ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 59 Questions
Question 1 of 5
An adolescent is identified as having a collection of fluid in the tunica vaginalis of his testes. The nurse knows that this adolescent will receive what medical diagnosis?
Correct Answer: C
Rationale: A hydrocele is characterized by fluid accumulation in the tunica vaginalis surrounding the testes, often presenting as a painless scrotal swelling. Cryptorchidism involves undescended testes, orchitis is testicular inflammation, and prostatism refers to symptoms from prostate obstruction, none of which match the described condition.
Question 2 of 5
An uncircumcised 78-year-old male has presented at the clinic complaining that he cannot retract his foreskin over his glans. On examination, it is noted that the foreskin is very constricted. The nurse should recognize the presence of what health problem?
Correct Answer: C
Rationale: Phimosis is a condition where a tight foreskin cannot be retracted over the glans, common in uncircumcised older males due to scarring or poor hygiene. Bowens disease is a penile carcinoma in situ, Peyronies disease involves penile curvature from fibrous plaques, and priapism is a persistent erection, none of which fit the description.
Question 3 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 4 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 5 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.