Chapter 54: Male Reproductive and Genital Problems Lewis: Medical-Surgical Nursing, 10th Edition WITH 100% VERIFIED SOLUTIONS

Chapter 54: Male Reproductive and Genital Problems Lewis: Medical-Surgical Nursing, 10th Edition WITH 100% VERIFIED SOLUTIONS To determine the severity of the symptoms for a patient with benign prostatic hyperplasia (BPH), the nurse will ask the patient about a. blood in the urine. . b. lower back or hip pain. c. force of urinary stream d. erectile dysfunction (ED). - ANS ANS: C The American Urological Association Symptom Index for a patient with BPH asks questions about the force and frequency of urination, nocturia, and so on. Blood in the urine, ED, and back or hip pain are not typical symptoms of BPH. DIF: Cognitive Level: Apply (application) REF: 1268 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity A patient who has been recently diagnosed with benign prostatic hyperplasia (BPH) tells the nurse that he does not want to have a transurethral resection of the prostate (TURP) because it might affect his ability to have sexual intercourse. Which action should the nurse take? a. Discuss alternative methods of sexual expression. b. Teach about medication for erectile dysfunction (ED). c. Clarify that TURP does not commonly affect erection. d. Offer reassurance that fertility is not affected by TURP. - ANS ANS: C ED is not a concern with TURP, although retrograde ejaculation is likely, and the nurse should discuss this with the patient.