Test Bank Docx Ch.48 Men’s Repro & Breast Care nan - Medical Surgical Nursing 7e | Test Bank by LeMone, Burke, Bauldoff by LeMone, Burke, Gerene Bauldoff. DOCX document preview.
LeMone & Burke's Medical-Surgical Nursing, 7e (Bauldoff/Gubrud/Carno)
Chapter 48 Nursing Care of Men with Reproductive System and Breast Disorders
1) A 35-year-old male is concerned about his inability to sustain an erection. What topic should the nurse question the patient about when assessing this health problem?
1. Substance use or abuse
2. Marital status
3. Employment history
4. Education level
Page Ref: 1762
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance: Techniques of Physical Assessment
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 48.1 Describe the pathophysiology and manifestations of male sexual dysfunction, and outline the interprofessional care and nursing care of patients with erectile dysfunction.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for men with reproductive system and breast disorders.
2) A middle-aged patient who takes nitroglycerin for angina asks for a prescription to aid with erectile dysfunction. What should the nurse do in response to this patient's request?
1. Explain why the erectile dysfunction medication is not a good idea with the heart medication.
2. Provide education about the medication once the prescription is provided.
3. Remind the patient to stop taking the heart medication when planning to take the erectile dysfunction medication.
4. Suggest a behavioral health consult to analyze the reason for the erectile dysfunction.
Page Ref: 1763
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 48.1 Describe the pathophysiology and manifestations of male sexual dysfunction, and outline the interprofessional care and nursing care of patients with erectile dysfunction.
MNL Learning Outcome: 2. Consider intraprofessional care for men with reproductive system and breast disorders.
3) A male patient with type I diabetes mellitus and coronary artery disease is able to achieve an erection but cannot maintain it. What could be done to assist this patient?
1. Suggest an O ring.
2. Provide tadalafil (Cialis) teaching material.
3. Provide sildenafil (Viagra) teaching material.
4. Discuss penile implant surgery.
Page Ref: 1763
Cognitive Level: Analyzing
Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 48.1 Describe the pathophysiology and manifestations of male sexual dysfunction, and outline the interprofessional care and nursing care of patients with erectile dysfunction.
MNL Learning Outcome: 2. Consider intraprofessional care for men with reproductive system and breast disorders.
4) A female patient asks the nurse for help because her spouse has not been able to attain an erection in several months. What can the nurse do to help this patient?
1. Assess for the most recent sexual practices.
2. Suggest that she seek psychiatric counseling.
3. Suggest that they both see a marriage counselor.
4. Provide a prescription for tadalafil (Cialis).
Page Ref: 1765
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance: Techniques of Physical Assessment
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 48.1 Describe the pathophysiology and manifestations of male sexual dysfunction, and outline the interprofessional care and nursing care of patients with erectile dysfunction.
MNL Learning Outcome: 3. Analyze assessment data to determine a plan of care for men with reproductive system and breast disorders.
5) A patient is recovering from a penile implant procedure. What should be included in the care of and teaching about the implant? Select all that apply.
1. Encourage the patient to practice inflating and deflating the device during the recovery period.
2. Suggest wearing snug-fitting underwear and loose-fitting trousers to conceal the semi-erection.
3. Encourage the patient to resume sexual activity within three weeks.
4. Remind the patient to not inflate or deflate the device for at least four weeks.
5. Suggest wearing loose-fitting underwear and trousers.
Page Ref: 1765
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 48.1 Describe the pathophysiology and manifestations of male sexual dysfunction, and outline the interprofessional care and nursing care of patients with erectile dysfunction.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for men with reproductive system and breast disorders.
6) A male patient is concerned about ongoing premature ejaculation. What should the nurse do to assist this patient?
1. Suggest that the patient wear a condom with sexual activity.
2. Suggest that the patient talk with the physician about changing prescribed medications.
3. Tell the patient that the condition is temporary and will disappear in time.
4. Review any newly prescribed medications, and check for side effects.
Page Ref: 1765
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 48.1 Describe the pathophysiology and manifestations of male sexual dysfunction, and outline the interprofessional care and nursing care of patients with erectile dysfunction.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for men with reproductive system and breast disorders.
7) A patient seeks medical attention for an erection that has lasted for more than four hours. What should the nurse include in the patient's assessment?
1. Prescribed medications
2. Substance abuse
3. Blood pressure
4. Number of sexual partners
Page Ref: 1766
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 48.2 Describe the pathophysiology and manifestations of disorders of the penis, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for men with reproductive system and breast disorders.
8) A patient experiencing a "swollen" scrotum is found to have fluid within the scrotum. Which health problem should the nurse suspect this patient will need to have treated?
1. Hydrocele
2. Spermatocele
3. Varicocele
4. Scrotal cancer
Page Ref: 1767
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 48.3 Describe the pathophysiology and manifestations of disorders of the testis and scrotum, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for men with reproductive system and breast disorders.
9) A 40-year-old male is diagnosed with epididymitis. What should the nurse consider as being a potential cause of this disorder? Select all that apply.
1. Urinary tract infection
2. Prostatitis
3. Unprotected anal intercourse
4. Gonorrhea
5. Undiagnosed congenital disorder
Page Ref: 1768
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 48.3 Describe the pathophysiology and manifestations of disorders of the testis and scrotum, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for men with reproductive system and breast disorders.
10) A patient who is being treated for epididymitis stops taking his antibiotics. Which health problem is this patient at risk for developing?
1. Orchitis
2. Priapism
3. Hydrocele
4. Spermatocele
Page Ref: 1768
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 48.3 Describe the pathophysiology and manifestations of disorders of the testis and scrotum, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for men with reproductive system and breast disorders.
11) A patient experiencing heaviness in the scrotum has a normal dehydrogenase level. What should this information indicate to the nurse?
1. More diagnostic tests for testicular cancer are needed.
2. The patient has testicular cancer.
3. The patient does not have testicular cancer.
4. The patient has a spermatocele.
Page Ref: 1770
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 48.3 Describe the pathophysiology and manifestations of disorders of the testis and scrotum, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 2. Consider intraprofessional care for men with reproductive system and breast disorders.
12) A male patient is diagnosed with stage 1 testicular cancer. What should the nurse consider as being the first step in this patient's treatment?
1. Surgical removal of the testicle
2. Aspiration of the enlarged testicle
3. Chemotherapy
4. Radiation
Page Ref: 1770
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 48.3 Describe the pathophysiology and manifestations of disorders of the testis and scrotum, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 2. Consider intraprofessional care for men with reproductive system and breast disorders.
13) A patient is diagnosed with asymptomatic inflammatory prostatitis. In which way was this diagnosis made?
1. After examining tissue from the prostate
2. By testing the serum PSA (prostate-specific antigen) level
3. According to the patient's symptoms
4. After palpating the patient's prostate gland
Page Ref: 1772
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 48.4 Describe the pathophysiology and manifestations of disorders of the prostate gland, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 3. Analyze assessment data to determine a plan of care for men with reproductive system and breast disorders.
14) The nurse is planning instructions for a patient diagnosed with prostatitis. What should be included in these instructions? Select all that apply.
1. Increase fluid intake up to 3 L per day.
2. Adhere to a daily bowel movement regime.
3. Remind the patient that the condition is not contagious.
4. Only take antibiotics when symptoms are present.
5. Withhold voiding for as long as possible.
Page Ref: 1772
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 48.4 Describe the pathophysiology and manifestations of disorders of the prostate gland, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for men with reproductive system and breast disorders.
15) An older male patient complains of problems emptying the bladder, especially at night. Which health problem should the nurse suspect the patient is experiencing?
1. Benign prostatic hyperplasia
2. Urinary tract infection
3. Bladder cancer
4. Testicular cancer
Page Ref: 1773
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 48.4 Describe the pathophysiology and manifestations of disorders of the prostate gland, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for men with reproductive system and breast disorders.
16) A patient is diagnosed with benign prostatic hyperplasia. For which reason should this patient's blood pressure be closely monitored?
1. Whether the patient can tolerate doxazosin (Cardura)
2. Whether surgery is indicated
3. The volume of urine being retained in the bladder
4. The dose of finasteride (Proscar)
Page Ref: 1774
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 48.4 Describe the pathophysiology and manifestations of disorders of the prostate gland, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 2. Consider intraprofessional care for men with reproductive system and breast disorders.
17) A patient is planning to have surgery for the treatment of benign prostatic hyperplasia. Which procedure should the nurse explain has the fewest postoperative complications?
1. Transurethral needle ablation (TUNA)
2. Transurethral incision of the prostate (TURP)
3. Perineal prostatectomy
4. Suprapubic prostatectomy
Page Ref: 1774
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.4. Communicate effectively with all members of the healthcare team, including the patient and the patient's support network | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Planning/Communication and Documentation
Learning Outcome: 48.4 Describe the pathophysiology and manifestations of disorders of the prostate gland, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 2. Consider intraprofessional care for men with reproductive system and breast disorders.
18) The nurse is instructing a patient with benign prostatic hyperplasia about techniques to reduce urinary retention. What should these instructions include?
1. Avoid alcoholic beverages.
2. Encourage ingesting large amounts of fluids at one time.
3. Urinate until all of the urine is drained from the bladder.
4. Over-the-counter cold remedies are permitted with other medications.
Page Ref: 1775
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Basic Care and Comfort
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 48.4 Describe the pathophysiology and manifestations of disorders of the prostate gland, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for men with reproductive system and breast disorders.
19) A middle-aged male patient has an abnormal digital rectal examination (DRE) with a PSA (prostate-specific antigen) level of 18 ng/mL. Which diagnostic test might be prescribed for this patient?
1. Transrectal ultrasonography (TRUS)
2. Bone scan
3. MRI
4. CT scan of the spine
Page Ref: 1779
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 48.4 Describe the pathophysiology and manifestations of disorders of the prostate gland, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 2. Consider intraprofessional care for men with reproductive system and breast disorders.
20) A male patient complains of frequently "not being able to hold urine," especially when the bladder is very full or when lifting objects. What should the nurse do to help this patient? Select all that apply.
1. Instruct the patient how to do Kegel exercises.
2. Suggest that the patient ask the physician for medications to control this incontinence.
3. Suggest that the patient restrict fluids.
4. Suggest the patient wear a Texas catheter.
5. Suggest the patient wear adult absorbent briefs.
Page Ref: 1782-1783
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Basic Care and Comfort
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 48.4 Describe the pathophysiology and manifestations of disorders of the prostate gland, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for men with reproductive system and breast disorders.
21) A male patient is concerned about a recent increase in breast tissue. What should the nurse do to assist this patient?
1. Review the patient's health history.
2. Tell him that it is self-limiting and will go away in time.
3. Suggest that the patient have a mammogram to ensure he does not have breast cancer.
4. Recommend a breast biopsy to find out the reason for the increase in breast tissue.
Page Ref: 1785
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 48.5 Describe the pathophysiology and manifestations of disorders of the breast, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for men with reproductive system and breast disorders.
22) During a health history interview, the nurse learns that a patient is experiencing recent-onset impotence. Which question is most appropriate for the nurse to ask to identify a potential cause of the manifestation?
1. "For what disorders have you been treated in the past?
2. "Does this occur often?"
3. "How does your partner feel about this problem?"
4. "Are you on any medications?
Page Ref: 1764
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance: Techniques of Physical Assessment
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.4. Communicate effectively with all members of the healthcare team, including the patient and the patient's support network | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 48.1 Describe the pathophysiology and manifestations of male sexual dysfunction, and outline the interprofessional care and nursing care of patients with erectile dysfunction.
MNL Learning Outcome: 3. Analyze assessment data to determine a plan of care for men with reproductive system and breast disorders.
23) The nurse is caring for a patient recovering from prostate surgery. Which action should the nurse take if the patient's urine in the urinary irrigation drainage bag is very dark red? Select all that apply.
1. Check for catheter occlusion.
2. Increase the flow rate of irrigant solution.
3. Check vital signs.
4. Ask the patient to drink more oral fluids.
5. Assess the patient for hyponatremia.
Page Ref: 1775
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 48.4 Describe the pathophysiology and manifestations of disorders of the prostate gland, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for men with reproductive system and breast disorders.
24) A patient recovering from prostate surgery is being discharged. What should the nurse include in this patient's instructions? Select all that apply.
1. Do not drive for two weeks.
2. Sexual intercourse should not occur for six weeks.
3. Call the physician if the scrotum becomes swollen and tender.
4. Take aspirin or NSAIDs for discomfort.
5. You may return to work in two weeks.
Page Ref: 1776
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 48.4 Describe the pathophysiology and manifestations of disorders of the prostate gland, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for men with reproductive system and breast disorders.
25) The nurse is completing the health history of a patient with documented androgen deficiency and erectile dysfunction (ED). Which patient response would be a contraindication for this patient's use of hormone replacement therapy to treat his ED?
1. "I am being treated for prostate cancer."
2. "I hate the idea of having an injection directly in my penis."
3. "I am currently taking antibiotics."
4. "Yes, I have a lot of hair on my chest and probably can't wear a patch."
Page Ref: 1763
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 48.1 Describe the pathophysiology and manifestations of male sexual dysfunction, and outline the interprofessional care and nursing care of patients with erectile dysfunction.
MNL Learning Outcome: 2. Consider intraprofessional care for men with reproductive system and breast disorders.
26) The nurse is placing an indwelling urinary catheter in an uncircumcised male patient. For which reason should the nurse replace the foreskin after insertion?
1. Paraphimosis may occur as a result of long-term retraction of the foreskin causing ischemia of the glans.
2. Phimosis may occur due to chronic infections and adhesions under the foreskin which results in constriction of the foreskin.
3. Priapism may occur as a result of impaired blood flow in the penis.
4. Replacement of the foreskin prevents malignant changes of the penis.
Page Ref: 1766
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 48.2 Describe the pathophysiology and manifestations of disorders of the penis, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for men with reproductive system and breast disorders.
27) The nurse is concerned that a patient is at risk for developing cancer of the penis. What did the nurse assess to make this clinical determination? Select all that apply.
1. Phimosis
2. Human papilloma virus (HPV)
3. HIV infection
4. Excessive ultraviolet light exposure
5. Being Jewish or Muslim
Page Ref: 1766
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 48.2 Describe the pathophysiology and manifestations of disorders of the penis, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for men with reproductive system and breast disorders.
28) The patient undergoing brachytherapy for prostate cancer is being given instructions for home care. Which patient statement indicates a need for clarification?
1. "It will be nice to sleep in the same bed as my partner."
2. "Guess I'll have to go buy a box of condoms."
3. "I'll be disappointed about not seeing my grandkids."
4. "I'll make an appointment for my next PSA examination."
Page Ref: 1784
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.9. Monitor client outcomes to evaluate the effectiveness of psychobiological interventions | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Evaluation/Teaching/Learning
Learning Outcome: 48.4 Describe the pathophysiology and manifestations of disorders of the prostate gland, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for men with reproductive system and breast disorders.
29) The spouse of a patient with prostate cancer asks what a stage I tumor means. What is the most appropriate response by the nurse?
1. "Stage I means the cancer involves only the prostate, and surgery and radiation treatments are usually needed."
2. "Staging involves a definition of the type of tumor and the treatment plan."
3. "Did your spouse report having a stage I tumor?"
4. "Let's wait until the doctor comes, and you can talk with him."
Page Ref: 1780
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 48.4 Describe the pathophysiology and manifestations of disorders of the prostate gland, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 2. Consider intraprofessional care for men with reproductive system and breast disorders.
30) The nurse is caring for a patient who had a prostatectomy and is now having bladder spasms. What action should the nurse take? Select all that apply.
1. Administer belladonna and opium (B&O) suppositories as prescribed.
2. Check to see if the urinary catheter is draining.
3. Ask the patient if he feels the need to have a bowel movement.
4. Increase the rate of flow of urinary catheter irrigation solution.
5. Assess the patient's temperature.
Page Ref: 1775
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 48.4 Describe the pathophysiology and manifestations of disorders of the prostate gland, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 3. Analyze assessment data to determine a plan of care for men with reproductive system and breast disorders.
31) After prostate surgery, a patient is being discharged with an indwelling urinary catheter in place. What teaching should the nurse provide to this patient? Select all that apply.
1. Use the larger urinary drainage bag at night.
2. Keep the larger urinary drainage bag at a level that permits gravity drainage.
3. Do not strap the leg bag too tightly.
4. Place a soft cloth between the leg bag and the skin.
5. Empty the leg bag at least twice a day.
Page Ref: 1778
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 48.4 Describe the pathophysiology and manifestations of disorders of the prostate gland, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for men with reproductive system and breast disorders.
32) The nurse is caring for a male patient with breast cancer. Which information should the nurse consider when planning care for this patient?
1. Caring for the man with breast cancer is essentially the same as for the woman with breast cancer.
2. Most issues are the same for men and women, but males do not die from the disease.
3. There are different types of breast cancers between men than women.
4. The treatments are different between men and women.
Page Ref: 1785
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 48.5 Describe the pathophysiology and manifestations of disorders of the breast, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 3. Analyze assessment data to determine a plan of care for men with reproductive system and breast disorders.
33) The spouse of a patient scheduled for a radical prostatectomy asks if the surgery will affect "their sex life." What is the nurse's most appropriate response?
1. "The incidence of sexual dysfunction varies considerably among patients having this surgery."
2. "No, it shouldn't, but you need to talk to the surgeon."
3. "I can't answer any of your questions without first talking to the patient."
4. "Don't worry; the hospital staff will review everything with you the morning of the surgery."
Page Ref: 1781
Cognitive Level: Applying
Client Need & Sub: Psychosocial Integrity: Coping Mechanisms
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Communication and Documentation
Learning Outcome: 48.4 Describe the pathophysiology and manifestations of disorders of the prostate gland, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for men with reproductive system and breast disorders.
34) A male patient who was recently diagnosed with hypertension reports not taking the prescribed antihypertensive medication because of how it made him feel. What should the nurse respond to this patient?
1. "Many male patients experience side effects of this drug, which include altered libido and impotence. This is common. Tell me how you felt when you took the drug."
2. "You shouldn't stop taking the drug without first talking to the doctor!"
3. Write a note in the patient's record but say nothing to the patient.
4. "I'm going to give you some information about this medication for you to take home and read. At your next visit, I'll have the doctor talk to you about it."
Page Ref: 1762
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Communication and Documentation
Learning Outcome: 48.1 Describe the pathophysiology and manifestations of male sexual dysfunction, and outline the interprofessional care and nursing care of patients with erectile dysfunction.
MNL Learning Outcome: 3. Analyze assessment data to determine a plan of care for men with reproductive system and breast disorders.
35) A patient with repeated bouts of epididymitis is adamant that prescribed medication is always taken. What additional question should the nurse ask to determine possible causes of epididymitis? Select all that apply.
1. "Are you sexually active?"
2. "Do you use condoms?"
3. "Do you practice unprotected anal intercourse?"
4. "Do you do any heavy lifting?"
5. "Do you use any drugs or alcohol?"
Page Ref: 1768
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 48.3 Describe the pathophysiology and manifestations of disorders of the testis and scrotum, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for men with reproductive system and breast disorders.
36) A patient is diagnosed with priapism. What should the nurse include in the plan of care for this patient? Select all that apply.
1. Assess the penis to include color changes and degree of erection.
2. Palpate the penis for firmness and rigidity.
3. Administer analgesics as prescribed for pain.
4. Administer iced saline enemas as prescribed.
5. Push oral fluids.
Page Ref: 1766
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 48.2 Describe the pathophysiology and manifestations of disorders of the penis, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 3. Analyze assessment data to determine a plan of care for men with reproductive system and breast disorders.
37) The nurse is completing a health history with a male patient and decides to include an assessment of the patient's sexual history for potential erectile dysfunction. What information in the history caused the nurse to make this decision? Select all that apply.
1. Brother treated for testicular cancer
2. Hip replacement surgery 6 months ago
3. Aortic aneurysm repair 2 years ago
4. Acetaminophen (Tylenol) for arthritis pain
5. Coronary artery bypass surgery 10 years ago
Page Ref: 1762
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 48.1 Describe the pathophysiology and manifestations of male sexual dysfunction, and outline the interprofessional care and nursing care of patients with erectile dysfunction.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for men with reproductive system and breast disorders.
38) A male patient is concerned about the inability to ejaculate during sexual intercourse. What information in the patient's medical record should the nurse use to help determine the cause for the patient's health problem? Select all that apply.
1. Medication for hypertension
2. Medication for anxiety
3. Treatment for bipolar disorder
4. Topical steroid for psoriasis
5. Narcotic for chronic back pain
Page Ref: 1765
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 48.1 Describe the pathophysiology and manifestations of male sexual dysfunction, and outline the interprofessional care and nursing care of patients with erectile dysfunction.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for men with reproductive system and breast disorders.
39) While reviewing data collected during a health fair, the nurse determines that a male community member should be evaluated for testicular cancer. What risk factor did the patient identify that caused the nurse to make this recommendation? Select all that apply.
1. 30 years old
2. Testicular cancer in father
3. Cryptorchidism at birth
4. Hypertension treatment
5. Two beers daily
Page Ref: 1769
Cognitive Level: Analyzing
Client Need & Sub: Health Promotion and Maintenance: Health Screening
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 48.3 Describe the pathophysiology and manifestations of disorders of the testis and scrotum, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for men with reproductive system and breast disorders.
40) A patient is prescribed pain medication to assist in the treatment of bacterial prostatitis. What additional nonpharmacological intervention should the nurse suggest to the patient to help control the pain of this health problem? Select all that apply.
1. Warm bath
2. Avoiding sitting
3. Taking a walk
4. Stress-reduction activities
5. Applying ice to the rectal area
Page Ref: 1772
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Basic Care and Comfort
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 48.4 Describe the pathophysiology and manifestations of disorders of the prostate gland, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 4. Determine appropriate nursing interventions for men with reproductive system and breast disorders.
41) During a health interview, a male patient expresses the desire to avoid developing prostate cancer with aging. What should the nurse recommend to reduce this patient's risk factors for the health problem? Select all that apply.
1. Avoiding vasectomy
2. Reducing the intake of animal fat
3. Increasing the intake of vitamin C
4. Restricting exposure to spermicides
5. Taking vitamin A supplements
Page Ref: 1779
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 48.4 Describe the pathophysiology and manifestations of disorders of the prostate gland, and outline the interprofessional care and nursing care of patients with these disorders.
MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for men with reproductive system and breast disorders.
Document Information
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