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Chapter 43. Nursing Care of Male Patients With Genitourinary Disorders 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?
- Dysuria
- Polyuria
- Hematuria
- Glycosuria
- Sitting for long periods in his office
- Bowling once a week with the office team
- Drinking three to four martinis each night after work
- Having sexual intercourse with his wife once a week
- Shaking chills
- Inability to urinate
- Fever 101F (38.3C)
- Low back pain rated 9 on a 0-to-10 scale
- Dry mouth
- Headaches
- Hypotension
- Urinary frequency
- STAT administration of IV fluids
- Emergency preparation for a cystoscopy
____ 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?
____ 3. The nurse is caring for a patient with prostatitis. Which manifestation should the nurse attend to immediately?
____ 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?
____ 5. A 70-year-old male arrives in the emergency department and says, I havent urinated in 24 hours. I feel like I have to go, but I cant. What care should the nurse anticipate providing first?
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- STAT insertion of an indwelling catheter
- Emergency preparation for an intravenous pyelogram (IVP)
- There are many treatments available if it does occur.
- Most men your age learn to deal with erectile dysfunction if it does occur.
- Impotence should not be a problem; sperm production is not affected by this surgery.
- Some prostate surgery can cause erectile dysfunction. Ill ask your surgeon to explain the risks to you.
- The catheter keeps your bladder empty to reduce risk for infection. It is important to leave it in for at least 72
- The catheter is keeping pressure on the area to prevent bleeding. We will remove it when the risk for
- We can take the catheter out when you are able to urinate on your own. Ill ask the physician if we can
- The catheter is being used to irrigate your bladder with antibiotics. It is important to continue this until you
- Pink-tinged urine
- 10-mL urine output in an hour
- Patient report of bladder spasms
- Leakage of small amounts of urine around the catheter
- Monitor vital signs.
- Watch for bladder spasms.
- Offer the urinal every 15 minutes.
- Collect serial samples of urine to monitor for color.
____ 6. The nurse is providing pre-operative care for an 80-year-old patient who is scheduled to have prostate surgery. The patient says, I know a man who was impotent after this surgery. Will that happen to me? Which response by the nurse is most appropriate?
____ 7. A patient who has just returned from a transurethral resection of the prostate (TURP) asks the nurse why he needs a urinary catheter. What is the correct explanation?
hours.
bleeding has passed.
remove it later today.
can take antibiotics orally.____ 8. The nurse is caring for a patient with continuous bladder irrigation after a transurethral resection of the prostate (TURP). Which assessment finding should take priority?
____ 9. The nurse has just removed an indwelling catheter from a patient following transurethral resection of the prostate. What action by the nurse is most important?
____ 10. A patient is discharged home after a prostatectomy. Two days later, he calls the nurse and says his bleeding has increased. The nurse asks what he has been doing since discharge. Which activity reported by the patient indicates the need for teaching by the nurse?Test Bank - Understanding Medical-Surgical Nursing 6e (Williams and Hopper)702
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- The patient took an opioid for pain.
- The patient raked leaves in the yard.
- The patient took a walk around the block.
- The patient has been sitting in a recliner watching television.
- I should call you if the bleeding increases.
- I need to wash around the meatus with soap and water each day.
- I should keep the drainage bag below the level of my bladder at all times.
- Applying antibiotic ointment to the meatus twice a day will prevent skin breakdown.
- Orchitis
- Priapism
- Paraphimosis
- Peyronies disease
- Do not retract the foreskin; leave it in its natural position at all times.
- Use alcohol and a cotton swab to clean gently underneath the foreskin.
- Retract the foreskin, wash with soap and water, and replace the foreskin to its original position.
- Retract the foreskin, wash with soap and water, and leave the foreskin retracted to prevent collection of
- Orchitis
- Hydrocele
- Varicocele
- Epididymitis
- Frequent ambulation
____ 11. The nurse is assisting with teaching a patient who will be discharged with a catheter after a prostatectomy. Which patient statement indicates the need for further teaching?
____ 12. A male client comes into the emergency department experiencing a painful prolonged erection. What term should the nurse use to document this patients problem?
____ 13. The nurse is bathing an older male patient who has never been circumcised. What is proper care of the uncircumcised penis?
debris.____ 14. A patient is diagnosed with excessive fluid in the scrotal sac. What term should the nurse use when discussing the health problem with the patient?
____ 15. The nurse is providing care for a patient admitted with epididymitis. Which intervention is most appropriate?
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