Quizlet on Reproductive System Related

Review Quizlet on Reproductive System related questions and content

While giving a history, a patient reports having a weak urinary stream and feeling that his bladder is not empty after urination. Based on these data, what finding does the nurse anticipate upon examination?

  • A. An enlarged prostate gland palpated on the anterior wall of the rectum
  • B. An indirect hernia palpated through the inguinal ring when the patient coughs
  • C. The foreskin of the penis cannot be returned to position after retraction behind the glans
  • D. A nodular prostate gland palpated on the posterior wall of the rectum
Correct Answer: A

Rationale: The correct answer is A: An enlarged prostate gland palpated on the anterior wall of the rectum. In this case, the patient's weak urinary stream and feeling of incomplete bladder emptying are classic symptoms of benign prostatic hyperplasia (BPH). During a rectal examination, an enlarged prostate gland can be felt as a smooth, rubbery, and symmetrically enlarged mass on the anterior wall of the rectum. This finding correlates with the patient's urinary symptoms, indicating obstruction of the urethra by the enlarged prostate.

Choice B is incorrect because an indirect hernia is not typically associated with urinary symptoms. Choice C is incorrect as it describes paraphimosis, a condition where the foreskin cannot be returned to its original position. Choice D is incorrect as a nodular prostate gland palpated on the posterior wall of the rectum is more characteristic of prostate cancer rather than BPH, which is typically felt on the anterior wall.