Chapter 72 - Care of Patients with Male Reproductive Problems
A client with benign prostatic hyperplasia is being discharged with alpha-adrenergic blockers. Which information is important for the nurse to include when teaching the client about this type of pharmacologic management? Select all that apply.
A. Avoid drugs used to treat erection problems.
B. Be careful when changing positions.
C. Keep all appointments for follow-up laboratory testing.
The nurse is caring for a client with erectile dysfunction who has not had success with common treatment modalities. The nurse anticipates that the primary health care provider will recommend which treatment for this client?
A. Penile implants
A client receiving radiation therapy calls the nurse to report rectal urgency, cramping, and passing of mucus and blood. What is the nurse’s best response?
D. “Limit spicy or fatty foods, caffeine, and dairy products.”
A young adult with testicular cancer is admitted for unilateral orchiectomy and retroperitoneal lymph node dissection. Which nursing action is best for the nurse to delegate to unlicensed assistive personnel (UAP)?
A. Encourage the client to cough and deep-breathe after surgery.
Which method is a common integrative health therapy for benign prostatic hyperplasia (BPH)?
C. Serenoa repens
When discussing care and treatment of prostate cancer with clients, it is important for the nurse to remember that the most common issue among men who have been diagnosed with prostate cancer is the alteration of which factor?
D. Sexual function after treatment
The potential problem of grief is most relevant to a client after which procedure?
C. Radical prostatectomy
What will the nurse include in teaching to assist the client who has undergone open radical prostatectomy surgery to overcome urinary incontinence?
C. Practice Kegel exercises to improve muscle control
After returning from transurethral resection of the prostate, the client’s urine in the continuous bladder irrigation system is a burgundy color. Which client needs does the nurse anticipate after the surgeon sees the client? Select all that apply.
A. Antispasmodic drugs
E. Monitoring for anemia
A client with prostate cancer asks the nurse for more information and counseling. Which resources does the nurse suggest? Select all that apply.
A. American Cancer Society’s Man to Man program
B. Us TOO International
D. National Prostate Cancer Coalition
E. Client’s church, synagogue, or place of worship
Hormone treatment for prostate cancer works by which action?
D. Suppression of the growth of the tumor
A client with testicular cancer is worried about sterility and the ability to conceive children later. Which resource does the nurse refer the client to before surgery takes place?
D. A sperm bank facility
A client has undergone transurethral resection of the prostate (TURP). Which interventions does the nurse incorporate in this client’s postoperative care? Select all that apply.
A. Administer antispasmodic medications.
E. Assist the client to mobilize as soon as permitted.
The nurse will conduct prostate screening and provide education about prostate cancer with which male client?
C. An adult male who is older than 50 years
A client with prostate cancer asks why he must have surgery instead of radiation, even if his cancer is the least-invasive type. What is the nurse’s best response?
B. “Surgery is the most common intervention for a cure.”
Why is prostate cancer screening often emphasized to the African-American population in the United States?
B. Prostate cancer occurs at an earlier age.
The nurse is educating a group of young men about testicular self-examination (TSE). Which statement by a member of the group indicates teaching has been effective?
D. “I will look and feel for any lumps or changes to my testes.”
When is the best time for the nurse to begin discharge planning and a community-based plan of care for a client with prostate cancer?
A. Before surgery
The RN working in the hospital emergency department is assigned to care for these four clients. Which client does the nurse attend to first?
A. Adolescent with an erection for “10 or 11 hours” who is reporting severe pain
Which assessment finding causes the nurse to suspect that a client may have testicular cancer?
C. Painless testicular lump