Chapter 40: Care of Men with Reproductive Disorders

Chapter 40: Care of Men with Reproductive Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. In counseling a man with erectile dysfunction about a prescription for sildenafil (Viagra), the nurse would suggest a different remedy if the patient was:

a.	over 50 years of age.
b.	taking nitroglycerin for angina.
c.	more than 50 pounds overweight.
d.	a long-term diabetic.

 

 

ANS:  B

Viagra is contraindicated if the patient is also taking nitrates because the combination can cause significant hypotension. Age, weight, and diabetes are not contraindications for the use of Viagra.

 

DIF:    Cognitive Level: Application           REF:   925                OBJ:   2 (theory)

TOP:   Erectile Dysfunction: Viagra            KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological Therapies

 

2. The nurse reminds a 68-year-old man that a man of any age can reproduce if he:

a.	can maintain an erection.
b.	can ejaculate.
c.	has a high sperm count.
d.	can participate in intercourse.

 

 

ANS:  D

If a man can participate in intercourse, he can still reproduce, even with a low sperm count.

 

DIF:    Cognitive Level: Analysis                REF:   920                OBJ:   1 (theory)

TOP:   Sperm Production                            KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

3. The patient who has been given a prescription for tadalafil (Cialis) is warned about the possibility of the complication of:

a.	priapism.
b.	obstructed urethra.
c.	hydronephrosis.
d.	urethritis.

 

 

ANS:  A

Cialis can cause priapism, a persistent erection that can develop into a urologic emergency as penile vessels may become thrombosed. Urethral obstruction is not associated with the use of tadalafil (Cialis). Hydronephrosis refers to dilation of the renal pelvis and is not associated with the use of tadalafil (Cialis). Urethritis refers to infection or inflammation of the urethra and is not associated with the use of tadalafil (Cialis).

 

DIF:    Cognitive Level: Application           REF:   924                OBJ:   2 (theory)

TOP:   Erectile Dysfunction: Cialis             KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological Therapies

 

4. In interviewing a patient who is seeking assistance at the urology clinic for erectile dysfunction, the nurse might begin the interview by saying:

a.	“When was the last time you were impotent?”
b.	“Do you attempt to have intercourse every week?”
c.	“What medications have you tried previously?”
d.	“What experiences have you had with erectile dysfunction?”

 

 

ANS:  D

Asking open-ended questions will help the patient respond with information that can be used in a plan of care.

 

DIF:    Cognitive Level: Application           REF:   923                OBJ:   2 (theory)

TOP:   ED: Interview                                 KEY:  Nursing Process Step: Implementation

MSC:   NCLEX: Psychosocial Integrity: Coping and Adaptation