Chapter 64 Male Reproduction Dysfunction: Nursing Management

Chapter 64  Male Reproduction Dysfunction: Nursing Management

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The nurse is instructing a client diagnosed with acute prostatitis. Which of the following instructions would be the least beneficial to the client?
1.
“Avoid alcohol and caffeine.”
2.
“Sex should be avoided during the acute phase.”
3.
“Sit for as long as you can.”
4.
“Sitz baths may provide comfort.”

ANS: 3
The patient should be encouraged to use sitz baths for comfort but not to sit in them for long periods of time. Caffeine, alcohol, and sex should be avoided during the acute phase.

PTS: 1 DIF: Apply REF: Prostatitis: Patient and Family Teaching

2. The nurse is documenting the health history of a client diagnosed with benign prostatic hyperplasia (BPH). In which of the following areas would the nurse take a careful history?
1.
Bowel patterns
2.
Eating patterns
3.
Sleeping patterns
4.
Urinary patterns

ANS: 4
A careful history on urinary patterns should be taken by the nurse. The ease with which the stream of urine is started, the strength of the stream, and the perceived amount of urine eliminated with each voiding, along with the patient’s sense about whether the bladder is completely emptied and the presence of nocturia or dribbling, should be noted. The client’s bowel, eating, and sleeping patterns are also important; however, they are not as important as the urinary patterns.

PTS: 1 DIF: Apply
REF: Benign Prostatic Hyperplasia: Assessment with Clinical Manifestations

3. A client, diagnosed with benign prostatic hyperplasia (BPH), should be instructed to do which of the following?
1.
“Do nothing since this disorder does not require any follow-up.”
2.
“Decrease water intake to avoid dribbling.”
3.
“Void every 2 to 3 hours.”
4.
“Wear scrotal support.”

ANS: 3
Clients with BPH should void every 2 to 3 hours to flush the urinary tract. Water should not be decreased because this will irritate the urinary mucosa. Scrotal support is not necessary, and BPH does require follow-up visits.

PTS: 1 DIF: Apply
REF: Benign Prostatic Hyperplasia: Patient and Family Teaching

4. A client, recovering from a transurethral resection of the prostate (TURP) with a continuous bladder irrigation system to a three-way indwelling urinary catheter, tells the nurse he has to void. What nursing intervention should the nurse perform?
1.
Call the physician.
2.
Increase the flow of the irrigant.
3.
Irrigate the catheter.
4.
Tell the client to void.

ANS: 3
After a TURP, clots that can occlude the catheter and create a sensation to void in the client are common. The nurse should irrigate the catheter to allow the urine to flow. The nurse does not need to phone the physician, increase the flow of the irrigant, or tell the client to void.

PTS: 1 DIF: Apply REF: Benign Prostatic Hyperplasia: Surgery