Case Advanced Physical Assessment Latest Revised And Graded A NR 511 Week 8 Final Exam

Case Advanced Physical Assessment Latest Revised And Graded A NR 511 Week 8 Final Exam Chamberlain College of Nursing (A grade) Week 7: Quiz Question 1 1 / 1 pts A patient is being treated for erectile dysfunction. The patient is morbidly obese and is also being treated for a coagulopathy. Which of the following medications would be contraindicated? Subcutaneous pellet testosterone (Testopel). Topical testosterone (AndroGel).orrect! Alprostadil (Caverject). Sildenafil (Viagra). The vasoactive injectable alprostadil (Caverject) should not be used in patients with sickle cell anemia, coagulopathy, severe cardiovascular disease, myeloma, leukemia, morbid obesity, or penile deformity, fibrosis, or implants. Question 2 1 / 1 pts A 32-year-old male appears with a rapid onset of unilateral scrotal pain radiating up to the groin and flank. The nurse practitioner is trying to differentiate between epididymitis and testicular torsion. Which test should be the provider’s first choice? X-ray. Physical examination. Technetium t! Ultrasound. If your client has a rapid onset of unilateral scrotal pain radiating up to the groin and flank and you are trying to differentiate between epididymitis and testicular torsion, an ultrasound is useful for determining whether the swelling is in the testis or the epididymis and should be your first choice. Question 3 0 / 1 pts A 51-year-old male requests a prescription for sildenafil (Viagra). He says that the only medication he takes is isosorbide mononitrate (Monoket) oral tablets and that he has diabetes which is controlled with diet alone. What should the nurse practitioner tell him? Correct Answer “Viagra is contraindicated with isosorbide mononitrate; let’s discuss other options.” “I’d better refer you to a urologist.”u Answered “Let’s try a sample and see how you do.” “Because of your history of diabetes, we can’t use it.” Because sexual stimulation leads to the release of nitric oxide in the corpus cavernosum of the penis and sildenafil (Viagra) potentiates that release, there is a double hypotensive effect between sildenafil and a nitric oxide donor such as isosorbide mononitrate (Monoket, Imdur, and Ismo). Therefore, the use of sildenafil with Monoket is contraindicated. Question 4 1 / 1 pts A 72-year-old unmarried, sexually active man, presents to the clinic with complaints of hesitancy, urgency, and occasional uncontrolled dribbling. Although the nurse practitioner suspects benign prostatic hyperplasia, what else should the differential diagnosis include? Antihistamine use. Renal calculi. Detrusor hyperreflexia.Correct! Urethral stricture. Urethral strictures may develop as a result of sexually transmitted diseases and should be considered in sexually active individuals (primarily males) no matter their age. Antihistamine use generally will result in hesitancy and urinary retention but not incontinence. Question 5 1 / 1 pts A 54-year-old male is complaining of erectile dysfunction. He also has a condition that has reduced arterial blood flow to his penis. The most common cause of this condition is: orrect! Diabetes mellitus. Multiple sclerosis. Parkinson disease. Epilepsy. About 50% of men who have had diabetes for longer than 6 years develop erectile dysfunction to some extent as a result of pathological changes in the vascular wall that lead to a reduction of arterial blood flow to the penis. Many other conditions can cause erectile dysfunction as well. These include cerebrovascular accidents (ie, strokes or brain attacks), spinal cord injury, temporal lobe epilepsy, multiple sclerosis, chronic obstructive pulmonary disease, angina, chronic renal failure, and Parkinson disease. Question 6 1 / 1 pts A 58-year-old male has been diagnosed with erectile dysfunction and says that a friend told him about a method that uses a constricting ring around the base of the penis. What is he referring to? Surgery Intracavernous injection therapy. Urethral suppositories. orrect! An external vacuum device. An external vacuum device is a viable method for alleviating erectile dysfunction regardless of the cause of the disorder. A plastic cylinder is placed around the penis, a vacuum pump causes cavernosal engorgement, and a constrictor ring is applied around the base of the penis, allowing the client to hold an erection for 30 minutes. Question 7 1 / 1 pts A 52-year-old male patient is in a new relationship and is not sure whether his erectile dysfunction is organic or is caused by stress about his performance. What simple test could the clinician suggest to determine if he has the ability to have an erection? Intracavernous injection. Penile duplex ultrasonography. Serum prostate-specific antigen (PSA). Correct! Nocturnal penile tumescence and rigidity (NPTR) test. The NPTR test is a simple test the client may do at home by himself to determine if he has the ability to have a nocturnal erection, which would rule out an organic cause of erectile dysfunction. Have the client place the simple device on his penis before going to bed. This device records the frequency, as well as the rigidity, of erections. Question 8 1 / 1 pts A 72-year-old male presents to the office for follow-up of several episodes of orthostatic hypotension. After obtaining a review of systems and a digital rectal examination, it also appears that he has benign prostatic hyperplasia (BPH) with lower urinary tract symptoms. The nurse practitioner reviews his recent ultrasound evaluation, which reports a prostate volume of over 40 mL, and the results of the American Urological Association (AUA) symptom index for BPH, which shows his score to be 12. Based on the preceding information and the patient’s desire for noninvasive medical therapy, what management should he be offered? Phenoxybenzamine (Dibenzyline). Doxazosin (Cardura).orrect! Finasteride (Proscar). Prazosin (Minipress). Finasteride is a 5-alpha-reductase inhibitor and is recommended for individuals with a prostate volume greater than 40 mL to help decrease its size. Question 9 1 / 1 pts A 32-year-old male presents with complaints of a scrotal mass; however, the scrotum is so edematous that it is difficult to assess. How would the nurse practitioner (NP) best determine whether the condition is a hernia or a hydrocele?rrect! Bowel sounds may be heard over a hernia. The NP can transilluminate a hernia. The NP can always return a hernia’s contents to the abdominal cavity