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
Which recommendation would a nurse advocate during infancy and childhood to help reduce potential adult complications such as orchitis?
Correct Answer: A
Rationale: Nurses should advocate for infant and childhood immunizations against infectious diseases such as mumps to reduce potential adult complications such as orchitis. Minimizing activities involving heavy lifting or urging limited intake of caffeine have no effect on the potential for adult complications such as orchitis. The nurse should encourage foods that are low in fat and starch; however, this also would have no effect on the potential for orchitis.
Question 2 of 5
Which of the following would a nurse include in a teaching plan for a client with benign prostatic hyperplasia who is not yet a candidate for surgery?
Correct Answer: A
Rationale: For the client with benign prostatic hyperplasia who is not yet a candidate for surgery, the nurse would teach a client how to maintain optimal bladder emptying. The surgical client requires support and information to allay anxiety. The nurse teaches deep breathing and leg exercises for the client who is to have surgery.
Question 3 of 5
A client with erectile dysfunction has opted to self-administer a urethral suppository to produce an erection. Which agent would be used?
Correct Answer: C
Rationale: Alprostadil is the drug used for self-administration via a urethral suppository. Sidenafil and vardenafil are examples of phosphodidesterase inhibitors that are taken orally. Papaverine with pheentolamine is used for self-injection into the corpora cavernosa to achieve an erection.
Question 4 of 5
Which of the following should nurses teach all men, especially those who have had cryptorchidism?
Correct Answer: D
Rationale: The nurses should teach all men, especially those who have had cryptorchidism, to perform testicular self-examination to detect any abnormal mass in the scrotum. The nurse instructs the clients to examine the testicles monthly, preferably when warm, such as in the shower. Having regular PSA levels, lymph node biopsies, and blood tests for measuring serum acid phosphatase are for the clients who are treated for prostate cancer.
Question 5 of 5
A client with erectile dysfunction who had a penile implant inserted has been taught how to identify malfunction of the device. Which characteristic named by the client, indicative of malfunction, would show the nurse that the client has understood the teaching?
Correct Answer: B
Rationale: Malfunction of the device is characterized by the underinflation, bulging of the cylinders during inflation, and a loss of fluid from the implant. Erosion of penile or urethral tissue occurs due to a midsized implant, pressure, or friction of the implanted cylinders. Erosion of scrotal, bowel, or bladder tissue occurs if an implant with a fluid reservoir is used. Migration of the cylinders, pump, or reservoir from their intended location is accompanied by pain, tenderness, and dysfunction of components that are part of the device.