front 1 - condition due to which one or both testes fail to descend into
the scrotum
- occurs mostly during childhood
| |
front 2 What could happen cryptorchidism isn't treated by the age of 2 years old? | back 2 -
seminiferous
tubules atrophy and fibrose causing fertility to be
compromised
-
testicular
cancer
|
front 3 Treatment for cryptorchidism? | back 3
Orchiopexy
-
secures the
scrotum in place
-
performed b/t ages
1 and 2 y/o
|
front 4 when both testicles are permanently absent, what can be implanted
within the scrotum to provide a normal anatomic appearance? | back 4
Saline testicular prosthesis |
front 5 Nurse management/interventions/teachings for clients with cryptorchidism? | back 5 -
for men at high
risk for testicular cancer, teach them to perform testicular
self-exams monthly during warm showers to detect any abnormal mass
in the scrotum
-
consult with pcp
if a consistent changing mass in the testis is
detected
|
front 6 Review Client and Family Teaching 55-1 | back 6 Review Client and Family Teaching 55-1 |
front 7 involves the rotation of the testicle that twists the spermatic cord
around the testicular artery compromising blood flow to the testicle | back 7
Torsion of the
Spermatic Cord |
front 8 This client presents with:
- sudden, sharp testicular pain w/ visible local swelling
- nausea, vomiting, chills, and fever due to the pain
- physical exam reveals extremely tender testis
- elevation
of the scrotum intensifies the pain by increasing the degree of the
twist
- may happen due to intense exercising, during sleep, or
b/c of crossing the legs
| back 8
Torsion of the
Spermatic Cord |
front 9 Tx for torsion of the spermatic cord | back 9
Immediate
surgery to prevent atrophy of the spermatic cord and
preserve fertility |
front 10 Nursing interventions for clients who have surgery due to the torsion
of the spermatic cord | back 10 -
Pre-Op: administer
analgesics
-
Post-Op: apply
jock-strap (scrotal suspensory) before client gets out of the bed;
inspect dressing for drainage; give antibiotics; report any sudden
pain
|
front 11 - occurs in uncircumcised male clients
-
inability to retract prepuce (foreskin)
- caused by congenitally small foreskin and poor hygiene and
infection
| |
front 12 - occurs in uncircumcised male clients
-
strangulation of the glans penis from the inability to
replace the retracted foreskin
| |
front 13 This client presents w/:
- pain w/ erection and intercourse
- difficulty
cleaning under the foreskin
| |
front 14 This client presents w/:
- painful swelling of the glans
- severe edema
- urinary retention
| |
front 15 treatment for clients w/ paraphimosis and phimosis | back 15 -
Circumcision to
relieve conditions permanently
-
If surgery is not
indicated, client is instructed to wash under the foreskin daily
and seek care
|
front 16 - caused by E. coli
- inflammation of the prostate
gland
- most often caused by microorganisms that reach the
prostate by the way of the urethra
| |
front 17 This client presents w/:
- glandular swelling and tenderness
- GU problems
- perineal pain/discomfort
- an unusual sensation preceding
or following ejaculation
- low back pain
- chills
- dysuria
- urethral discharge
| |
front 18 Tx for clients w/ prostatitis | back 18 -
30 days of
antibiotic therapy
-
mild
analgesics
-
sitz
bath
|
front 19 - inflammation of the epididymis and testis
- can lead to
prostatitis or infection elsewhere in the body
| |
front 20 This client presents w/:
- pain/swelling in the inguinal area and scrotum
- fever and chills
- pyuria
- urine containing
bacteria
- swollen testis and epididymis
- scrotal
skin that is red and tense
| |
front 21 Tx for clients w/ epididymitis and orchitis | back 21 -
bed
rest
-
scrotal
elevation
-
analgesics
-
NSAIDS
-
local cold
applications to reduce swelling (after swelling subsides, heat
apps can be applied)
-
Epididymectomy:
for clients who have recurrent, chronic, or intractable infections
(results in sterility if performed bilaterally
-
sitz
bath
|
front 22 nursing interventions for clients w/ epididymitis and orchitis | back 22 -
elevate the
scrotum by putting tape across the thigh
-
place icebag under
tender scrotum (avoid keeping cold bag next to the skin b/c it
might cause tissue damage)
-
copious fluid
intake
-
be aware of
client's body image
|
front 23 - aka 'impotence'
- inability to achieve an erection
- inability to achieve an erection sufficiently rigid enough for
sex
- inability to sustain an erection for satisfactory period
of time
| |
front 24 Medications that can cause ED | back 24 -
Antidepressants
-
Antihistamines
-
Antihypertensives/Diuretics
(Nitroglycerin)
-
Anti-Parkinson
agents
-
Cancer
agents
-
Opioid meds
|
front 25 This client presents w/:
- difficulty in achieving and maintaining an erection
- insufficient rigidity for penetrating the vagina or that
intercourse is less than satisfactory
| |
front 26 Test used to determine if client has ED | back 26 -
Nocturnal penile
tumescence and rigidity test
-
Doppler sonography
(for men that PDE5 inhibitors, -fil meds, don't work for)
|
front 27 What medication is administered for a penile Doppler sonography? and
at what angle? | back 27 -
alprostadil
(caverject)
-
administered @ a
90 degree angle
|
| back 28 -
PDE5 inhibitors
(end in -fil)
-
Phentolamine
(facilitates penile engorgement; administered at a 90 degree
angle)
-
surgically
implanted prosthesis
-
vascular
surgery
|
front 29 If a client undergoes a penile implant, the nurse monitors for? | back 29 -
pain
-
swelling
-
bleeding
-
infection
|
front 30 After a client has penile implant, what should the nurse include in
discharge teaching? | back 30 -
penis should be
taped against the skin in a straight position for 2 week or
longer, but it can be untaped for voiding
-
3-6 weeks of
sexual abstinence
-
avoid
tight-fitting clothing
-
avoid contact
sports
-
avoid heavy
lifting for 3 weeks
|
front 31 a condition is which the penis becomes engorged and remains
persistently erect w/o any sexual stimulation | |
front 32 This client presents w/:
- an engorged penis that produces significant discomfort and
interferes w/ arterial blood flow, urinary elimination
- a
vascular issue that may be caused by meds RX'd for ED
| |
| back 33 -
terbutaline
-
phenylephrine
|
front 34 - occurs as men age
- interferes w/ emptying the bladder
causing urinary retention
| back 34
Benign Prostatic
Hyperplasia (BPH) |
front 35 This client presents w/:
- takes more effort to void
- narrow urine stream and
decreased force
- bladder empties incompletely
- increased urge to urinate
- nocturia
- s/s of
cystitis may develop
| |
front 36 Diagnostic exams for dx'ing BPH | back 36 -
Completed first:
PSA (prostate specific antigen)
-
Digital Rectal
Exam (completed 2nd if PSA is elevated)
|
front 37 Medical and Surgical management for BPH | back 37 -
DREs
-
Tamsulosin
-
TURP
-
transcystoscopic urethroplasty
|
front 38 the balloon tip of a catheter is inflated for 10-20 minutes to
stretch the prostatic urethra | back 38
transcystoscopic urethroplasty |
front 39 part of the prostate is removed w/ a cutting instrument inserted
through an endoscope
- a continuous bladder irrigation is ordered after this to
remove blood clots and residual tissue
- clients may
experience retrograde ejaculation, in which semen is deposited in
the bladder rather through the urethra, rendering the client
sterile
- clients may have temporary or permanent
incontinence
| |
front 40 REVIEW CLIENT AND FAMILY TEACHING 55-2: MAINTAINING OPTIMAL BLADDER FUNCTION | back 40 REVIEW CLIENT AND FAMILY TEACHING 55-2: MAINTAINING OPTIMAL BLADDER FUNCTION |
front 41 This client presents w/:
- compromised blood flow
- frequency, nocturia,
dysuria
- hematuria
- hemospermia
- ED
- back pain or pain down the leg (when pain develops, the disease
often is in an advanced stage)
| |
front 42 Diagnostics for Prostate Cancer? | back 42 -
1: PSA that is
greater than 4=DRE; >10= prostatic malignancy; >80= advanced
metastatic disease
-
2: DRE
-
3:
Transrectal Ultrasound confirms mass.
-
4.
Biopsy
|
front 43 Surgeries for prostate cancer | back 43 -
Suprapubic
prostatectomy (for localized nodules)
-
Radical
prostatectomy (for large tumors that may have spread)
|
front 44 This client presents w/:
- testicular lump that is hard or granular
- increase in
the size of one testicle
- heavy or dragging feeling in
scrotum
- dull ache in the groin or above the pubis
- diminished sensitivity to testicular pressure
- gradual
or sudden swelling of the scrotum or lump felt on palpation
| |
front 45 Tumor markers for testicular cancer | |
front 46 Medical and surgical management for testicular cancer | back 46 -
surgery (radical
inguinal orchidectomy)
-
chemo and
radiation
-
sperm banking
should be discussed prior to medical and surgical tx
|
front 47
read nursing management on pg. 768/1024 for testicular cancer surgery | back 47
read nursing management on pg. 768/1024 for testicular cancer surgery |
front 48 - minor surgical procedure done in a PCP's office or clinic
- the ligation of the vas deferens and results in permanent
sterilization by interrupting the pathway that transports sperm
- this client may wish to consider sperm banking before undergoing
this procedure
| |
front 49 Nurse teaching for a client who receives a vasectomy | back 49 -
expect some
bruising and incisional soreness after the local anesthesia wears
off
-
apply ice packs to
reduce swelling
-
take mild
analgesics (tylenol or aspirin)
-
avoid strenuous
activities for up to 5 days
-
resume sexual
activities after 1 week
-
use a reliable
method of contraception until PCP indicates sperm are not longer
present
-
report severe
pain, fever, or swelling at the top of the testes
|
front 50 surgical attempt to reverse a vasectomy by restoring patency and
continuity to the vas deferens | |