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
The nurse is obtaining a medication history from a client who is reporting erectile dysfunction. Which medication would the nurse identify as being least likely to contribute to the client's condition?
Correct Answer: C
Rationale: Certain medications, such as antihypertensive agents (e.g., methyldopa and spironolactone), antidepressants, narcotics, and cimetidine cause sexual dysfunction in men. Ibprofen is not associated with causing erectile dysfunction. Cimetidine is a histamine-receptor antagonist used for gastric ulcers.
Question 2 of 5
A client is diagnosed with stage II cancer of the prostate. The nurse interprets this as indicating which of the following?
Correct Answer: B
Rationale: Stage II cancer of the prostate involves a tumor that is larger than stage I but is still confined to the prostate gland, if left untreated, it is more likely to spread beyond the prostate and cause symptoms. Stage I cancer of the prostate involves a small, slow-growing cancer that may never cause symptoms or other health problems. Stage III involves a tumor that has spread beyond the prostate but has not reached the bladder, rectum, lymph nodes, or other organs. Stage IV involves a tumor that has spread to the bladder, rectum, lymph nodes, or distant organs such as the bones.
Question 3 of 5
The nurse is caring for client who has had a vasectomy. Which would be most important to include in a teaching plan for this client?
Correct Answer: A
Rationale: It may take several weeks or more after surgery before the ejaculatory fluid is free of sperm, and the client is informed is use a reliable method of contraception until sperm no longer are present. The client should apply ice packs to the scrotum to reduce swelling and use a mild analgesic such as aspirin or acetaminophen for pain relief. The client typically can resume sexual activity when comfortable, usually in 1 week.
Question 4 of 5
A clinic nurse is scheduled to see four male clients. Which assessment finding is most important in determining which client has a higher risk for developing testicular cancer?
Correct Answer: C
Rationale: Caucasian men who have had cryptorchidism as an infant, regardless of whether an orchiopexy was performed, are at higher risk, for incidence of testicular cancer. STIs, low sperm count, and family history of general cancer are not indicative of testicular cancer risk.
Question 5 of 5
A young client is admitted with torsion of the spermatic cord. Which is the appropriate action to be taken by the nurse?
Correct Answer: B
Rationale: With torsion of the spermatic cord, immediate surgery is necessary to prevent atrophy of the cord and preserve fertility. The client should be placed on NPO state in preparation for surgery. Elevating the scrotum intensifies the pain by increasing the degree of twist. Analgesics are prescribed preoperatively to control pain. Cardiac changes are not indicated unless client history warrants assessment.