Nokea
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.
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A man comes to the clinic complaining that he is having difficulty obtaining an erection. When reviewing the patients history, what might the nurse note that contributes to erectile dysfunction?
- A. The patient has been treated for a UTI twice in the past year.
- B. The patient has a history of hypertension.
- C. The patient is 66 years old.
- D. The patient leads a sedentary lifestyle.
Correct Answer: B
Rationale: Hypertension, a vascular condition, is a major cause of erectile dysfunction in men over 50, impairing penile blood flow. Recent UTIs, age alone, or sedentary lifestyle are less direct contributors.
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 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 35-year-old father of three tells the nurse that he wants information on a vasectomy. What would the nurse tell him about ejaculate after a vasectomy?
- A. There will be no ejaculate after a vasectomy, though the patients potential for orgasm is unaffected.
- B. There is no noticeable decrease in the amount of ejaculate even though it contains no sperm.
- C. There is a marked decrease in the amount of ejaculate after vasectomy, though this does not affect sexual satisfaction.
- D. There is no change in the quantity of ejaculate after vasectomy, but the viscosity is somewhat increased.
Correct Answer: B
Rationale: Vasectomy does not significantly reduce ejaculate volume (only a 3% decrease) as seminal fluid is produced by the prostate and seminal vesicles, unaffected by the procedure. Viscosity remains unchanged, and orgasm potential is preserved.
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.