Nokea
A patient has presented at the clinic with symptoms of benign prostatic hyperplasia. What diagnostic findings would suggest that this patient has chronic urinary retention?
- A. Hypertension
- B. Peripheral edema
- C. Tachycardia and other dysrhythmias
- D. Increased blood urea nitrogen (BUN)
Correct Answer: D
Rationale: Chronic urinary retention from benign prostatic hyperplasia can lead to azotemia, evidenced by increased BUN due to impaired renal clearance. Hypertension, edema, or tachycardia are not directly associated with this condition.
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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.
A nurse is performing an admission assessment on a 40-year-old man who has been admitted for outpatient surgery on his right knee. While taking the patients family history, he states, My father died of prostate cancer at age 48. The nurse should instruct him on which of the following health promotion activities?
- A. The patient will need PSA levels drawn starting at age 55.
- B. The patient should have testing for presence of the CDH1 and STK11 genes.
- C. The patient should have PSA levels drawn regularly.
- D. The patient should limit alcohol use due to the risk of malignancy.
Correct Answer: C
Rationale: A family history of prostate cancer at age 48 warrants regular PSA screening starting earlier than age 55, typically around age 40-45, to monitor for early signs. CDH1/STK11 genes are not linked to prostate cancer, and alcohol limitation is less specific.
A patient presents to the emergency department with paraphimosis. The physician is able to compress the glans and manually reduce the edema. Once the inflammation and edema subside, what is usually indicated?
- A. Needle aspiration of the corpus cavernosum
- B. Circumcision
- C. Abstinence from sexual activity for 6 weeks
- D. Administration of vardenafil
Correct Answer: B
Rationale: Paraphimosis, where the foreskin is trapped behind the glans, often recurs, making circumcision the usual treatment after edema subsides to prevent future episodes. Aspiration is for priapism, abstinence is unnecessary, and vardenafil is irrelevant.
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.
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.