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A nurse is assessing a patient who presented to the ED with priapism. The student nurse is aware that this condition is classified as a urologic emergency because of the potential for what?
- A. Urinary tract infection
- B. Chronic pain
- C. Permanent vascular damage
- D. Future erectile dysfunction
Correct Answer: C
Rationale: Priapism, particularly the ischemic type, is a urologic emergency due to the risk of permanent vascular damage from prolonged lack of blood flow, which can lead to tissue necrosis. It is not directly linked to UTIs, chronic pain, or future erectile dysfunction as primary concerns.
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A 57-year-old male comes to the clinic complaining that when he has an erection his penis curves and becomes painful. The patients diagnosis is identified as severe Peyronies disease. The nurse should be aware of what likely treatment modality?
- A. Physical therapy
- B. Treatment with PDE-5 inhibitors
- C. Intracapsular hydrocortisone injections
- D. Surgery
Correct Answer: D
Rationale: Severe Peyronies disease, characterized by painful penile curvature from fibrous plaques, often requires surgical removal of plaques. Physical therapy, PDE-5 inhibitors, or hydrocortisone injections are not effective treatments.
A nurse practitioner is assessing a 55-year-old male patient who is complaining of perineal discomfort, burning, urgency, and frequency with urination. The patient states that he has pain with ejaculation. The nurse knows that the patient is exhibiting symptoms of what?
- A. Varicocele
- B. Epididymitis
- C. Prostatitis
- D. Hydrocele
Correct Answer: C
Rationale: Prostatitis presents with perineal discomfort, urinary symptoms (burning, urgency, frequency), and pain with ejaculation due to prostate inflammation. Varicocele involves dilated scrotal veins, epididymitis affects the epididymis with scrotal pain, and hydrocele causes fluid accumulation without urinary or ejaculatory symptoms.
A patient confides to the nurse that he cannot engage in sexual activity. The patient is 27 years old and has no apparent history of chronic illness that would contribute to erectile dysfunction. What does the nurse know will be ordered for this patient to assess his sexual functioning?
- A. Sperm count
- B. Ejaculation capacity tests
- C. Engorgement tests
- D. Nocturnal penile tumescence tests
Correct Answer: D
Rationale: Nocturnal penile tumescence tests assess erectile function during sleep, helping differentiate psychogenic from organic causes of erectile dysfunction in a young, healthy patient. Sperm count, ejaculation capacity, or engorgement tests are not relevant.
A patient who is scheduled for an open prostatectomy is concerned about the potential effects of the surgery on his sexual function. What aspect of prostate surgery should inform the nurses response?
- A. Erectile dysfunction is common after prostatectomy as a result of hormonal changes.
- B. All prostatectomies carry a risk of nerve damage and consequent erectile dysfunction.
- C. Erectile dysfunction after prostatectomy is expected, but normally resolves within several months.
- D. Modern surgical techniques have eliminated the risk of erectile dysfunction following prostatectomy.
Correct Answer: B
Rationale: Prostatectomies risk damaging pudendal nerves, leading to permanent erectile dysfunction in some cases. Hormonal changes are not the cause, resolution is not guaranteed, and modern techniques reduce but do not eliminate the risk.
A nursing student is learning how to perform sexual assessments using the PLISSIT model. According to this model, the student should begin an assessment by doing which of the following?
- A. Briefly teaching the patient about normal sexual physiology
- B. Assuring the patient that what he says will be confidential
- C. Asking the patient if he is willing to discuss sexual functioning
- D. Ensuring patient privacy
Correct Answer: C
Rationale: The PLISSIT model starts with seeking permission to discuss sexual health, ensuring patient comfort and consent. This patient-centered approach precedes providing information, ensuring confidentiality, or addressing privacy.