Nokea
The nurse is assessing a couple at the infertility clinic because they have not been able to conceive. When performing a focused examination to determine possible causes for infertility, which of the following risk factors should the nurse assess in the male patient?
- A. Hydrocele
- B. Varioceele
- C. Epididymitis
- D. Paraphimosis
Correct Answer: B
Rationale: Persistent varicoceles are commonly associated with infertility. Hydrocele, epididymitis, and paraphimosis are not risk factors for infertility.
You may also like to solve these questions
The nurse is caring for a patient who has benign prostatic hyperplasia (BPH) with mild obstruction and tells the nurse, 'My symptoms have gotten a lot worse this week.' Which of the following responses by the nurse is best?
- A. I will talk to the health care provider about ordering a prostate specific antigen (PSA) test.
- B. Have you been taking any over-the-counter (OTC) medications recently?
- C. Have you talked to the doctor about surgical procedures such as transurethral resection of the prostate (TURP)?
- D. The prostate gland changes slightly in size from day to day, and this may be making your symptoms worse
Correct Answer: B
Rationale: Because the patient's increase in symptoms has occurred abruptly, the nurse should ask about OTC medications (such as decongestants and anticholinergics) that might cause contraction of the smooth muscle in the prostate and worsen obstruction. The prostate gland does not vary in size from day to day. A TURP may be needed, but more assessment about possible reasons for the sudden symptom change is a more appropriate first response by the nurse. PSA testing is done to differentiate BPH from prostatic cancer.
The nurse is providing education for a patient who has been diagnosed with orchitis. Which of the following information should the nurse include in the teaching plan?
- A. Pain management
- B. Emergency surgical repair
- C. Aspiration of fluid from the scrotal sac
- D. Application of warm packs to the scrotum
Correct Answer: A
Rationale: Orchitis is very painful and effective pain management will be needed. The other therapies will not be used to treat orchitis.
The nurse is conducting discharge teaching with a patient who has undergone a vasectomy in the health care provider's office. Which of the following information should the nurse include in the discharge instructions?
- A. May have temporary erectile dyfunction (ED) because of postoperative swelling.
- B. Should continue to use other methods of birth control for 6 weeks.
- C. Should not have sexual intercourse until his 6-week follow-up visit.
- D. Will notice a decrease in the appearance and volume of his ejaculate.
Correct Answer: B
Rationale: Because it takes about 6 weeks to evacuate sperm that are distal to the vasectomy site, the patient should use contraception for 6 weeks. ED that occurs after vasectomy is psychological in origin and not related to postoperative swelling. The patient does not need to abstain from intercourse. The appearance and volume of the ejaculate are not changed because sperm are a minor component of the ejaculate.
The nurse is teaching a patient who is scheduled for a transurethral resection of the prostate (TURP) about continuous bladder irrigation. Which of the following information should the nurse include?
- A. Bladder irrigation decreases the risk of postoperative bleeding.
- B. Hydration and urine output are maintained by bladder irrigation.
- C. Bladder irrigation prevents obstruction of the catheter after surgery.
- D. Antibiotics are infused on a continuous basis with bladder irrigation.
Correct Answer: C
Rationale: The purpose of bladder irrigation is to remove clots from the bladder and to prevent obstruction of the catheter by clots. The irrigation does not decrease bleeding or improve hydration. Antibiotics are given by the IV route, not through the bladder irrigation.
Which of the following information should the nurse include when teaching a patient who has a diagnosis of persistent prostatitis?
- A. Buproofen should provide good pain control.
- B. Prescribed antibiotics should be taken for 7-10 days.
- C. Sexual intercourse and masturbation will help relieve symptoms.
- D. Cold packs should be used every 4 hours to reduce inflammation.
Correct Answer: C
Rationale: Ejaculation helps drain the prostate and relieve pain. Warm baths are recommended to reduce pain. Nonsteroidal anti-inflammatory drugs (NSAIDs) are frequently prescribed but usually do not offer adequate pain relief. Antibiotics for persistent prostatitis are taken for 4-12 weeks.