Nokea
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.
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An uncircumcised 78-year-old male has presented at the clinic complaining that he cannot retract his foreskin over his glans. On examination, it is noted that the foreskin is very constricted. The nurse should recognize the presence of what health problem?
- A. Bowens disease
- B. Peyronies disease
- C. Phimosis
- D. Priapism
Correct Answer: C
Rationale: Phimosis is a condition where a tight foreskin cannot be retracted over the glans, common in uncircumcised older males due to scarring or poor hygiene. Bowens disease is a penile carcinoma in situ, Peyronies disease involves penile curvature from fibrous plaques, and priapism is a persistent erection, none of which fit the description.
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.
A patient has experienced occasional urinary incontinence in the weeks since his prostatectomy. In order to promote continence, the nurse should encourage which of the following?
- A. Pelvic floor exercises
- B. Intermittent urinary catheterization
- C. Reduced physical activity
- D. Active range of motion exercises
Correct Answer: A
Rationale: Pelvic floor exercises strengthen muscles supporting the bladder, aiding continence post-prostatectomy. Catheterization is unnecessary and risky, and physical activity levels do not directly impact continence.
A 76-year-old with a diagnosis of penile cancer has been admitted to the medical floor. Because the incidence of penile cancer is so low, the staff educator has been asked to teach about penile cancer. What risk factors should the educator cite in this presentation? Select all that apply.
- A. Phimosis
- B. Priapism
- C. Herpes simplex infection
- D. Increasing age
- E. Lack of circumcision
Correct Answer: A,D,E
Rationale: Risk factors for penile cancer include phimosis, increasing age (most cases in men over 65), and lack of circumcision, which can lead to poor hygiene and HPV exposure. Priapism and herpes simplex are not established risk factors.
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.