222 Male Reproductive Problems: BPH Overview
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Questions and Answers

The client had _____ mL of urine output in the past 12 hours.

850

When bright red urinary drainage is noted in a client post-TURP, what should the nurse do first?

  • Document findings in the electronic health record
  • Monitor hemoglobin and hematocrit
  • Calculate intake and output
  • Increase the rate of the bladder irrigation (correct)

    • Sildenafil can enhance performance when taken with alcohol.

    False

    What assessment finding should the nurse report after a patient had an orchiectomy?

    <p>Pain of 7 on a 0-to-10 scale after receiving opioid medication.</p> Signup and view all the answers

    Match the following patient symptoms or statements with their appropriate nursing response or action:

    <p>Testicular pain after moving heavy furniture = Call 911 to take you to the emergency department Client understanding of sildenafil = Might get a headache or stuffy nose when this drug is used Bright red urine post-TURP = Increase the bladder irrigation rate Post-operative pain of 7 = Report this finding to the healthcare provider</p> Signup and view all the answers

    Which resource should the nurse share with a client concerned about sterility due to testicular cancer?

    <p>RESOLVE: The National Infertility Association</p> Signup and view all the answers

    Which client should the nurse discuss prostate cancer screening with?

    <p>A 57-year-old with a brother with prostate cancer</p> Signup and view all the answers

    Testicular self-examinations (TSE) should only be done if a mass is felt.

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

    What is a common supplement recommended for benign prostatic hyperplasia (BPH)?

    <p>Saw palmetto</p> Signup and view all the answers

    The nurse should teach clients with BPH to practice ______ exercises to improve muscle control.

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

    Who should be prioritized for teaching about prostate cancer screening?

    <p>A 51-year-old African American</p> Signup and view all the answers

    After a unilateral orchiectomy, which task can the nurse delegate to assistive personnel (AP)?

    <p>Assist the client with personal hygiene.</p> Signup and view all the answers

    Match the following conditions with their associated assessments or actions:

    <p>Testicular cancer = Concerns about fertility Prostate cancer = Family history risk factor BPH = Saw palmetto supplement Incontinence management = Kegel exercises</p> Signup and view all the answers

    Which client should the emergency nurse see first?

    <p>Adolescent with an erection for '10 or 11 hours' who is reporting severe pain</p> Signup and view all the answers

    A PDE-5 inhibitor can be safely taken with a large amount of alcohol before intercourse.

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

    What should a client taking prazosin be cautious about when changing positions?

    <p>Orthostatic hypotension</p> Signup and view all the answers

    After TURP, the urine from the continuous bladder irrigation system is a ______ color.

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

    Match the medical intervention with its purpose for a client post-TURP:

    <p>Antispasmodic medications = Reduce bladder spasms Encouragement of oral fluids = Prevent dehydration Increased intermittent irrigation = Clear clots and maintain patency Monitoring for anemia = Detect significant blood loss</p> Signup and view all the answers

    Which statement indicates effective nursing teaching for a client taking prazosin?

    <p>Be careful when changing positions.</p> Signup and view all the answers

    What is an appropriate nursing intervention for a client with continuous bladder irrigation?

    <p>Assist with moving to a chair as soon as permitted.</p> Signup and view all the answers

    The total amount of bladder irrigation solution infused over the past 12 hours was ______ mL.

    <p>1200</p> Signup and view all the answers

    Which of the following conditions can cause acute urinary retention?

    <p>Benign Prostatic Hyperplasia (BPH)</p> Signup and view all the answers

    Older age is a modifiable risk factor for prostate cancer.

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

    Name one symptom that indicates lower urinary tract infection (UTI) symptoms.

    <p>Urinary frequency</p> Signup and view all the answers

    ____________ is a common procedure for surgical management of BPH.

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

    Match the following diagnostic tests with their descriptions:

    <p>PSA test = Screening for prostate cancer Transrectal ultrasound = Imaging to assess prostate structure Biopsy = Tissue sampling for cancer diagnosis MRI = Imaging for metastasis assessment</p> Signup and view all the answers

    Which of the following are known genetic risk factors for testicular cancer?

    <p>Family history</p> Signup and view all the answers

    Erectile dysfunction can have both organic and psychogenic causes.

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

    What is one common nonsurgical treatment for prostate cancer?

    <p>Radiation therapy</p> Signup and view all the answers

    Sperm banking is recommended for men with ____________ cancer who may want to have children later.

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

    Match the following medications with their purpose in treating BPH:

    <p>Alpha 1 blocking agents = Relieve urinary obstruction 5 alpha reductase inhibitors = Shrink the prostate Anticholinergics = May worsen urinary retention Muscle relaxants = Relax the bladder neck</p> Signup and view all the answers

    What common post-operative care instruction is given after a TURP procedure?

    <p>Avoid heavy lifting</p> Signup and view all the answers

    High consumption of caffeine can help manage symptoms of BPH.

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

    What is the common name for the surgical procedure to remove a testicle due to cancer?

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

    The GATA3 gene variants are associated with a family history of ____________.

    <p>bladder cancer</p> Signup and view all the answers

    Study Notes

    Male Reproductive Problems

    • Benign Prostatic Hyperplasia (BPH):

      • Prostate enlargement obstructing urine flow.
      • Causes lower urinary tract symptoms (LUTS) like frequent urination, urgency, and difficulty starting or stopping urination.
      • Can lead to kidney damage if untreated.
      • Obstruction may necessitate emergent medical interventions.

    • Etiology & Genetic Risk Factors for BPH

      • Modifiable risk factors: obesity, metabolic syndrome, hypertension, dyslipidemia, caffeine/coffee intake, low activity levels.
      • Unmodifiable risk factors: aging, race (black men more susceptible), genetics (GATA3 gene variants), family history of bladder cancer.

    • Recognizing Symptoms and Assessing BPH

      • Includes severity of lower urinary tract symptoms, International Prostate Symptom Score (IPSS).
      • Physical examination: elimination pattern, urinary frequency/urgency/nocturia, hesitancy, weak stream, straining, post-void dribble, blood in urine.
      • Digital Rectal Examination (DRE).
      • Bladder scanner for overweight individuals.
      • Psychosocial assessment (sleep disruption, mental status, embarrassment)

    • Laboratory Testing for BPH

      • Urinalysis and urine culture to rule out urinary tract infection (UTI).
      • Complete Blood Count (CBC) for infection.
      • Blood Urea Nitrogen (BUN) and creatinine levels for kidney function.
      • Prostate-Specific Antigen (PSA) for screening and potentially elevated levels.
      • Serum acid phosphatase level screening for elevated values.
      • Biopsy (rarely)

    Prostate Cancer

    • Prostate Cancer Risk Factors:

      • Advanced age.
      • Family history.
      • Family history of breast, ovarian, and pancreatic cancer.
      • African American ethnicity.
      • Gene mutations (GSTP1 & BRCA2).

    • Prostate Cancer Recognition and Assessment

      • Age, ethnicity, and family history.
      • Dietary factors (red meat and dairy products).
      • Elimination issues (nocturia, hematuria).
      • Weight loss and/or bone pain in hips/legs.
      • Sexual history.
      • Physical exam for gross blood, pelvic/spino-rib pain, and swollen nodes.
      • Psychosocial assessment.

    • Diagnostic Testing for Prostate Cancer

      • PSA, prostate-specific proteins, PSA isoforms, prostate cancer-specific biomarkers
      • Transrectal ultrasound.
      • Prostate biopsy.
      • Lymph node biopsy.
      • CT, MRI

    • Treatment Approaches and Post-Operative Considerations

      • Active surveillance (monitoring).
      • Nonsurgical (radiation, hormone therapy, chemotherapy).
      • Surgical (prostate removal, testicle removal).
      • Managing post-surgical complications (hydration, wound care, avoiding pulmonary complications).
      • Home care instructions (catheter care, self education, restriction of actions)
      • Support groups for dealing with cancer and surgery

    Testicular Cancer

    • Risk Factors and Groups:
      • Germ cell tumors (producing sperm).
      • Non-germ cell tumors.
      • Family history.
      • Undescended testes.
    • Symptoms and Assessments
      • Painless swelling or lump in the testicle.
      • Family history.
      • Undescended testes..
      • Psychosocial
    • Diagnostics
      • Alpha-fetoprotein (AFP).
      • Beta human chorionic gonadotropin (hCG).
      • Lactate dehydrogenase (LDH).
      • Scrotal ultrasound.
      • Bone scan.

    Erectile Dysfunction

    • Organic ED: gradual decline in erectile function.
    • Psychogenic ED: linked to anxiety, depression, trauma, and stress.
    • Diagnostic testing:
      • Glycated hemoglobin, lipid panels, thyroid stimulating hormone (TSH).
      • Serum total testosterone, and other hormonal tests.
    • Treatment Lifestyle modification, medication management, surgery, vacuum erection devices.

    Vasectomy

    • Post-Operative Care Instruction
      • Leave dressing and scrotal support for 2 days.
      • Ice pack use for 24-48 hours.
      • Avoid strenuous activity for 1 week.
      • Monitoring for complications, and preventing infection.
      • Follow Up Appointments, and use barrier methods of contraception until final confirmation.

    General Care Coordination

    • Home care management.
    • Self education, including instruction on how to catheter care, observe incision sites, prevent straining, and follow-up appointments.
    • Resources for cancer support groups.

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    Nurs222 Exam 3 Study Guide PDF

    Description

    This quiz covers key aspects of Benign Prostatic Hyperplasia (BPH), including its symptoms, risk factors, and management. Participants will learn to recognize symptoms and assess the severity of BPH using the International Prostate Symptom Score (IPSS). Understanding both modifiable and unmodifiable risk factors is crucial for prevention and early intervention.

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