Nokea
A physician explains to the patient that he has an inflammation of the Cowper glands. Where are the Cowper glands located?
- A. Within the epididymis
- B. Below the prostate, within the posterior aspect of the urethra
- C. On the inner epithelium lining the scrotum, lateral to the testes
- D. Medial to the vas deferens
Correct Answer: B
Rationale: Cowper glands (bulbourethral glands) are located below the prostate within the posterior urethra, secreting lubricating fluid during ejaculation. They are not in the epididymis, scrotal lining, or near the vas deferens.
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The nurse is leading a workshop on sexual health for men. The nurse should teach participants that organic causes of erectile dysfunction include what? Select all that apply.
- A. Diabetes
- B. Testosterone deficiency
- C. Anxiety
- D. Depression
- E. Parkinsonism
Correct Answer: A,B,E
Rationale: Organic causes of erectile dysfunction include diabetes (vascular and neuropathic effects), testosterone deficiency (endocrine disruption), and Parkinsonism (neurologic impairment). Anxiety and depression are psychogenic causes.
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 55-year-old man presents at the clinic complaining of erectile dysfunction. The patient has a history of diabetes. The physician orders tadalafil (Cialis) to be taken 1 hour before sexual intercourse. The nurse reviews the patients history prior to instructing the patient on the use of this medication. What disorder will contraindicate the use of tadalafil (Cialis)?
- A. Cataracts
- B. Retinopathy
- C. Hypotension
- D. Diabetic nephropathy
Correct Answer: C
Rationale: Tadalafil is contraindicated in patients with hypotension due to the risk of severe blood pressure drops, especially with nitrates. Cataracts, retinopathy, and nephropathy do not typically contraindicate its use, though retinopathy requires caution.
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.
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.