Nokea
The nurse is caring for a client with erectile dysfunction. Because the client has coronary artery disease (CAD), the nurse anticipates the provider will prescribe which medication for ED?
- A. Sidenafil (Viagra)
- B. Tadlafil (Cialis)
- C. Apomorphine (Uprima)
- D. Vardenafil (Levitra)
Correct Answer: C
Rationale: Apomorphine (Uprima), a dopamine agonist, is a possible alternative to phosphodiesterase (PDE5) inhibitors, such as sidenafil (Viagra), tadlafil (Cialis), and vardenafil (Levitra) for the treatment of ED. Uprima is safer for men with CAD and does not cause mass vasodilation of the blood vessels such as the PDE5 inhibitors.
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A hydrocele is suspected in a client with scrotal edema. Which assessment technique would the nurse anticipate to be done first?
- A. Transillumination of the scrotum
- B. Palpate for presence of testicle
- C. Examine for soft tissue swelling
- D. Assess for collection of blood in the scrotum
Correct Answer: A
Rationale: Transillumination, shining a light through the scrotum, will determine if the swelling in the scrotum is caused by serous fluid versus a solid mass. Palpation for testicle is not indicated with a hydrocele. Soft-tissue swelling and/or collection of blood in the scrotum is not indicated with hydrocele.
Following morning hygiene of an older adult client, the nurse is unable to replace the retracted foreskin of the penis. Which is the most likely outcome?
- A. Erection of the penis
- B. Unclean gls
- C. Painful swelling
- D. Nuseea and vomiting
Correct Answer: C
Rationale: Paraphimosis results in strangulation of the glans penis from inability to replace the retracted foreskin. The strangulation results in painful swelling of the glans. Erection of the penis in the presence of phimosis can cause pain but is not a result of retracted foreskin. Nausea and vomiting are not indicated with retraction of foreskin.
A client who comes to the clinic complaining of perineal pain, dysuria, and fever is diagnosed with prostatitis. The nurse understands that which of the following organisms would be the most likely cause?
- A. Staphylococcus
- B. Sreptococcus
- C. Escherichia coli
- D. Paramyxovirus
Correct Answer: C
Rationale: Prostatitis is an inflammation of the prostate gland and is most often caused by microorganisms that reach the prostate by way of the urethra. Escherichia coli and microbes that cause sexually transmitted infections often are responsible. Staphylococcus and Sreptococcus are not typically a cause of prostatitis. Paramyxovirus is the cause of mumps.
Which of the following would a nurse include in a teaching plan for a client with benign prostatic hyperplasia who is not yet a candidate for surgery?
- A. Maintaining optimal bladder emptying
- B. Using appropriate coping to alley anxiety.
- C. Performing deep breathing exercises periodically
- D. Doing leg exercises at least daily.
Correct Answer: A
Rationale: For the client with benign prostatic hyperplasia who is not yet a candidate for surgery, the nurse would teach a client how to maintain optimal bladder emptying. The surgical client requires support and information to allay anxiety. The nurse teaches deep breathing and leg exercises for the client who is to have surgery.
A young client is admitted with torsion of the spermatic cord. Which is the appropriate action to be taken by the nurse?
- A. Elevate the scrotum.
- B. Keep the client NPO.
- C. Monitor vital signs for cardiac changes.
- D. Avoid the use of analgesics.
Correct Answer: B
Rationale: With torsion of the spermatic cord, immediate surgery is necessary to prevent atrophy of the cord and preserve fertility. The client should be placed on NPO state in preparation for surgery. Elevating the scrotum intensifies the pain by increasing the degree of twist. Analgesics are prescribed preoperatively to control pain. Cardiac changes are not indicated unless client history warrants assessment.