ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 55 : Caring for Clients With Disorders of the Male Reproductive System Questions
Question 1 of 5
A hydrocele is suspected in a client with scrotal edema. Which assessment technique would the nurse anticipate to be done first?
Correct Answer: A
Rationale: Transillumination, shining a light through the scrotum, will determine if the swelling in the scrotum is caused by serous fluid versus a solid mass. Palpation for testicle is not indicated with a hydrocele. Soft-tissue swelling and/or collection of blood in the scrotum is not indicated with hydrocele.
Question 2 of 5
The clinic nurse is assessing a new male client. Which nursing assessment finding would cause the nurse to suspect sterility in this client?
Correct Answer: D
Rationale: Viral mumps infection that occurs after puberty can be a cause of orchitis, which may result in testicular atrophy and sterility. Uncircumcised penis, UTIs, and number of sex partners are not indicated with sterility.
Question 3 of 5
Which nursing assessment finding is most significant in determining the plan of care in a client with erectile dysfunction?
Correct Answer: B
Rationale: Certain medications such as antihypertensive drugs, antidepressants, narcotics, etc. can cause sexual dysfunction in men. Impotence is not a normal part of aging. Undescended testicle is not indicative of ED. Sexual history is not indicative of ED.
Question 4 of 5
The nurse is caring for a client with erectile dysfunction. Because the client has coronary artery disease (CAD), the nurse anticipates the provider will prescribe which medication for ED?
Correct Answer: C
Rationale: Apomorphine (Uprima), a dopamine agonist, is a possible alternative to phosphodiesterase (PDE5) inhibitors, such as sidenafil (Viagra), tadlafil (Cialis), and vardenafil (Levitra) for the treatment of ED. Uprima is safer for men with CAD and does not cause mass vasodilation of the blood vessels such as the PDE5 inhibitors.
Question 5 of 5
The nurse is reviewing a client's medication and health history. Which assessment finding would cause the nurse to question the client's new prescription for the phosphodiesterase inhibitor sidenafil?
Correct Answer: A
Rationale: PDE5 inhibitors facilitate penile erection by producing smooth muscle relaxation in the corpora cavernosa via vasodilation of the blood vessels. If a client is using nitrates (which also exhibit vasodilation) hypotension is likely to occur. History of hypertension and diabetes does not interfere with the administration of PDE5 inhibitors. Use of diuretics is not significant.