Chapter 64--Male Reproduction Dysfunction: Nursing Management

Chapter 64–Male Reproduction Dysfunction: Nursing Management

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nurse is instructing a client diagnosed with acute prostatitis. Which of the following instructions would be the least beneficial to the client?

ANS:  3

The patient should be encouraged to use sitz baths for comfort but not to sit in them for long periods of time. Caffeine, alcohol, and sex should be avoided during the acute phase.

PTS:   1                    DIF:    Apply            REF:   Prostatitis: Patient and Family Teaching

2. The nurse is documenting the health history of a client diagnosed with benign prostatic hyperplasia (BPH). In which of the following areas would the nurse take a careful history?

ANS:  4

A careful history on urinary patterns should be taken by the nurse. The ease with which the stream of urine is started, the strength of the stream, and the perceived amount of urine eliminated with each voiding, along with the patient’s sense about whether the bladder is completely emptied and the presence of nocturia or dribbling, should be noted. The client’s bowel, eating, and sleeping patterns are also important; however, they are not as important as the urinary patterns.

PTS:   1                    DIF:    Apply

REF:   Benign Prostatic Hyperplasia: Assessment with Clinical Manifestations

3. A client, diagnosed with benign prostatic hyperplasia (BPH), should be instructed to do which of the following?

ANS:  3

Clients with BPH should void every 2 to 3 hours to flush the urinary tract. Water should not be decreased because this will irritate the urinary mucosa. Scrotal support is not necessary, and BPH does require follow-up visits.

PTS:   1                    DIF:    Apply

REF:   Benign Prostatic Hyperplasia: Patient and Family Teaching

4. A client, recovering from a transurethral resection of the prostate (TURP) with a continuous bladder irrigation system to a three-way indwelling urinary catheter, tells the nurse he has to void. What nursing intervention should the nurse perform?

ANS:  3

After a TURP, clots that can occlude the catheter and create a sensation to void in the client are common. The nurse should irrigate the catheter to allow the urine to flow. The nurse does not need to phone the physician, increase the flow of the irrigant, or tell the client to void.

PTS:   1                    DIF:    Apply            REF:   Benign Prostatic Hyperplasia: Surgery

5. A client who is 12 hours postoperative after a transurethral resection of the prostate (TURP) is concerned about the blood clots in the catheter and urinary collection bag. How should the nurse respond?

ANS:  3

Blood clots are common during the first 36 hours following a TURP. The irrigant should not be stopped because it is flushing the clots out of the urinary system. A large amount of bright red blood would be an indication of hemorrhage. The nurse does not need to call the physician.

PTS:   1                    DIF:    Apply            REF:   Benign Prostatic Hyperplasia: Surgery