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 practitioner is assessing a 55-year-old male patient who is complaining of perineal discomfort, burning, urgency, and frequency with urination. The patient states that he has pain with ejaculation. The nurse knows that the patient is exhibiting symptoms of what?
Correct Answer: C
Rationale: Prostatitis presents with perineal discomfort, urinary symptoms (burning, urgency, frequency), and pain with ejaculation due to prostate inflammation. Varicocele involves dilated scrotal veins, epididymitis affects the epididymis with scrotal pain, and hydrocele causes fluid accumulation without urinary or ejaculatory symptoms.
Question 2 of 5
A patient has been prescribed sildenafil. What should the nurse teach the patient about this medication?
Correct Answer: B
Rationale: Sildenafil requires sexual stimulation to be effective and should be taken about 1 hour before intercourse for optimal effect. Facial flushing and headache are common, non-serious side effects, and visual changes are rare and typically transient, not permanent.
Question 3 of 5
A patient is 24 hours postoperative following prostatectomy and the urologist has ordered continuous bladder irrigation. What color of output should the nurse expect to find in the drainage bag?
Correct Answer: D
Rationale: Post-prostatectomy urine output typically transitions from reddish-pink immediately after surgery to light pink within 24 hours as bleeding subsides, indicating normal healing. Red wine or tea colors suggest persistent bleeding, and amber indicates concentrated urine, not typical post-surgery.
Question 4 of 5
A public health nurse has been asked to provide a health promotion session for men at a wellness center. What should the nurse inform the participants about testicular cancer?
Correct Answer: D
Rationale: Testicular cancer, common in men aged 15-35, is highly curable with early detection and treatment, often using chemotherapy. It can metastasize early, is not prevalent in men over 55, and is one of the most curable solid tumors.
Question 5 of 5
A nurse is planning the postoperative care of a patient who is scheduled for radical prostatectomy. What intraoperative position will place the patient at particular risk for the development of deep vein thrombosis postoperatively?
Correct Answer: D
Rationale: The lithotomy position, used during prostatectomy, elevates the legs, potentially impairing venous return and increasing the risk of deep vein thrombosis. Compression stockings are critical for prevention. Fowlers, prone, and supine positions do not pose the same risk.