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To decrease glandular cellular activity and prostate size, an 83-year-old patient has been prescribed finasteride (Proscar). When performing patient education with this patient, the nurse should be sure to tell the patient what?
- A. Report the planned use of dietary supplements to the physician.
- B. Decrease the intake of fluids to prevent urinary retention.
- C. Abstain from sexual activity for 2 weeks following the initiation of treatment.
- D. Anticipate a temporary worsening of urinary retention before symptoms subside.
Correct Answer: A
Rationale: Finasteride can interact with certain herbal supplements, so reporting their use to the physician is crucial to avoid adverse effects. Fluid intake should remain normal, sexual abstinence is unnecessary, and worsening urinary retention is not expected.
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A 35-year-old man is seen in the clinic because he is experiencing recurring episodes of urinary frequency, dysuria, and fever. The nurse should recognize the possibility of what health problem?
- A. Chronic bacterial prostatitis
- B. Orchitis
- C. Benign prostatic hyperplasia
- D. Urolithiasis
Correct Answer: A
Rationale: Chronic bacterial prostatitis presents with recurrent urinary symptoms (frequency, dysuria) and fever due to persistent prostate infection. Orchitis involves testicular inflammation, benign prostatic hyperplasia causes obstructive symptoms, and urolithiasis causes acute pain, none matching the chronic pattern described.
A patient has been diagnosed with erectile dysfunction; the cause has been determined to be psychogenic. The patients interdisciplinary plan of care should prioritize which of the following interventions?
- A. Penile implant
- B. PDE-5 inhibitors
- C. Physical therapy
- D. Psychotherapy
Correct Answer: D
Rationale: Psychogenic erectile dysfunction, stemming from psychological factors, is best addressed with psychotherapy to explore underlying issues. Penile implants and PDE-5 inhibitors are for organic causes, and physical therapy is ineffective.
A 76-year-old with a diagnosis of penile cancer has been admitted to the medical floor. Because the incidence of penile cancer is so low, the staff educator has been asked to teach about penile cancer. What risk factors should the educator cite in this presentation? Select all that apply.
- A. Phimosis
- B. Priapism
- C. Herpes simplex infection
- D. Increasing age
- E. Lack of circumcision
Correct Answer: A,D,E
Rationale: Risk factors for penile cancer include phimosis, increasing age (most cases in men over 65), and lack of circumcision, which can lead to poor hygiene and HPV exposure. Priapism and herpes simplex are not established risk factors.
A patient has presented at the clinic with symptoms of benign prostatic hyperplasia. What diagnostic findings would suggest that this patient has chronic urinary retention?
- A. Hypertension
- B. Peripheral edema
- C. Tachycardia and other dysrhythmias
- D. Increased blood urea nitrogen (BUN)
Correct Answer: D
Rationale: Chronic urinary retention from benign prostatic hyperplasia can lead to azotemia, evidenced by increased BUN due to impaired renal clearance. Hypertension, edema, or tachycardia are not directly associated with this condition.
An adolescent is identified as having a collection of fluid in the tunica vaginalis of his testes. The nurse knows that this adolescent will receive what medical diagnosis?
- A. Cryptorchidism
- B. Orchitis
- C. Hydrocele
- D. Prostatism
Correct Answer: C
Rationale: A hydrocele is characterized by fluid accumulation in the tunica vaginalis surrounding the testes, often presenting as a painless scrotal swelling. Cryptorchidism involves undescended testes, orchitis is testicular inflammation, and prostatism refers to symptoms from prostate obstruction, none of which match the described condition.