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Exam #5 Review. Med. Surg
Advanced Adult Health Care (Keiser University)
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Exam #5
Advanced Med Surg
1. need to know what phimosis is? “turtleneck” Chapter: 59 – Assessment and Management of Patients with Male
Reproductive Disorders.
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?
A) Bowens disease
B) Peyronies disease
C) Phimosis
D) Priapism
R: Phimosis is the term used to describe a condition in which the foreskin is constricted so that it cannot be retracted over the glans.
A 76-year-old with a diagnosis of penile cancer has been admitted to the medical floor. Because the incidence of penile cancer is so
low, the staff educator has been asked to teach about penile cancer. What risk factors should the educator cite in this presentation?
Select all that apply.
A) Phimosis
B) Priapism
C) Herpes simplex infection
D) Increasing age
E) Lack of circumcision
R: Several risk factors for penile cancer have been identified, including lack of circumcision, poor genital hygiene, phimosis, HPV,
smoking, ultraviolet light treatment of psoriasis on the penis, increasing age (two-thirds of cases occur in men older than 65 years of
age), lichen sclerosis, and balanitis xerotica obliterans.
A 75-year-old male patient is being treated for phimosis. When planning this patient care, what health promotion activity is most
directly related to the etiology of the patients health problem?
A) Teaching the patient about safer sexual practices
B) Teaching the patient about the importance of hygiene
C) Teaching the patient about the safe use of PDE-5 inhibitors
D) Teaching the patient to perform testicular self-examination
R: Poor hygiene often contributes to cases of phimosis.
A patient presents to the emergency department with paraphimosis. The physician is able to compress the glans and manually reduce
the edema. Once the inflammation and edema subside, what is usually indicated?
A) Needle aspiration of the corpus cavernosum
B) Circumcision
C) Abstinence from sexual activity for 6 weeks
D) Administration of vardenafil
R: Circumcision is usually indicated after the inflammation and edema subside. Needle aspiration of the
corpus cavernosum is indicated in priapism; abstinence from sexual activity for 6 weeks is not indicated.
Vardenafil is Levitra and would not be used for paraphimosis.
A patient has presented at the clinic with symptoms of benign prostatic hyperplasia. What diagnostic
findings would suggest that this patient has chronic urinary retention.
A) Hypertension
B) Peripheral edema
C) Tachycardia and other dysrhythmias
D) Increased blood urea nitrogen (BUN)
R: Hypertension, edema, and tachycardia would not normally be associated with benign prostatic
hyperplasia. Azotemia is an accumulation of nitrogenous waste products, and renal failure can occur
with chronic urinary retention and large residual volumes.
2. patient has pain with urination, frequency, pain with ejaculation, what is that? Versicle? Ependymitis? Prostatitis?
Hydrocele?
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?
A) Varicocele
B) Epididymitis
C) Prostatitis
D) Hydrocele
Downloaded by elizabeth moses ()
Exam #5 Review. Med. Surg
Advanced Adult Health Care (Keiser University)
Scan to open on Studocu
Studocu is not sponsored or endorsed by any college or university
Downloaded by elizabeth moses ()
, lOMoARcPSD|62982272
Exam #5
Advanced Med Surg
1. need to know what phimosis is? “turtleneck” Chapter: 59 – Assessment and Management of Patients with Male
Reproductive Disorders.
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?
A) Bowens disease
B) Peyronies disease
C) Phimosis
D) Priapism
R: Phimosis is the term used to describe a condition in which the foreskin is constricted so that it cannot be retracted over the glans.
A 76-year-old with a diagnosis of penile cancer has been admitted to the medical floor. Because the incidence of penile cancer is so
low, the staff educator has been asked to teach about penile cancer. What risk factors should the educator cite in this presentation?
Select all that apply.
A) Phimosis
B) Priapism
C) Herpes simplex infection
D) Increasing age
E) Lack of circumcision
R: Several risk factors for penile cancer have been identified, including lack of circumcision, poor genital hygiene, phimosis, HPV,
smoking, ultraviolet light treatment of psoriasis on the penis, increasing age (two-thirds of cases occur in men older than 65 years of
age), lichen sclerosis, and balanitis xerotica obliterans.
A 75-year-old male patient is being treated for phimosis. When planning this patient care, what health promotion activity is most
directly related to the etiology of the patients health problem?
A) Teaching the patient about safer sexual practices
B) Teaching the patient about the importance of hygiene
C) Teaching the patient about the safe use of PDE-5 inhibitors
D) Teaching the patient to perform testicular self-examination
R: Poor hygiene often contributes to cases of phimosis.
A patient presents to the emergency department with paraphimosis. The physician is able to compress the glans and manually reduce
the edema. Once the inflammation and edema subside, what is usually indicated?
A) Needle aspiration of the corpus cavernosum
B) Circumcision
C) Abstinence from sexual activity for 6 weeks
D) Administration of vardenafil
R: Circumcision is usually indicated after the inflammation and edema subside. Needle aspiration of the
corpus cavernosum is indicated in priapism; abstinence from sexual activity for 6 weeks is not indicated.
Vardenafil is Levitra and would not be used for paraphimosis.
A patient has presented at the clinic with symptoms of benign prostatic hyperplasia. What diagnostic
findings would suggest that this patient has chronic urinary retention.
A) Hypertension
B) Peripheral edema
C) Tachycardia and other dysrhythmias
D) Increased blood urea nitrogen (BUN)
R: Hypertension, edema, and tachycardia would not normally be associated with benign prostatic
hyperplasia. Azotemia is an accumulation of nitrogenous waste products, and renal failure can occur
with chronic urinary retention and large residual volumes.
2. patient has pain with urination, frequency, pain with ejaculation, what is that? Versicle? Ependymitis? Prostatitis?
Hydrocele?
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?
A) Varicocele
B) Epididymitis
C) Prostatitis
D) Hydrocele
Downloaded by elizabeth moses ()
