Chapter 55: Nursing Management: Male Reproductive Problems

Chapter 55: Nursing Management: Male Reproductive Problems

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE
1. To determine the severity of the symptoms for a patient with benign prostatic hyperplasia
(BPH) the nurse will ask the patient about
a. blood in the urine.
b. lower back or hip pain.
c. erectile dysfunction (ED).
d. strength of the urinary stream.
ANS: D
The American Urological Association (AUA) Symptom Index for a patient with BPH
asks questions about the force and frequency of urination, nocturia, etc. Blood in the
urine, ED, and back or hip pain are not typical symptoms of BPH.
DIF: Cognitive Level: Application REF: 1377-1379
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
2. A patient who has been recently diagnosed with benign prostatic hyperplasia (BPH) tells
the nurse that he does not want to have a transurethral resection of the prostate (TURP)
because he is afraid it might affect his ability to have intercourse. Which action should
the nurse take?
a. Offer reassurance that sperm production is not affected by TURP.
b. Discuss alternative methods of sexual expression besides intercourse.
c. Provide education about the use of medications for erectile dysfunction (ED)
occurring after TURP.
d. Teach that ED is not a common complication following a TURP.
ANS: D
ED is not a concern with TURP, although retrograde ejaculation is likely and the nurse
should discuss this with the patient. Erectile function is not usually affected by a TURP,
so the patient will not need information about penile implants or reassurance that other
forms of sexual expression may be used. Because the patient has not asked about fertility,
reassurance about sperm production does not address his concerns.
DIF: Cognitive Level: Application REF: 1383-1384
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
3. The health care provider prescribes finasteride (Proscar) for a 56-year-old patient who
has benign prostatic hyperplasia (BPH). When teaching the patient about the drug, the
nurse informs him that
a. he should change position from lying to standing slowly to avoid dizziness.
b. his interest in sexual activity may decrease while he is taking the medication.
Test Bank 55-2
c. improvement in the obstructive symptoms should occur within about 2 weeks.
d. he will need to monitor his blood pressure frequently to assess for hypertension.
ANS: B
A decrease in libido is a side effect of finasteride because of the androgen suppression
that occurs with the drug. Although orthostatic hypotension may occur if the patient also
is taking a medication for erectile dysfunction (ED), it should not occur with finasteride
alone. Improvement in symptoms of obstruction takes about 6 months. The medication
does not cause hypertension.
DIF: Cognitive Level: Application REF: 1380
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
4. A patient has an enlarged prostate detected by digital rectal examination (DRE) and an
elevated prostate specific antigen (PSA) level. The nurse will anticipate that the patient
will need teaching about
a. cystourethroscopy.
b. uroflowmetry studies.
c. magnetic resonance imaging (MRI).
d. transrectal ultrasonography (TRUS).
ANS: D
In a patient with an abnormal DRE and elevated PSA, transrectal ultrasound is used to
visualize the prostate for biopsy. Uroflowmetry studies help determine the extent of urine
blockage and treatment, but there is no indication that this is a problem for this patient.
Cystoscopy may be used before prostatectomy but will not be done until after the TRUS
and biopsy. MRI is used to determine whether prostatic cancer has metastasized but
would not be ordered at this stage of the diagnostic process.
DIF: Cognitive Level: Application REF: 1380 | 1387-1388
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
5. When teaching a patient who is scheduled for a transurethral resection of the prostate
(TURP) about continuous bladder irrigation, which information will the nurse include?
a. Bladder irrigation decreases the risk of postoperative bleeding.
b. Hydration and urine output are maintained by bladder irrigation.
c. Bladder irrigation prevents obstruction of the catheter after surgery.
d. Antibiotics are infused on a continuous basis with bladder irrigation.
ANS: C
The purpose of bladder irrigation is to remove clots from the bladder and to prevent
obstruction of the catheter by clots. The irrigation does not decrease bleeding or improve
hydration. Antibiotics are given by the IV route, not through the bladder irrigation.
DIF: Cognitive Level: Comprehension REF: 1383-1385
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity