Nokea
The nurse working in a health clinic receives calls from all these patients. Which of the following patients should be seen by the health care provider first?
- A. A 64-year-old man who has perineal pain and a temperature of 38°C (100.4°F)
- B. A 60-year-old man who has a painful erection that has lasted over 5 hours
- C. A 62-year-old man who has light pink urine after having a transurethral resection of the prostate (TURP) 3 days ago
- D. A 23-year-old man who states had had difficulty maintaining an erection last night
Correct Answer: B
Rationale: Priapism can cause complications such as necrosis or hydronephrosis, and this patient should be treated immediately. The other patients do not require immediate action to prevent serious complications.
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The nurse is assessing a 22-year-old male patient at the health clinic with symptoms of erectile dysfunction. When assessing for possible etological factors, which of the following questions should the nurse ask first?
- A. Are you using any recreational drugs or drinking more than 3 drinks of alcohol per day?
- B. Have you been experiencing an unusual amount of anxiety or stress?
- C. Do you have any history of an erection that lasted for 6 hours or more?
- D. Do you have any persistent cardiovascular or peripheral vascular disease?
Correct Answer: A
Rationale: A common etiological factor for erectile dysfunction (ED) in younger men is use of recreational drugs or alcohol. Stress, priapism, and cardiovascular illness also contribute to ED, but they are not common etiologic factors in younger men.
The nurse is assessing a couple at the infertility clinic because they have not been able to conceive. When performing a focused examination to determine possible causes for infertility, which of the following risk factors should the nurse assess in the male patient?
- A. Hydrocele
- B. Varioceele
- C. Epididymitis
- D. Paraphimosis
Correct Answer: B
Rationale: Persistent varicoceles are commonly associated with infertility. Hydrocele, epididymitis, and paraphimosis are not risk factors for infertility.
The nurse is caring for a patient with erectile dyfunction (ED) following treatment for benign prostatic hyperplasia (BPH). He shares with the nurse that he is seeking treatment as his wife 'is losing patience with the situation.' Which of the following nursing diagnoses is best for the patient?
- A. Ineffective role performance related to alteration in body image
- B. Anxiety related to threat to current status (inability to have sexual intercourse)
- C. Situational low self-esteem related to alteration in body image
- D. Ineffective sexuality pattern related to skill deficit about alternatives related to sexuality
Correct Answer: A
Rationale: The patient's statement indicates that the relationship with his wife is his primary concern. Although anxiety, low self-esteem, and ineffective sexuality patterns also may be concerns, the patient information suggests that addressing the role performance problem will lead to the best outcome for this patient.
The nurse is caring for a patient following a radical retropubic prostatectomy for prostate cancer and is incontinent of urine. Which of the following information should the nurse include in the teaching plan?
- A. Restrict oral fluid intake.
- B. Pelvic floor muscle exercises
- C. Use belladonna and opium suppositories.
- D. Perform intermittent self-catheterization
Correct Answer: B
Rationale: Pelvic floor muscle training (Kegel) exercises are recommended to strengthen the pelvic floor muscles and improve urinary control. Belladonna and opium suppositories are used to reduce bladder spasms after surgery. Intermittent self-catheterization may be taught before surgery if the patient has urinary retention, but it will not be useful in reducing incontinence after surgery. The patient should have a daily oral intake of 2-3 L.
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.