Chapter 50: Male Reproductive Disorders
Linton: Introduction to Medical–Surgical Nursing, 6th Edition
MULTIPLE CHOICE
1. A nurse is reviewing the drugs taken by a 50-year-old male patient. What medication should
the nurse recognize as the most probable cause of erectile dysfunction (ED)?
a.
Vasodilator for hypertension
b.
Antibiotic for an upper respiratory infection
c.
Antihistamine for allergies
d.
Glucophage for type 2 diabetes
2. A nurse is caring for a patient 2 hours after a transurethral resection and immediately reports
to the charge nurse the presence of large clots in the catheter and drainage bag. What should
the nurse anticipate the physician will order?
a.
Instill ice water into the bladder.
b.
Decrease the amount of fluid in the balloon of the indwelling catheter.
c.
Apply traction to the catheter by taping it to the patient’s thigh.
d.
Prescribe a potent vasoconstrictor to reduce hemorrhage.
3. A male student comes to the campus clinic complaining of painful scrotal edema, nausea,
vomiting, chills, and fever. What should the nurse recognize these signs and symptoms as
being associated with?
a.
Orchitis
b.
Epididymitis
c.
Urethritis
d.
Cystitis
4. What should a nurse explain to a young man being treated for infertility as the purpose of a
semen analysis?
a.
Determine the history of sexually transmitted infections.
b.
Evaluate the potential for genetic problems.
c.
Determine whether any urethral obstructions are present.
d.
Microscopically assess the sperm for number and motility.
5. Which instruction should increase the comfort of a patient who is recovering from prostatitis?
a.
Avoid bathing for 2 days.
b.
Exercise.
c.
Take stool softeners.
d.
Limit fluid intake.
6. What is the purpose of the urethral smear?
a.
Screens for human immunodeficiency viral (HIV) infection
b.
Detects sexually transmitted infections
c.
Verifies fertility through a sperm count
d.
Eliminates concerns of prostate problems
7. A patient is placed on diethylstilbestrol (DES) for prostate cancer. What should the nurse
explain as a possible side effect of the medication?
a.
Gynecomastia
b.
Pruritus
c.
Constipation
d.
Tinnitus
8. Which statement by a patient indicates he understands the teaching relative to how to perform
a testicular self-examination?
a.
“It’s not necessary to feel the testes; just look at them in a mirror.”
b.
“The best time to do a self-examination is after a shower, when my body is warm.”
c.
“It doesn’t really matter when I do it; just do it sometime.”
d.
“The physician is really the best person to check this for me.”
9. What should a patient’s home instructions following a vasectomy include?
a.
Postoperative care consists of warm Sitz baths.
b.
Vasectomies should be seen as usually permanent but are sometimes reversible.
c.
Sexual intercourse should be delayed for up to 3 months.
d.
The surgical procedure may interfere with ejaculation.
10. When conducting an initial assessment on a 65-year-old male patient, a nurse assesses a mass
in the left testicle that on transillumination glows red. What should the nurse note this
indicates the presence of?
a.
Phimosis
b.
A hydrocele
c.
Smegma
d.
A hematocele
11. A mother of a newborn with cryptorchidism asks if this condition will be permanent. What is
the nurse’s best response?
a.
“Yes, but your child can develop normally with hormone replacement therapy.”
b.
“No, several medical and surgical remedies can be performed after your baby’s
first birthday.”
c.
“Yes, but the undescended testicle is still able to function in a normal manner.”
d.
“No, the process of sexual maturity will cause it to descend at puberty.”
12. What should a nurse inform a 50-year-old patient who has been prescribed nilutamide
(Nilandron), a testosterone blocker, to expect while taking this drug?
a.
His urine will have a fishy odor.
b.
Liver functions will need to be monitored.
c.
Skin rash will appear on his face.
d.
Episodes of hypotension will occur.
13. A patient has been prescribed flutamide (Eulexin) for the treatment of prostate cancer. What
possible side effect should the nurse remind the patient might occur?
a.
Incontinence
b.
Insomnia
c.
Weight loss
d.
Hot flashes
14. A 60-year-old man who had a prostatectomy 3 weeks earlier asks if the ongoing incontinence
will ever stop. What should the nurse understand about this procedure in order to answer the
patient?
a.
Postprostatectomy incontinence is usually permanent.
b.
Postprostatectomy incontinence usually clears up in 6 months.
c.
Although the constant dribbling will stop, stress incontinence will continue.
d.
Postprostatectomy incontinence frequently requires a second surgery to correct the
problem.
15. After an accident at a track meet, a young male runner is brought to the emergency
department complaining of intense pain in his scrotum and nausea and vomiting. What should
the nurse suspect based on these initial findings?
a.
Cryptorchidism
b.
Testicular torsion
c.
Varicocele
d.
Epididymitis
16. After a physician has left the room of a 30-year-old man who has been diagnosed with
testicular cancer, the patient covers his face with both hands and sighs. What is the nurse’s
most therapeutic intervention at this time?
a.
Ask the patient, “Do you want to talk about your cancer?”
b.
Leave the room and pull the door closed.
c.
Go to the nurse’s station and call the patient’s wife.
d.
Complete the patient care as quickly as possible.
17. A nurse is formulating a teaching plan for a patient with acute prostatitis. What information
should be included regarding treatment?
a.
There will be a 2-week period with a temporary catheter and the instillation of
antibiotics in the bladder.
b.
There will be a 4-week course of antibiotics and anti-inflammatory drugs.
c.
There will be a 6-week course of broad spectrum antibiotics followed by a
prostatectomy.
d.
There will be a 16-week protocol of Sitz baths and the use of a sturdy scrotal
support.
18. A patient is recovering after surgery to correct a testicular torsion. Which possibility should
the nurse caution the young patient about?
a.
Reoccurrence
b.
Infertility
c.
Orchiditis
d.
Significant risk of prostatic hypertrophy
19. What can men who have sustained spinal cord injuries with resultant ED use to aid in the
ability to have sexual intercourse?
a.
Testosterone injections
b.
Papaverine penile injections
c.
Inflatable penile implants
d.
Oral sildenafil (Viagra)
20. A nurse is assessing a young man who is being treated for sterility and inquires whether the
young man had any common childhood disease that may be the cause of sterility. What
childhood disease might result in sterility?
a.
Mumps
b.
Chicken pox
c.
Measles
d.
Scarlet fever
21. A patient has an elevation in the prostatic-specific antigen (PSA) level from 4 to 6 ng/L. What
should the nurse suspect to be the cause?
a.
Possibility of prostatic cancer
b.
ED
c.
Probability of orchiditis
d.
Significant indication of Peyronie disease
22. A patient who had a prostatectomy 1 year earlier now has elevations in serum alkaline
phosphatase and calcium levels. What should the nurse be aware that this indicates?
a.
Reduction of cancer risk
b.
Orchiditis
c.
Testicular cancer
d.
Metastasis
23. What instruction should a nurse include when giving education about taking sildenafil
(Viagra)?
a.
No more than two tablets should be taken in a 24-hour period.
b.
Erection occurs without stimulation.
c.
Nitrates should be taken at least 4 hours before taking Viagra.
d.
Tablet should be taken 1 hour before sexual activity.
24. When completing a health history with a patient, a nurse should encourage the patient to
describe the symptoms in objective terms. Which statement is a good example of the
description of pain?
a.
“This spot seems to hurt more right here.”
b.
“This pain is the worst pain in the world.”
c.
“My pain reminds me of when I hurt my foot last year.”
d.
“I would say my pain is a 5 on a scale from 1 to 10.”
MULTIPLE RESPONSE
25. What direction should a nurse provide when instructing a patient who is to have a semen
analysis? (Select all that apply.)
a.
Collect specimen in a rubber condom.
b.
Keep the specimen at room temperature until given to the laboratory.
c.
Keep the specimen container in warm tap water.
d.
Bring the specimen to the laboratory within 4 hours.
e.
Abstain from sexual activity 3 to 5 days before the test.
26. What should instructions relate to for a discharge teaching plan for a patient after undergoing
a prostatectomy? (Select all that apply.)
a.
Remedy for bladder spasm
b.
Catheter care
c.
Delay of sexual activity for 3 months
d.
Perineal exercises
e.
Avoidance of heavy lifting
27. A nurse is performing the initial assessment on a man with a reproductive disorder. What type
of interview techniques should be used to demonstrate a sensitive approach? (Select all that
apply.)
a.
Use open-ended questions.
b.
Pin the patient down for truthful and specific information.
c.
Leave sensitive questions until later in the interview.
d.
Share her or his professional opinion.
e.
Start most questions with “why.”
COMPLETION
28. When a significant elevation in the human chorionic gonadotropin (hCG) level is noted on a
laboratory report, the nurse is aware that this is a marker for _____ cancer.
29. A patient with a spinal cord injury complains to a nurse of the inability to experience an
erection. The nurse explains, “The _____ component of the nervous system has been affected
by your injury.”