Question 1

A client who was treated 1 year ago for testicular cancer now has an elevated serum alpha-fetoprotein level.Which topic is most important for the nurse to teach this client about?

Accepted Answer

A)   Sperm banking options
B)   Effects of chemotherapy
C)   Hospice philosophy
D)   Importance of yearly monitoring

Question 2

Which client is most likely to have organic erectile dysfunction?

Accepted Answer

A)   Middle-aged man who first had sexual intercourse at age 15
B)   Middle-aged man who has had diabetes mellitus for 25 years
C)   Young man who had a myocardial infarction 2 years ago
D)   Young man who has a job that causes him high stress levels

Question 3

An older client with benign prostatic hyperplasia (BPH) and hypertension is being treated with doxazosin (Cardura) while staying in the hospital.Which activity does the nurse delegate to the unlicensed assistive personnel (UAP) as a priority?

Accepted Answer

A)   Helping the client choose low-sodium meal items
B)   Assisting the client whenever he gets out of bed
C)   Encouraging the client to use the spirometer hourly
D)   Frequently re-orienting the client to his surroundings

Question 4

A client's prostate-specific antigen (PSA) level is 2.0 ng/mL.Which action by the nurse is most appropriate?

Accepted Answer

A)   Inform the client that the results are normal and no cancer has been detected.
B)   Inform the client that results are normal and schedule a digital rectal examination.
C)   Let the client know that the results are elevated and he is at risk for prostate cancer.
D)   Tell the client that cancer is indicated and that the health care provider recommends watchful waiting.

Question 5

Which client statement indicates understanding about post-orchiectomy care for testicular cancer?

Accepted Answer

A)   "I will avoid contact sports to prevent injury and development of cancer in my remaining testis."
B)   "I will always use a condom because I am at increased risk for acquiring a sexually transmitted disease."
C)   "I will wear an athletic supporter and cup to prevent testicular cancer in my remaining testicle."
D)   "I will continue to perform testicular self-examination (TS
E)   monthly on my remaining testicle."

Question 6

A client diagnosed with early prostate cancer is confused that surgery has not been planned.Which is the nurse's best response?

Accepted Answer

A)   "The disease is slow-growing. The risks of surgery at your age are not justified by the outcome."
B)   "Your disease is so advanced that surgery at this point would not increase your chances of cure."
C)   "Your disease is in a very early stage and is slow-growing. Your doctor will monitor you."
D)   "This stage indicates that you do not really have cancer, so surgery is not necessary."

Question 7

A client had a transurethral prostatectomy and has incontinence.Which statement by the client indicates a need for clarification about managing this condition?

Accepted Answer

A)   "I will practice stopping the urine stream to strengthen my sphincter control."
B)   "I will limit my fluid intake every day to prevent incontinence."
C)   "I will avoid vigorous activity for the first 3 weeks after surgery."
D)   "I will avoid caffeinated beverages and spicy foods."

Question 8

A client is receiving brachytherapy for prostate cancer.Which intervention is most important for the nurse to include in the client's care plan?

Accepted Answer

A)   Reassure the client that erectile dysfunction does not occur with brachytherapy.
B)   Help the client plan activities interspersed with rest periods during the day.
C)   Remind the client that while hospitalized, he cannot have any visitors.
D)   Discuss hospice philosophy and availability with the client and family.

Question 9

The nurse is performing a psychosocial assessment of a young man diagnosed with testicular cancer.Which does the nurse include as a priority in the assessment?

Accepted Answer

A)   Encouraging the client to verbalize his thoughts and feelings to his health care provider
B)   Assisting the client in locating a support group for men with testicular cancer
C)   Asking the client to rate his fears of sexual deficiency on a scale of 1 to 10
D)   Identifying all components of his support system, including his partner

Question 10

Which intervention helps the client with chronic prostatitis prevent spread of infection to other areas of the urinary tract?

Accepted Answer

A)   "Wear a condom during intercourse."
B)   "Avoid alcohol and caffeinated beverages."
C)   "Be sure to empty your bladder completely at each voiding."
D)   "Sexual intercourse or masturbation can help drain the prostate."

Question 11

The nurse is assisting a client with limited mobility into position for examination of his prostate gland.How does the nurse best assist the client?

Accepted Answer

A)   Assist the client to bend over the examination table.
B)   Hold the client up as he bends over the bedside table.
C)   Help the client lie down in a side-lying fetal position.
D)   Assist the client to lie in a prone position.

Exam 75: Care of Male Patients With Reproductive Problems

Which client is most likely to have organic erectile dysfunction?

Correct Answer
verified

A client who was treated 1 year ago for testicular cancer now has an elevated serum alpha-fetoprotein level.Which topic is most important for the nurse to teach this client about?

Correct Answer
verified

A client had a transurethral prostatectomy and has incontinence.Which statement by the client indicates a need for clarification about managing this condition?

Correct Answer
verified

Which client statement indicates understanding about post-orchiectomy care for testicular cancer?

Correct Answer
verified

The nurse is assisting a client with limited mobility into position for examination of his prostate gland.How does the nurse best assist the client?

Correct Answer
verified

An older client with benign prostatic hyperplasia (BPH) and hypertension is being treated with doxazosin (Cardura) while staying in the hospital.Which activity does the nurse delegate to the unlicensed assistive personnel (UAP) as a priority?

Correct Answer
verified

Which intervention helps the client with chronic prostatitis prevent spread of infection to other areas of the urinary tract?

Correct Answer
verified

A client diagnosed with early prostate cancer is confused that surgery has not been planned.Which is the nurse's best response?

Correct Answer
verified

A client's prostate-specific antigen (PSA) level is 2.0 ng/mL.Which action by the nurse is most appropriate?

Correct Answer
verified

The nurse is performing a psychosocial assessment of a young man diagnosed with testicular cancer.Which does the nurse include as a priority in the assessment?

Correct Answer
verified

A client is receiving brachytherapy for prostate cancer.Which intervention is most important for the nurse to include in the client's care plan?

Correct Answer
verified

Exam 75: Care of Male Patients With Reproductive Problems

Which client is most likely to have organic erectile dysfunction?

Correct AnswerverifiedShow Answer

A client who was treated 1 year ago for testicular cancer now has an elevated serum alpha-fetoprotein level.Which topic is most important for the nurse to teach this client about?

Correct AnswerverifiedShow Answer

A client had a transurethral prostatectomy and has incontinence.Which statement by the client indicates a need for clarification about managing this condition?

Correct AnswerverifiedShow Answer

Which client statement indicates understanding about post-orchiectomy care for testicular cancer?

Correct AnswerverifiedShow Answer

The nurse is assisting a client with limited mobility into position for examination of his prostate gland.How does the nurse best assist the client?

Correct AnswerverifiedShow Answer

An older client with benign prostatic hyperplasia (BPH) and hypertension is being treated with doxazosin (Cardura) while staying in the hospital.Which activity does the nurse delegate to the unlicensed assistive personnel (UAP) as a priority?

Correct AnswerverifiedShow Answer

Which intervention helps the client with chronic prostatitis prevent spread of infection to other areas of the urinary tract?

Correct AnswerverifiedShow Answer

A client diagnosed with early prostate cancer is confused that surgery has not been planned.Which is the nurse's best response?

Correct AnswerverifiedShow Answer

A client's prostate-specific antigen (PSA) level is 2.0 ng/mL.Which action by the nurse is most appropriate?

Correct AnswerverifiedShow Answer

The nurse is performing a psychosocial assessment of a young man diagnosed with testicular cancer.Which does the nurse include as a priority in the assessment?

Correct AnswerverifiedShow Answer

A client is receiving brachytherapy for prostate cancer.Which intervention is most important for the nurse to include in the client's care plan?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
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Correct Answer
verified

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
verified

Correct Answer
verified