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The nurse is obtaining a history from a male client who states having difficulty achieving and sustaining an erection. When reviewing the medication history, which medication classification does the nurse anticipate?
- A. Bronchodilators
- B. Antihypertensives
- C. Cardiac dysrhythmics
- D. Antibiotics
Correct Answer: B
Rationale: Due to the therapeutic effect of antihypertensive medications decreasing blood pressure, the nurse is correct to anticipate a side effect of a male client having difficulty achieving or sustaining an erection. The other medication classifications do not typically have an effect on the male reproductive system.
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The nurse is preparing a woman for an abdominal ultrasound. Which instruction would be appropriate for the nurse to include?
- A. Restrict solid food intake for 2 hours before the test.
- B. Refrain from douching for at least 1 week before the test.
- C. Drink at least 1 quart of water an hour before the test.
- D. Empty the bladder immediately before the test.
Correct Answer: C
Rationale: Drinking at least 1 quart of water 45 minutes to 1 hour before the test and not voiding until after the test ensures a full bladder and facilitates transmission of the ultrasound waves. It also elevates the bowel away from the other pelvic organs. The client should restrict solid food intake for 6 to 8 hours before the test to avoid having images of the test obscured by gas and intestinal contents. There is no restriction on douching for this test. A full bladder, not an empty one, facilitates this test.
A group of students are reviewing information related to the male reproductive system structures. The students demonstrate understanding of the information when they identify which structure as an accessory organ?
- A. Vas deferens
- B. Epididymis
- C. Scrotum
- D. Seminal vesicles
Correct Answer: D
Rationale: Accessory structures include the seminal vesicles, which join with the ductus deferens to become the ejaculatory duct, the prostate gland, and the bulbourethral glands. The vas deferens and epididymis are internal male reproductive structures. The scrotum is an external male reproductive structure.
The nurse is obtaining a health history at the client's annual gynecologic exam. Which of the following statements regarding a Papanicolaou test (Pap test) for cancer screening would delay the exam?
- A. I had sexual intercourse several days ago.
- B. I voided before entering the exam room.
- C. My menstrual period began yesterday.
- D. I use no vaginal sprays or creams.
Correct Answer: C
Rationale: The nurse advises that the Pap test be rescheduled to a time other than during the menstrual period. The other options are acceptable to continue the test procedure.
The nurse is instructing clients at a prenatal class. Which term does the nurse state as the medical name of what is removed during this procedure?
- A. The prepuce
- B. The glans
- C. The shaft
- D. The corpora cavernosa
Correct Answer: A
Rationale: The prepuce or foreskin is removed during circumcision. The prepuce covers the glans. The shaft is tubular and composed of erectile tissue. The corpora cavernosa is a column of erectile tissue.
An instructor is preparing a teaching plan for a group of students about reproductive structures and sexual arousal. Which female reproductive structure would the instructor include?
- A. The mons pubis
- B. The clitoris
- C. Labia minora
- D. Labia majora
Correct Answer: B
Rationale: At the superior function of the labia, there is a fleshy protrusion of tissue called the clitoris. The clitoris is an erectile tissue that enlarges and becomes sensitive when stimulated by the penis or touching that accompanies sexual foreplay. The mons pubis, labia minora, and labia majora are female reproductive structures but do not play as prominent a role in sexual arousal.