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Chapter 53 Assessment and Management of Patients With Male Reproductive Disorders
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Chapter 53 Assessment and Management of Patients With MaleReproductive Disorders
Multiple Choice
1. The nurse is caring for a patient with a collection of fluid in the tunica vaginalis of the
testes. What term defines this condition?
A) Cryptorchidism
B) Orchitis
C) Hydrocele
D) Prostatism
Ans: C
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 1
Patient Needs: D-1
Feedback: A hydrocele refers to a collection of fluid in the tunica vaginalis of the testes.
2. The nurse is caring for an uncircumcised 78-year-old male who has developed a condition in
which the foreskin is constricted so it cannot be retracted over the glans. This condition is
called: A) Bowen's disease
B) Peyronie's disease
C) Phimosis
D) Priapism
Ans: C
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 7
,Patient Needs: D-1
Feedback: Phimosis is the term used to describe a condition in which the foreskin is
constricted so it cannot be retracted over the glans.
3. A community health nurse is providing a cancer prevention class at a local church. The nurse
informs the class that digital rectal examination (DRE) used to screen for cancer of the prostate
is recommended for every man:
A) Abstaining from sexual activity
B) Over age 18
C) Over age 25
D) Over age 40
Ans: D
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Teaching/Learning
Objective: 2
Patient Needs: B-2
Feedback: The DRE is recommended for every man over age 40 as an invaluable screening
test for cancer of the prostate.
4. A patient complaining of perineal discomfort, burning, urgency, and frequency with
urination also has pain with ejaculation. The patient is exhibiting symptoms of which of the
following?
A) Varicocele
B) Epididymitis
C) Prostatitis
D) Hydrocele
Ans: C
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 2
Patient Needs: D-4
Feedback: Perineal discomfort, burning, urgency, frequency with urination, and pain
with ejaculation is indicative of prostatitis.
, 5. A nurse teaches the patient who has been prescribed sildenafil citrate
that: A) Sexual stimulation is not needed to obtain an erection.
B) The drug should be taken 1 hour prior to intercourse.
C) Facial flushing or headache should be reported to the physician immediately.
D) A dose of more than 80 mg will result in a change of vision, making everything appear
blue. Ans: B
Cognitive Level: Application
Difficulty: Difficult
Integrated Process: Teaching/Learning
Objective: 3
Patient Needs: D-2
Feedback: The patient must have sexual stimulation to create the erection, and the drug should
be taken 1 hour before intercourse. Facial flushing, mild headache, indigestion, and running
nose are common side effects of Viagra. The “blue haze” that occurs with the 100-mg dosage is
transient and will last for about 1 hour.
6. Which of the following clinical manifestations will the patient with benign prostatic
hyperplasia (BPH) likely possess?
A) Urinary urgency
B) Anemia
C) Increase in volume of urine stream
D) Abdominal straining with bowel movements
Ans: A
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 2
Patient Needs: D-4
Feedback: The obstructive and irritative symptoms complex (prostatism) found in BPH
patients includes increased frequency of urination, nocturia, urgency, hesitancy in starting
urination, abdominal straining with urination, decrease in force and volume of stream,
interruption of stream, and dribbling.
7. When the progress notes reflect that digital rectal examination (DRE) revealed extensive
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