should the nurse respond?

    <p>Lack of correction can result in infertility</p> Signup and view all the answers

    A patient expresses the desire to have a vasovasostomy 5 years after the original procedure. What will impact a successful outcome?

    <p>The period of time that has passed since the original procedures</p> Signup and view all the answers

    A patient is unable to achieve or maintain a penile erection long enough for ejaculation. The erectile dysfunction is considered the reason for the patient's infertility. Which treatment should the nurse expect the HCP to prescribe initially?

    <p>Oral doses of tadalafil</p> Signup and view all the answers

    A patient reports that he is uncircumcised and has been having a problem retracting his foreskin for several months. The penis now looks reddened with a noticeable discharge. What is a common reason a patient may delay treatment?

    <p>Embarrassment about such a personal issue</p> Signup and view all the answers

    A patient seeks medical advice about intermittent erectile dysfunction. Which comment by the patient prompts the nurse to collect additional information?

    <p>After a few drinks, I always ask my partner for sex</p> Signup and view all the answers

    A patient arrives in the emergency department with pain in the scrotum. The scrotal skin is tender, red, and warm to the touch. Which information will cause the nurse to suspect the patient has epididymitis?

    <p>The patient started a new task on his job using a jack hammer</p> Signup and view all the answers

    The nurse is collecting a medication history from a patient with erectile dysfunction. Which items can cause erectile dysfunction

    <p>Alcohol</p> Signup and view all the answers

    A male patient reports that manifestations of benign prostatic hyperplasia(BPH) have been occurring for several years. On which problems related to this condition does the nurse focus when collecting health information?(Select all that apply)

    <p>Urosepsis</p> Signup and view all the answers

    The nurse revies orders from the HCP for a patient recovering from a TURP. The patient is prescribed for bladder irrigation, antispasmodic medication, and IV antibiotics every 6 hours. Which potential complications are these orders specifically addressing?(Select all that apply)

    <p>Infection</p> Signup and view all the answers

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