Nokea
The nurse is caring for client who has had a vasectomy. Which would be most important to include in a teaching plan for this client?
- A. Using a reliable method of contraception for several weeks.
- B. Applying warm compresses to the scrotum for the first 24 hours
- C. Taking a prescribed opioid analgesic for pain relief
- D. Resuming sexual activity in 24 to 48 hours
Correct Answer: A
Rationale: It may take several weeks or more after surgery before the ejaculatory fluid is free of sperm, and the client is informed is use a reliable method of contraception until sperm no longer are present. The client should apply ice packs to the scrotum to reduce swelling and use a mild analgesic such as aspirin or acetaminophen for pain relief. The client typically can resume sexual activity when comfortable, usually in 1 week.
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Which of the following should nurses teach all men, especially those who have had cryptorchidism?
- A. Need for blood tests to measure serum acid phosphatase
- B. Importance of regular monitoring of prostate-specific antigen (PSA) levels
- C. Need to undergo a baseline and follow up lymph node biopsies
- D. How to perform a testicular self-examination
Correct Answer: D
Rationale: The nurses should teach all men, especially those who have had cryptorchidism, to perform testicular self-examination to detect any abnormal mass in the scrotum. The nurse instructs the clients to examine the testicles monthly, preferably when warm, such as in the shower. Having regular PSA levels, lymph node biopsies, and blood tests for measuring serum acid phosphatase are for the clients who are treated for prostate cancer.
A client is diagnosed with stage II cancer of the prostate. The nurse interprets this as indicating which of the following?
- A. Cancer is small with no symptoms.
- B. Tumor is confined to the prostate gland.
- C. Tumor has spread beyond the prostate.
- D. Tumor has expanded to the bladder.
Correct Answer: B
Rationale: Stage II cancer of the prostate involves a tumor that is larger than stage I but is still confined to the prostate gland, if left untreated, it is more likely to spread beyond the prostate and cause symptoms. Stage I cancer of the prostate involves a small, slow-growing cancer that may never cause symptoms or other health problems. Stage III involves a tumor that has spread beyond the prostate but has not reached the bladder, rectum, lymph nodes, or other organs. Stage IV involves a tumor that has spread to the bladder, rectum, lymph nodes, or distant organs such as the bones.
Which nursing assessment finding is most significant in determining the plan of care in a client with erectile dysfunction?
- A. Age
- B. Medication use
- C. Sexual history
- D. Undescended testicle
Correct Answer: B
Rationale: Certain medications such as antihypertensive drugs, antidepressants, narcotics, etc. can cause sexual dysfunction in men. Impotence is not a normal part of aging. Undescended testicle is not indicative of ED. Sexual history is not indicative of ED.
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 pharmacologic agent poses the greatest risk for urinary retention in a client with benign prostatic hyperplasia (BPH)?
- A. Muscle relaxers
- B. Antihypertensives
- C. Nitrates
- D. Antihistamines
Correct Answer: D
Rationale: Antihistamines and over-the-counter cold medications should be avoided in clients with BPH due to the increase in urinary retention properties. Muscle relaxers are commonly prescribed for treatment of urinary retention. Nitrates and antihypertensive medications do not cause significant risk in the management of BPH.