Chapter 59 Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 13Th Edition

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Chapter 59  Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 13Th Edition

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

1. 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?

  1. A)  Cryptorchidism
  2. B)  Orchitis
  3. C)  Hydrocele
  4. D)  Prostatism

Ans: C

Feedback:

A hydrocele refers to a collection of fluid in the tunica vaginalis of the testes. Cryptorchidism is the most common congenital defect in males, characterized by failure of one or both of the testes to descend into the scrotum. Orchitis is an inflammation of the testes (testicular congestion) caused by pyogenic, viral, spirochetal, parasitic, traumatic, chemical, or unknown factors. Prostatism is an obstructive and irritative symptom complex that includes increased frequency and hesitancy in starting urination, a decrease in the volume and force of the urinary stream, acute urinary retention, and recurrent urinary tract infections.

2. 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?

  1. A)  Bowen’s disease
  2. B)  Peyronie’s disease
  3. C)  Phimosis
  4. D)  Priapism

Ans: C

Feedback:

Phimosis is the term used to describe a condition in which the foreskin is constricted so that it cannot be retracted over the glans. Bowen’s disease is an in situ carcinoma of the penis. Peyronie’s disease is an acquired, benign condition that involves the buildup of fibrous plaques in the sheath of the corpus cavernosum. Priapism is an uncontrolled, persistent erection of the penis from either neural or vascular causes, including medications, sickle cell thrombosis, leukemic cell infiltration, spinal cord tumors, and tumor invasion of the penis or its vessels.

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3. 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?

  1. A)  Varicocele
  2. B)  Epididymitis
  3. C)  Prostatitis
  4. D)  Hydrocele

Ans: C

Feedback:

Perineal discomfort, burning, urgency, frequency with urination, and pain with ejaculation is indicative of prostatitis. A varicocele is an abnormal dilation of the pampiniform venous plexus and the internal spermatic vein in the scrotum (the network of veins from the testis and the epididymis that constitute part of the spermatic cord). Epididymitis is an infection of the epididymis that usually descends from an infected prostate or urinary tract; it also may develop as a complication of gonorrhea. A hydrocele is a collection of fluid, generally in the tunica vaginalis of the testis, although it also may collect within the spermatic cord.

4. A patient has been prescribed sildenafil. What should the nurse teach the patient about this medication?

  1. A)  Sexual stimulation is not needed to obtain an erection.
  2. B)  The drug should be taken 1 hour prior to intercourse.
  3. C)  Facial flushing or headache should be reported to the physician immediately.
  4. D)  The drug has the potential to cause permanent visual changes.

Ans: B

Feedback:

The patient must have sexual stimulation to create the erection, and the drug should be taken 1 hour before intercourse. Facial flushing, mild headache, indigestion, and running nose are common side effects of Viagra and do not normally warrant reporting to the physician. Some visual disturbances may occur, but these are transient.

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?

  1. A)  Red wine colored
  2. B)  Tea colored
  3. C)  Amber
  4. D)  Light pink

Ans: D

Feedback:

The urine drainage following prostatectomy usually begins as a reddish pink, then clears to a light pink 24 hours after surgery.

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