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 physician explains to the patient that he has an inflammation of the Cowper glands. Where are the Cowper glands located?
Correct Answer: B
Rationale: Cowper glands (bulbourethral glands) are located below the prostate within the posterior urethra, secreting lubricating fluid during ejaculation. They are not in the epididymis, scrotal lining, or near the vas deferens.
Question 2 of 5
A nursing student is learning how to perform sexual assessments using the PLISSIT model. According to this model, the student should begin an assessment by doing which of the following?
Correct Answer: C
Rationale: The PLISSIT model starts with seeking permission to discuss sexual health, ensuring patient comfort and consent. This patient-centered approach precedes providing information, ensuring confidentiality, or addressing privacy.
Question 3 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 4 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 5 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.