Chapter 72: Care of Patients with Male Reproductive Problems Ignatavicius

Chapter 72: Care of Patients with Male Reproductive Problems Ignatavicius

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nurse is conducting a history on a male client to determine the severity of symptoms associated with prostate enlargement. Which finding is cause for prompt action by the nurse?
   1. Cloudy urine
   2. Urinary hesitancy
   3. Post-void dribbling
   4. Weak urinary stream

ANS:   A

Cloudy urine could indicate infection due to possible urine retention and should be a priority action. Common symptoms of benign prostatic hyperplasia are urinary hesitancy, post-void dribbling, and a weak urinary stream due to the enlarged prostate causing bladder outlet obstruction.

DIF:     Applying/Application                         REF: 1500                   KEY: Reproductive problems| pathophysiology| nursing assessment             MSC:                         Integrated Process: Nursing Process: Assessment                                       NOT:                          Client Needs Category: Safe and Effective Care Environment: Management of Care

2. A client is diagnosed with benign prostatic hyperplasia and seems sad and irritable. After assessing the client’s behavior, which statement by the nurse would be the most appropriate?
   1. “The urine incontinence should not prevent you from socializing.”
   2. “You seem depressed and should seek more pleasant things to do.”
   3. “It is common for men at your age to have changes in mood.”
   4. “Nocturia could cause interruption of your sleep and cause changes in mood.”

ANS:   D

Frequent visits to the bathroom during the night could cause sleep interruptions and affect the client’s mood and mental status. Incontinence could cause the client to feel embarrassment and cause him to limit his activities outside the home. The social isolation could lead to clinical depression and should be treated professionally. The nurse should not give advice before exploring the client’s response to his change in behavior. The statement about age has no validity.

DIF:     Applying/Application                         REF: 1500

KEY:   Reproductive problems| caring| support

MSC:   Integrated Process: Communication and Documentation

NOT:   Client Needs Category: Psychosocial Integrity

3. A 55-year-old African-American client is having a visit with his health care provider. What test should the nurse discuss with the client as an option to screen for prostate cancer, even though screening is not routinely recommended?
   1. Complete blood count
   2. Culture and sensitivity
   3. Prostate-specific antigen
   4. Cystoscopy

ANS:           C

The prostate-specific antigen test should be discussed as an option for prostate cancer screening. A complete blood count and culture and sensitivity laboratory test will be ordered if infection is suspected. A cystoscopy would be performed to assess the effect of a bladder neck obstruction.

DIF:            Understanding/Comprehension         REF:    1507                 KEY: Reproductive problems| diversity| diagnostic examination                           MSC: Integrated Process: Teaching/Learning          NOT:          Client Needs Category: Health Promotion and Maintenance

4. The nurse is teaching a client with benign prostatic hyperplasia (BPH). What statement indicates a lack of understanding by the client?
   1. “There should be no problem with a glass of wine with dinner each night.”
   2. “I am so glad that I weaned myself off of coffee about a year ago.”
   3. “I need to inform my allergist that I cannot take my normal decongestant.”
   4. “My normal routine of drinking a quart of water during exercise needs to change.”

ANS:           A

This client did not associate wine with the avoidance of alcohol, and requires additional teaching. The nurse must teach a client with BPH to avoid alcohol, caffeine, and large quantities of fluid in a short amount of time to prevent overdistention of the bladder. Decongestants also need to be avoided to lower the chance for urinary retention.

DIF:            Applying/Application                         REF:    1503                 KEY: Reproductive problems| patient education                                                                MSC:             Integrated Process: Teaching/Learning                                                             NOT:              Client Needs Category: Physiological Integrity: Physiological Adaptation