Chapter 49: Assessment and Management of Problems Related to Male Reproductive Processes

Chapter 49: Assessment and Management of Problems Related to Male Reproductive Processes

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Multiple Choice

1. An adolescent presents at the free clinic with a collection of fluid in the tunica vaginalis of the testes. The nurse knows that the term that defines this condition is what?
2. A) Cryptorchidism
3. B) Orchitis
4. C) Hydrocele
5. D) Prostatism

Ans:  C

Chapter:  49

Client Needs:  D-1

Cognitive Level:  Comprehension

Difficulty:  Moderate

Integrated Process:  Nursing Process

Objective:  1

Page and Header:  1535, Hydrocele

Feedback:  A hydrocele refers to a collection of fluid in the tunica vaginalis of the testes.  Cryptorchidism is the most common congenital defect in males, characterized by failure of one or both of the testes to descend into the scrotum. Orchitis is an inflammation of the testes (testicular congestion) caused by pyogenic, viral, spirochetal, parasitic, traumatic, chemical, or unknown factors. Prostatism is an obstructive and irritative symptom complex that includes increased frequency and hesitancy in starting urination, a decrease in the volume and force of the urinary stream, acute urinary retention, and recurrent urinary tract infections.

2. An uncircumcised 78-year-old male has presented at the clinic complaining that he cannot retract his foreskin over his glans. On examination it is noted that the foreskin is very constricted. What is this condition called?
3. A) Bowen’s disease
4. B) Peyronie’s disease
5. C) Phimosis
6. D) Priapism

Ans:  C

Chapter:  49

Client Needs:  D-1

Cognitive Level:  Comprehension

Difficulty:  Moderate

Integrated Process:  Nursing Process

Objective:  7

Page and Header:  1536, Phimosis

Feedback:  Phimosis is the term used to describe a condition in which the foreskin is constricted so it cannot be retracted over the glans. Bowen’s disease is an in situ carcinoma of the penis. Peyronie’s disease is an acquired, benign condition that involves the buildup of fibrous plaques in the sheath of the corpus cavernosum. Priapism is an uncontrolled, persistent erection of the penis from either neural or vascular causes, including medications, sickle cell thrombosis, leukemic cell infiltration, spinal cord tumors, and tumor invasion of the penis or its vessels

3. The family practice physician is seeing a 55-year-old male patient who is complaining of perineal discomfort, burning, urgency, and frequency with urination. The patient states he has pain with ejaculation.  The nurse knows that the patient is exhibiting symptoms of what?
4. A) Varicocele
5. B) Epididymitis
6. C) Prostatitis
7. D) Hydrocele

Ans:  C

Chapter:  49

Client Needs:  D-4

Cognitive Level:  Analysis

Difficulty:  Moderate

Integrated Process:  Nursing Process

Objective:  2

Page and Header:  1513, Prostatitis

Feedback:  Perineal discomfort, burning, urgency, frequency with urination, and pain with ejaculation is indicative of prostatitis. A varicocele is an abnormal dilation of the pampiniform venous plexus and the internal spermatic vein in the scrotum (the network of veins from the testis and the epididymis that constitute part of the spermatic cord). Epididymitis is an infection of the epididymis that usually descends from an infected prostate or urinary tract; also may develop as a complication of gonorrhea. A hydrocele is a collection of fluid, generally in the tunica vaginalis of the testis, although it also may collect within the spermatic cord.

4. A patient has been prescribed sildenafil citrate. What should the nurse teach the patient about this medication?
5. A) Sexual stimulation is not needed to obtain an erection.
6. B) The drug should be taken 1 hour prior to intercourse.
7. C) Facial flushing or headache should be reported to the physician immediately.
8. D) A dose of more than 80 mg will result in a change of vision, making everything appear blue.

Ans:  B

Chapter:  49

Client Needs:  D-2

Cognitive Level:  Application

Difficulty:  Difficult

Integrated Process:  Teaching/Learning

Objective:  3

Page and Header:  1509, Erectile Dysfunction

Feedback:  The patient must have sexual stimulation to create the erection, and the drug should be taken 1 hour before intercourse. Facial flushing, mild headache, indigestion, and running nose are common side effects of Viagra. The “blue haze” that occurs with the 100-mg dosage is transient and will last for about 1 hour.

5. Your patient had a transurethral resection of the prostate (TURP). The physician has ordered continuous bladder irrigation. The patient is now 24 hours postoperative. When you make your shift assessment, what color urine would you expect to find in the drainage bag?
6. A) Red-pink
7. B) Tea
8. C) Amber
9. D) Light pink

Ans:  D

Chapter:  49

Client Needs:  D-4

Cognitive Level:  Analysis

Difficulty:  Moderate

Integrated Process:  Nursing Process

Objective:  5

Page and Header:  1528, The Patient Undergoing Prostate Surgery

Feedback:  The urine drainage following a TURP usually begins as a reddish pink and then clears to a light pink 24 hours after surgery. Therefore options A, B, and C are incorrect.