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The nurse is preparing a teaching plan for a patient with symptomatic benign prostatic hyperplasia (BPH) who is scheduled for photovaporization of the prostate (PVP) at an outpatient surgical centre. Which of the following information should the nurse include in the teaching plan?
- A. How to care for an in-dwelling urinary catheter?
- B. The urine will appear bloody for several days.
- C. Complications associated with urethral stenting.
- D. Symptom improvement will occur in 2-3 weeks.
Correct Answer: A
Rationale: The patient will have an in-dwelling catheter for 24-48 hours and will need teaching about catheter care. There is minimal bleeding with this procedure. Symptom improvement is almost immediate after PVP. Stent placement is not included in the procedure.
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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 a focused health history for a patient with possible testicular cancer. Which of the following topics should the nurse include in the assessment?
- A. Sexually transmitted infections (STIS)
- B. Testicular trauma
- C. Testicular torsion
- D. Undescended testicles
Correct Answer: D
Rationale: Cryptorchidism is a risk factor for testicular cancer if it is not corrected before puberty. STIs, testicular torsion, and testicular trauma are risk factors for other testicular conditions but not for testicular cancer.
The nurse is caring for a patient recently diagnosed with benign prostatic hyperplasia (BPH) who tells the nurse that he does not want to have a transurethtral resection of the prostate (TURP) because he is afraid it might affect his ability to have intercourse. Which of the following actions should the nurse take?
- A. Offer reassurance that sperm production is not affected by TURP.
- B. Discuss alternative methods of sexual expression besides intercourse.
- C. Provide education about the use of medications for erectile dysfunction (ED).
- D. Teach that erectile dysfunction (ED) is unlikely following a TURP.
Correct Answer: D
Rationale: ED is not a concern with TURP, although retrograde ejaculation is likely and the nurse should discuss this with the patient. Erectile function is not usually affected by a TURP, so the patient will not need information about penile implants or reassurance that other forms of sexual expression may be used. Because the patient has not asked about fertility, reassurance about sperm production does not address his concerns.
Which of the following information should the nurse include when teaching a patient to perform testicular self-examination?
- A. Testicular self-examination should be done in a warm area.
- B. The only structure normally felt in the scrotal sac is the testis.
- C. Testicular self-examination should be done at least every week.
- D. Call the health care provider if one testis is larger than the other.
Correct Answer: A
Rationale: The testes will hang lower in the scrotum when the temperature is warm (e.g., during a shower), and it will be easier to palpate. The epididymis is also normally palpable in the scrotum. One testis is normally larger. The patient should perform testicular self-examination monthly.
A 51-year-old male patient is scheduled for an annual physical exam at the outpatient clinic. Which of the following diagnostic tests should the nurse plan to teach to the patient?
- A. Urinalysis collection
- B. Uroflowmetry studies
- C. Digital rectal exam (DRE)
- D. Transrectal Ultrasound scanning (TRUS)
Correct Answer: C
Rationale: An annual digital rectal exam (DRE) is recommended starting at age 50 for men who have an average risk for prostate cancer. Urinalysis and uroflowmetry studies are done if patients have symptoms of urinary tract infection or changes in the urinary stream. TRUS may be ordered if the DRE or PSA is abnormal.