Nokea
A patient has been prescribed sildenafil. What should the nurse teach the patient about this medication?
- A. Sexual stimulation is not needed to obtain an erection.
- B. The drug should be taken 1 hour prior to intercourse.
- C. Facial flushing or headache should be reported to the physician immediately.
- D. The drug has the potential to cause permanent visual changes.
Correct Answer: B
Rationale: Sildenafil requires sexual stimulation to be effective and should be taken about 1 hour before intercourse for optimal effect. Facial flushing and headache are common, non-serious side effects, and visual changes are rare and typically transient, not permanent.
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A patient has returned to the floor after undergoing a transurethral resection of the prostate (TURP). The patient has a continuous bladder irrigation system in place. The patient tells you he is experiencing bladder spasms and asks what you can do to relieve his discomfort. What is the most appropriate nursing action to relieve the discomfort of the patient?
- A. Apply a cold compress to the pubic area.
- B. Notify the urologist promptly.
- C. Irrigate the catheter with 30 to 50 mL of normal saline as ordered.
- D. Administer a smooth-muscle relaxant as ordered.
Correct Answer: D
Rationale: Smooth-muscle relaxants, often ordered PRN post-TURP, relieve bladder spasms by reducing irritability. Cold compresses, urologist notification, or catheter irrigation do not directly address spasms.
A patient has just been diagnosed with prostate cancer and is scheduled for brachytherapy next week. The patient and his wife are unsure of having the procedure because their daughter is 3 months pregnant. What is the most appropriate teaching the nurse should provide to this family?
- A. The patient should not be in contact with the baby after delivery.
- B. The patients treatment poses no risk to his daughter or her infant.
- C. The patients brachytherapy may be contraindicated for safety reasons.
- D. The patient should avoid close contact with his daughter for 2 months.
Correct Answer: D
Rationale: Brachytherapy involves radioactive seeds emitting low-level radiation, requiring the patient to avoid close contact with pregnant women and infants for about 2 months to minimize exposure risk. The treatment is not contraindicated, and complete isolation from the baby post-delivery is unnecessary.
To decrease glandular cellular activity and prostate size, an 83-year-old patient has been prescribed finasteride (Proscar). When performing patient education with this patient, the nurse should be sure to tell the patient what?
- A. Report the planned use of dietary supplements to the physician.
- B. Decrease the intake of fluids to prevent urinary retention.
- C. Abstain from sexual activity for 2 weeks following the initiation of treatment.
- D. Anticipate a temporary worsening of urinary retention before symptoms subside.
Correct Answer: A
Rationale: Finasteride can interact with certain herbal supplements, so reporting their use to the physician is crucial to avoid adverse effects. Fluid intake should remain normal, sexual abstinence is unnecessary, and worsening urinary retention is not expected.
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 public health nurse has been asked to provide a health promotion session for men at a wellness center. What should the nurse inform the participants about testicular cancer?
- A. It is most common among men over 55.
- B. It is one of the least curable solid tumors.
- C. It typically does not metastasize.
- D. It is highly responsive to treatment.
Correct Answer: D
Rationale: Testicular cancer, common in men aged 15-35, is highly curable with early detection and treatment, often using chemotherapy. It can metastasize early, is not prevalent in men over 55, and is one of the most curable solid tumors.