Nokea
A 75-year-old male patient is being treated for phimosis. When planning this patients care, what health promotion activity is most directly related to the etiology of the patients health problem?
- A. Teaching the patient about safer sexual practices
- B. Teaching the patient about the importance of hygiene
- C. Teaching the patient about the safe use of PDE-5 inhibitors
- D. Teaching the patient to perform testicular self-examination
Correct Answer: B
Rationale: Poor hygiene is a key contributor to phimosis, as smegma accumulation can cause foreskin scarring. Teaching proper genital hygiene directly addresses this etiology, unlike sexual practices, PDE-5 inhibitors, or testicular self-examination.
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A nurse is providing an educational event to a local mens group about prostate cancer. The nurse should cite an increased risk of prostate cancer in what ethnic group?
- A. Native Americans
- B. Caucasian Americans
- C. African Americans
- D. Asian Americans
Correct Answer: C
Rationale: African American men have a higher incidence and mortality rate from prostate cancer compared to other ethnic groups, making them a high-risk population.
A patient has returned to the floor from the PACU after undergoing a suprapubic prostatectomy. The nurse notes significant urine leakage around the suprapubic tube. What is the nurses most appropriate action?
- A. Cleanse the skin surrounding the suprapubic tube.
- B. Inform the urologist of this finding.
- C. Remove the suprapubic tube and apply a wet-to-dry dressing.
- D. Administer antispasmodic drugs as ordered.
Correct Answer: B
Rationale: Significant leakage around a suprapubic tube may indicate obstruction or malposition, requiring urologist evaluation. Cleansing is supportive but not primary, removing the tube is unsafe, and antispasmodics do not address leakage.
A patient has just returned to the floor following a transurethral resection of the prostate. A triple-lumen indwelling urinary catheter has been inserted for continuous bladder irrigation. What, in addition to balloon inflation, are the functions of the three lumens?
- A. Continuous inflow and outflow of irrigation solution
- B. Intermittent inflow and continuous outflow of irrigation solution
- C. Continuous inflow and intermittent outflow of irrigation solution
- D. Intermittent flow of irrigation solution and prevention of hemorrhage
Correct Answer: A
Rationale: The triple-lumen catheter supports continuous bladder irrigation with one lumen for balloon inflation, one for irrigation solution inflow, and one for outflow to prevent clot formation and maintain patency.
A patient is 24 hours postoperative following prostatectomy and the urologist has ordered continuous bladder irrigation. What color of output should the nurse expect to find in the drainage bag?
- A. Red wine colored
- B. Tea colored
- C. Amber
- D. Light pink
Correct Answer: D
Rationale: Post-prostatectomy urine output typically transitions from reddish-pink immediately after surgery to light pink within 24 hours as bleeding subsides, indicating normal healing. Red wine or tea colors suggest persistent bleeding, and amber indicates concentrated urine, not typical post-surgery.
A clinic nurse is providing preprocedure education for a man who will undergo a vasectomy. Which of the following measures will enhance healing and comfort? Select all that apply.
- A. Abstaining from sexual intercourse for at least 14 days postprocedure
- B. Wearing a scrotal support garment
- C. Using sitz baths
- D. Applying a heating pad intermittently
- E. Staying on bed rest for 48 to 72 hours postprocedure
Correct Answer: B,C
Rationale: Scrotal support reduces swelling and discomfort, and sitz baths promote healing post-vasectomy. Ice, not heat, is recommended, sexual activity can resume in about 7 days, and prolonged bed rest is unnecessary.