Nokea
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.
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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.
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 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.
An adolescent is identified as having a collection of fluid in the tunica vaginalis of his testes. The nurse knows that this adolescent will receive what medical diagnosis?
- A. Cryptorchidism
- B. Orchitis
- C. Hydrocele
- D. Prostatism
Correct Answer: C
Rationale: A hydrocele is characterized by fluid accumulation in the tunica vaginalis surrounding the testes, often presenting as a painless scrotal swelling. Cryptorchidism involves undescended testes, orchitis is testicular inflammation, and prostatism refers to symptoms from prostate obstruction, none of which match the described condition.
A nurse is planning the postoperative care of a patient who is scheduled for radical prostatectomy. What intraoperative position will place the patient at particular risk for the development of deep vein thrombosis postoperatively?
- A. Fowlers position
- B. Prone position
- C. Supine position
- D. Lithotomy position
Correct Answer: D
Rationale: The lithotomy position, used during prostatectomy, elevates the legs, potentially impairing venous return and increasing the risk of deep vein thrombosis. Compression stockings are critical for prevention. Fowlers, prone, and supine positions do not pose the same risk.