5. Which information about continuous bladder irrigation will the nurse teach to a
patient who is being admitted for a transurethral resection of the prostate (TURP)?
a.Bladder irrigation decreases the risk of postoperative bleeding.
b.Hydration and urine output are maintained by bladder irrigation.
c.Antibiotics are infused continuously through the bladder irrigation.
d.Bladder irrigation prevents obstruction of the catheter after surgery.
Give this one a try later!
ANS: D
The purpose of bladder irrigation is to remove clots from the bladder and
to prevent obstruction of the catheter by clots. The irrigation does not
decrease bleeding or improve hydration. Antibiotics are given by the IV
route, not through the bladder irrigation.
24. A 22-year-old man tells the nurse at the health clinic that he has recently had
some problems with erectile dysfunction. Which question should the nurse ask first to
,assess for possible etiologic factors?
a.Do you experience an unusual amount of stress?
b.Do you use any recreational drugs or drink alcohol?
c.Do you have chronic cardiovascular or peripheral vascular disease?
d.Do you have a history of an erection that lasted for 6 hours or more?
Give this one a try later!
ANS: B
A common etiologic factor for erectile dysfunction (ED) in younger men is
use of recreational drugs or alcohol. Stress, priapism, and cardiovascular
illness also contribute to ED, but they are not common etiologic factors in
younger men
19. The nurse taking a focused health history for a patient with possible testicular
cancer will ask the patient about a history of
a.testicular torsion.
b.testicular trauma.
c.undescended testicles.
d.sexually transmitted infection (STI).
Give this one a try later!
ANS: C
Cryptorchidism is a risk factor for testicular cancer if it is not corrected
before puberty. STI, testicular torsion, and testicular trauma are risk factors
for other testicular conditions but not for testicular cancer
16. When performing discharge teaching for a patient after a vasectomy, the nurse
instructs the patient that he
, a.should continue to use other methods of birth control for 6 weeks.
b.should not have sexual intercourse until his 6-week follow-up visit.
c.may have temporary erectile dysfunction (ED) because of swelling.
d.will notice a decrease in the appearance and volume of his ejaculate.
Give this one a try later!
ANS: A
Because it takes about 6 weeks to evacuate sperm that are distal to the
vasectomy site, the patient should use contraception for 6 weeks. ED that
occurs after vasectomy is psychologic in origin and not related to
postoperative swelling. The patient does not need to abstain from
intercourse. The appearance and volume of the ejaculate are not changed
because sperm are a minor component of the ejaculate.
29. The health care provider prescribes the following interventions for a patient with
acute prostatitis caused by E. coli. Which intervention should the nurse question?
a.Instruct patient to avoid sexual intercourse until treatment is complete.
b.Administer ibuprofen (Advil) 400 mg every 8 hours as needed for pain.
c.Catheterize the patient as needed if symptoms of urinary retention develop.
d.Give trimethoprim/sulfamethoxazole (Bactrim) DS 1 tablet daily for 28 days.
Give this one a try later!
ANS: C
Although acute urinary retention may occur, insertion of a catheter through
an inflamed urethra is contraindicated and the nurse will anticipate that the
health care provider will need to insert a suprapubic catheter. The other
actions are appropriate
patient who is being admitted for a transurethral resection of the prostate (TURP)?
a.Bladder irrigation decreases the risk of postoperative bleeding.
b.Hydration and urine output are maintained by bladder irrigation.
c.Antibiotics are infused continuously through the bladder irrigation.
d.Bladder irrigation prevents obstruction of the catheter after surgery.
Give this one a try later!
ANS: D
The purpose of bladder irrigation is to remove clots from the bladder and
to prevent obstruction of the catheter by clots. The irrigation does not
decrease bleeding or improve hydration. Antibiotics are given by the IV
route, not through the bladder irrigation.
24. A 22-year-old man tells the nurse at the health clinic that he has recently had
some problems with erectile dysfunction. Which question should the nurse ask first to
,assess for possible etiologic factors?
a.Do you experience an unusual amount of stress?
b.Do you use any recreational drugs or drink alcohol?
c.Do you have chronic cardiovascular or peripheral vascular disease?
d.Do you have a history of an erection that lasted for 6 hours or more?
Give this one a try later!
ANS: B
A common etiologic factor for erectile dysfunction (ED) in younger men is
use of recreational drugs or alcohol. Stress, priapism, and cardiovascular
illness also contribute to ED, but they are not common etiologic factors in
younger men
19. The nurse taking a focused health history for a patient with possible testicular
cancer will ask the patient about a history of
a.testicular torsion.
b.testicular trauma.
c.undescended testicles.
d.sexually transmitted infection (STI).
Give this one a try later!
ANS: C
Cryptorchidism is a risk factor for testicular cancer if it is not corrected
before puberty. STI, testicular torsion, and testicular trauma are risk factors
for other testicular conditions but not for testicular cancer
16. When performing discharge teaching for a patient after a vasectomy, the nurse
instructs the patient that he
, a.should continue to use other methods of birth control for 6 weeks.
b.should not have sexual intercourse until his 6-week follow-up visit.
c.may have temporary erectile dysfunction (ED) because of swelling.
d.will notice a decrease in the appearance and volume of his ejaculate.
Give this one a try later!
ANS: A
Because it takes about 6 weeks to evacuate sperm that are distal to the
vasectomy site, the patient should use contraception for 6 weeks. ED that
occurs after vasectomy is psychologic in origin and not related to
postoperative swelling. The patient does not need to abstain from
intercourse. The appearance and volume of the ejaculate are not changed
because sperm are a minor component of the ejaculate.
29. The health care provider prescribes the following interventions for a patient with
acute prostatitis caused by E. coli. Which intervention should the nurse question?
a.Instruct patient to avoid sexual intercourse until treatment is complete.
b.Administer ibuprofen (Advil) 400 mg every 8 hours as needed for pain.
c.Catheterize the patient as needed if symptoms of urinary retention develop.
d.Give trimethoprim/sulfamethoxazole (Bactrim) DS 1 tablet daily for 28 days.
Give this one a try later!
ANS: C
Although acute urinary retention may occur, insertion of a catheter through
an inflamed urethra is contraindicated and the nurse will anticipate that the
health care provider will need to insert a suprapubic catheter. The other
actions are appropriate
