Nokea
A public health nurse is teaching a health class for the male students at the local high school. The nurse is teaching the boys to perform monthly testicular self-examinations. What point would be appropriate to emphasize?
- A. Testicular cancer is a highly curable type of cancer.
- B. Testicular cancer is very difficult to diagnose.
- C. Testicular cancer is the number one cause of cancer deaths in males.
- D. Testicular cancer is more common in older men.
Correct Answer: A
Rationale: Testicular cancer is highly curable, especially with early detection through monthly self-examinations, which facilitate timely treatment. It is not difficult to diagnose, not the leading cause of cancer deaths, and is more common in younger men.
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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.
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 patient has been diagnosed with erectile dysfunction; the cause has been determined to be psychogenic. The patients interdisciplinary plan of care should prioritize which of the following interventions?
- A. Penile implant
- B. PDE-5 inhibitors
- C. Physical therapy
- D. Psychotherapy
Correct Answer: D
Rationale: Psychogenic erectile dysfunction, stemming from psychological factors, is best addressed with psychotherapy to explore underlying issues. Penile implants and PDE-5 inhibitors are for organic causes, and physical therapy is ineffective.
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.
A 57-year-old male comes to the clinic complaining that when he has an erection his penis curves and becomes painful. The patients diagnosis is identified as severe Peyronies disease. The nurse should be aware of what likely treatment modality?
- A. Physical therapy
- B. Treatment with PDE-5 inhibitors
- C. Intracapsular hydrocortisone injections
- D. Surgery
Correct Answer: D
Rationale: Severe Peyronies disease, characterized by painful penile curvature from fibrous plaques, often requires surgical removal of plaques. Physical therapy, PDE-5 inhibitors, or hydrocortisone injections are not effective treatments.