ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 59 : Assessment and Management of Patients With Male Reproductive Disorders Questions
Question 1 of 5
A nurse is caring for a 33-year-old male who has come to the clinic for a physical examination. He states that he has not had a routine physical in 5 years. During the examination, the physician finds that digital rectal examination (DRE) reveals stoney hardening in the posterior lobe of the prostate gland that is not mobile. The nurse recognizes that the observation typically indicates what?
Correct Answer: C
Rationale: A stony hard, fixed lesion in the prostate on DRE suggests a more advanced prostate cancer, as early lesions are typically nodular. This is not a normal finding or indicative of metastatic disease without further evidence.
Question 2 of 5
A patient who is scheduled for an open prostatectomy is concerned about the potential effects of the surgery on his sexual function. What aspect of prostate surgery should inform the nurses response?
Correct Answer: B
Rationale: Prostatectomies risk damaging pudendal nerves, leading to permanent erectile dysfunction in some cases. Hormonal changes are not the cause, resolution is not guaranteed, and modern techniques reduce but do not eliminate the risk.
Question 3 of 5
A patient has returned to the floor from the PACU after undergoing a suprapubic prostatectomy. The nurse notes significant urine leakage around the suprapubic tube. What is the nurses most appropriate action?
Correct Answer: B
Rationale: Significant leakage around a suprapubic tube may indicate obstruction or malposition, requiring urologist evaluation. Cleansing is supportive but not primary, removing the tube is unsafe, and antispasmodics do not address leakage.
Question 4 of 5
A 29-year-old patient has just been told that he has testicular cancer and needs to have surgery. During a presurgical appointment, the patient admits to feeling devastated that he requires surgery, stating that it will leave him emasculated and a shell of a man. The nurse should identify what nursing diagnosis when planning the patients subsequent care?
Correct Answer: A
Rationale: The patient's statements reflect concerns about his body image and masculinity post-surgery, supporting a diagnosis of Disturbed Body Image. There is no evidence of spiritual distress, social isolation, or loneliness.
Question 5 of 5
A nurse is providing care for a patient who has recently been admitted to the postsurgical unit from PACU following a transurethral resection of the prostate. The nurse is aware of the nursing diagnosis of Risk for Imbalanced Fluid Volume. In order to assess for this risk, the nurse should prioritize what action?
Correct Answer: A
Rationale: Continuous bladder irrigation post-TURP requires close monitoring of input and output to prevent fluid volume excess or deficit from occlusion or bleeding. Parenteral nutrition is unnecessary, skin turgor is unreliable, and bladder scanning is not needed with a catheter.