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The nurse is teaching men about early detection of prostate cancer according to the American Cancer Society (ACS) guidelines. Which should the nurse teach the clients?
- A. Beginning at age 39 a Digital Rectal Examination (DRE) followed by a prostate-specific antigen (PSA).
- B. Beginning at age 45 a rectal sonogram and, if positive, followed by a Digital Rectal Examination (DRE).
- C. Beginning at age 50 a prostate-specific antigen (PSA) followed by a Digital Rectal Examination (DRE).
- D. Beginning at age 60 a Prostate-Specific Antigen (PSA) followed, if positive, by a prostate biopsy.
Correct Answer: C
Rationale: ACS recommends PSA and DRE starting at age 50 for average-risk men. Earlier screening, sonograms, or biopsies are not standard unless indicated.
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The outpatient clinic nurse is working with clients diagnosed with sexually transmitted diseases (STD). Which long-term complication should the nurse discuss with the clients about STDs?
- A. Stress the need for clients to completely finish all antibiotics prescriptions.
- B. Inform the clients that, legally, many STIs must be reported to the health department.
- C. Sexually transmitted diseases can result in reproductive problems.
- D. Discuss the myth that acquired immunodeficiency syndrome is an STI.
Correct Answer: C
Rationale: STDs like chlamydia and gonorrhea can cause infertility or ectopic pregnancy, a critical long-term complication. Antibiotic completion, reporting, and AIDS myths are important but not complications.
The nurse is working in a health clinic. Which disease is required to be reported to the public health department?
- A. Pelvic inflammatory disease.
- B. Epididymitis.
- C. Syphilis.
- D. Ectopic pregnancy.
Correct Answer: C
Rationale: Syphilis is a reportable STD to track and control spread, per public health regulations. PID, epididymitis, and ectopic pregnancy are not typically reportable.
The occupational health nurse is preparing a class regarding sexually transmitted diseases (STDs) for employees at a manufacturing plant. Which high-risk behavior information should be included in the class information?
- A. Engaging in oral or anal sex decreases the risk of getting an STD.
- B. Using a sterile needle guarantees the client will not get an STD.
- C. The more sexual partners, the greater the chance of developing an STD.
- D. If a condom is used, the client will not get a sexually transmitted disease.
Correct Answer: C
Rationale: Multiple sexual partners increase STD risk due to greater exposure. Oral/anal sex carries risk, sterile needles prevent bloodborne STDs but not others, and condoms reduce but don’t eliminate risk.
The nurse is caring for a client with epididymitis secondary to a chlamydia infection. Which discharge instruction should the nurse discuss?
- A. The sexual partner must be prescribed antibiotics.
- B. Delay sexual intercourse for a minimum of three (3) months.
- C. Expect the urine to have white clumps for one (1) to two (2) months.
- D. Drainage from the scrotum is fine as long as there is no fever.
Correct Answer: A
Rationale: Chlamydia-related epididymitis requires partner treatment to prevent reinfection. Prolonged abstinence, white clumps in urine, and scrotal drainage are not expected.
The school nurse is preparing a class on testicular cancer for male high school seniors. Which information regarding testicular self-examination should the nurse include?
- A. Perform the examination in a cool room under a fan.
- B. Any lump should be examined by an HCP as soon as possible.
- C. Discuss having a second person confirm a negative result.
- D. The procedure will cause mild discomfort if done correctly.
Correct Answer: B
Rationale: Any lump detected during testicular self-examination requires prompt HCP evaluation to rule out cancer. Cool rooms, second-person confirmation, and discomfort are not recommended.