Understanding Medical Surgical Nursing 5th Edition by Linda S. Williams Paula D. Hopper
Understanding Medical Surgical Nursing 5th Edition by Linda S. Williams Paula D. Hopper
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Chapter 43. Nursing Care of Male Patients With Genitourinary Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is caring for a man diagnosed with prostatitis. What symptom should the nurse expect when collecting data from the patient?
| a. | Dysuria |
| b. | Polyuria |
| c. | Hematuria |
| d. | Glycosuria |
____ 2. The nurse is assisting with teaching a 56-year-old office manager who reports engaging in a variety of activities. Which one should the nurse explain most likely increased his risk for developing prostatitis?
| a. | Sitting for long periods in his office |
| b. | Bowling once a week with the office team |
| c. | Drinking three to four martinis each night after work |
| d. | Having sexual intercourse with his wife once a week |
____ 3. The nurse is caring for a patient with prostatitis. Which manifestation should the nurse attend to immediately?
| a. | Shaking chills |
| b. | Inability to urinate |
| c. | Fever 101°F (38.3°C) |
| d. | Low back pain rated 9 on a 0-to-10 scale |
____ 4. A patient diagnosed with benign prostatic hyperplasia is prescribed the alpha-blocking medication terazosin (Hytrin) to reduce symptoms. For which side effect should the nurse monitor this patient?
| a. | Dry mouth |
| b. | Headaches |
| c. | Hypotension |
| d. | Urinary frequency |
____ 5. A 70-year-old male arrives in the emergency department and says, “I haven’t urinated in 24 hours. I feel like I have to go, but I can’t.” What care should the nurse anticipate providing first?
| a. | STAT administration of IV fluids |
| b. | Emergency preparation for a cystoscopy |
| c. | STAT insertion of an indwelling catheter |
| d. | Emergency preparation for an intravenous pyelogram (IVP) |
MULTIPLE CHOICE
The most common symptoms are the same ones that occur with any urinary tract infection (UTI): complaints of urgency, frequency, hesitancy, and dysuria. Because of the location and role of the prostate gland, the patient may complain of low back, perineal, and post-ejaculation pain; he may also have a fever and chills. B. D. Polyuria and glycosuria are symptoms of diabetes mellitus. C. Hematuria is not common with prostatitis but may signal a more serious disorder.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Analysis
Ways to prevent the development of prostatitis are regular and complete emptying of the bladder to prevent urinary tract infection, avoiding excess alcohol, and avoiding certain high-risk sexual practices. A. Sitting may play a role in infertility but not necessarily prostatitis. D. Sexual intercourse with a spouse is not high risk. B. Bowling and other exercise are not risk factors.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Application
All of the symptoms provided are physiological, so the nurse needs to look at which could be life or health threatening. Inability to urinate could lead to a ruptured bladder or other serious complications and must be attended to first. A. C. D. Priorities after urination would include pain, fever, and chills.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Application
Alpha-blocking medications dilate vessels, so the nurse should monitor the patient for hypotension. A. B. D. Headache, dry mouth, and urinary frequency are also possible but are not life or health threatening.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Pharmacological and Parenteral Therapies | Cognitive Level: Analysis
First, the patient must be assisted to empty his bladder to avoid rupture or other complications. A. IV fluids will further add to his need to urinate. B. D. Preparation for tests would wait until he is safe from immediate harm.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Application
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