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 patient has just returned to the floor following a transurethral resection of the prostate. A triple-lumen indwelling urinary catheter has been inserted for continuous bladder irrigation. What, in addition to balloon inflation, are the functions of the three lumens?
Correct Answer: A
Rationale: The triple-lumen catheter supports continuous bladder irrigation with one lumen for balloon inflation, one for irrigation solution inflow, and one for outflow to prevent clot formation and maintain patency.
Question 2 of 5
A nurse is assessing a patient who presented to the ED with priapism. The student nurse is aware that this condition is classified as a urologic emergency because of the potential for what?
Correct Answer: C
Rationale: Priapism, particularly the ischemic type, is a urologic emergency due to the risk of permanent vascular damage from prolonged lack of blood flow, which can lead to tissue necrosis. It is not directly linked to UTIs, chronic pain, or future erectile dysfunction as primary concerns.
Question 3 of 5
A man comes to the clinic complaining that he is having difficulty obtaining an erection. When reviewing the patients history, what might the nurse note that contributes to erectile dysfunction?
Correct Answer: B
Rationale: Hypertension, a vascular condition, is a major cause of erectile dysfunction in men over 50, impairing penile blood flow. Recent UTIs, age alone, or sedentary lifestyle are less direct contributors.
Question 4 of 5
A 35-year-old man is seen in the clinic because he is experiencing recurring episodes of urinary frequency, dysuria, and fever. The nurse should recognize the possibility of what health problem?
Correct Answer: A
Rationale: Chronic bacterial prostatitis presents with recurrent urinary symptoms (frequency, dysuria) and fever due to persistent prostate infection. Orchitis involves testicular inflammation, benign prostatic hyperplasia causes obstructive symptoms, and urolithiasis causes acute pain, none matching the chronic pattern described.
Question 5 of 5
To decrease glandular cellular activity and prostate size, an 83-year-old patient has been prescribed finasteride (Proscar). When performing patient education with this patient, the nurse should be sure to tell the patient what?
Correct Answer: A
Rationale: Finasteride can interact with certain herbal supplements, so reporting their use to the physician is crucial to avoid adverse effects. Fluid intake should remain normal, sexual abstinence is unnecessary, and worsening urinary retention is not expected.