Nu 300 Final Exam Assignment
Questions and Correct Answers 2025
Latest Edition.
benign prostatic hyperplasia (BPH) - Answer glandular units in prostate increase in number-
inflammation
BPH s/s - Answer frequency, urgency, nocturia, incomplete emptying, urinary stasis,
hematuria, urinary overflow incontinence (acute urinary retention- emergency!), chronic
urinary retention (UTI, bladder calculi, hydroureter, hydronephrosis)
BPH RX - Answer frequent sex, avoid drinking lots of fluids at once, avoid
alc/caffeine/diuretics, avoid drugs causing urinary retention, void as soon as urge felt, 5-alpha
reductase inhibitors (reduce prostate size, SE ED/decreased libido/ortho
hypotension/gynecomastia/increased hair growth; PREG HANDLE WITH GLOVES; finasteride,
dutasteride), alpha 1 adrenergic blockers (relax bladder and prostate, SE
tachycardia/syncope/hypotension/dizzy/congestion/drowsy; TAKE AFTER EATING; tamsulosin,
doxazosin), TURP surgery, Hole laser surgery
BPH TURP post op teaching - Answer urinary catheter for several days, do not void with
catheter in (can cause bladder spasms...pee will come out on its own!), pink clotty urine after
catheter removal (normal! notify if it does not go away after a few days/less than 150-200 ml
every few hours), retrograde ejaculation
the nurse is caring for a patient on continuous bladder irrigation following a TURP. what is
priority care? - Answer administer 1 L/hr of bladder irrigation
acute prostatitis s/s - Answer *fever, chills*, low back pain, discharge, boggy/tender prostate,
elevated WBC/PSA
chronic prostatitis s/s - Answer hesitancy, urgency, dysuria, hematuria, perineal discomfort,
backache, enlarged/firm/tender prostate, elevated WBC/PSA
prostatitis complications - Answer *epididymitis, cystitis*, prostatic abscess, UTI
prostatitis RX - Answer sitz bath, NSAID, stool softener, alpha blocker (Flomax), avoid urinary
, prostate cancer risk factors - Answer >65, black, fam HX, PIN lesions (precancerous), BRCA2,
high animal fat diet, low fiber intake, vasectomy, environmental toxin exposure
prostate cancer s/s - Answer early- bladder obstruction (difficulty starting, frequent UTI,
urinary retention)
late (sign of metastasis)- hematuria, pelvic/lower back pain, swollen lymph nodes, weight loss
PSA recommended screening - Answer low risk- 50
high risk (1st degree relative has it)- 45
higher risk (2+ relative with it)- 40
transrectal ultrasound (TRUS) with biopsy teaching - Answer small amt of bleeding normal,
report hematuria/fever/chills/difficulty urinating, drink lots of fluids, avoid strenuous activity
prostate cancer RX - Answer watchful waiting, radial prostatectomy (curative), bilateral
orchiectomy, radiation, LH-RH agonists (Lupron, SE hot flashes/gynecomastia/decreased
libido/osteoporosis), anti-androgens (flutamide, same SE), chemo
ED/impotence types - Answer organic- gradual deterioration of function (HTN/anti HTN drugs,
prostatectomy, neuro conditions)
functional- psychological causes (difficulty performing on demand, stress)
ED RX - Answer PDE-5 inhibitors (viagra/levitra/cialis, avoid with patients on nitrates!, SE
dyspepsia/facial flushing/HA/priapism), vacuum constriction device, penile implant
priapism - Answer uncontrolled long maintained erection without sexual desire, affects
corpora cavernosa
caused by neural/vascular/pharm (thrombosis, leukemia, SCA, DM, ED drugs, prolonged sexual
activity)
priapism RX - Answer MUST BE RESOLVED WITHIN 24-30 HR!!, prostatic massage, sedation, ice
packs, rest, needle aspiration, meperidine (demerol), catheterization
priapism complications - Answer penile ischemia, gangrene, fibrosis, ED
Questions and Correct Answers 2025
Latest Edition.
benign prostatic hyperplasia (BPH) - Answer glandular units in prostate increase in number-
inflammation
BPH s/s - Answer frequency, urgency, nocturia, incomplete emptying, urinary stasis,
hematuria, urinary overflow incontinence (acute urinary retention- emergency!), chronic
urinary retention (UTI, bladder calculi, hydroureter, hydronephrosis)
BPH RX - Answer frequent sex, avoid drinking lots of fluids at once, avoid
alc/caffeine/diuretics, avoid drugs causing urinary retention, void as soon as urge felt, 5-alpha
reductase inhibitors (reduce prostate size, SE ED/decreased libido/ortho
hypotension/gynecomastia/increased hair growth; PREG HANDLE WITH GLOVES; finasteride,
dutasteride), alpha 1 adrenergic blockers (relax bladder and prostate, SE
tachycardia/syncope/hypotension/dizzy/congestion/drowsy; TAKE AFTER EATING; tamsulosin,
doxazosin), TURP surgery, Hole laser surgery
BPH TURP post op teaching - Answer urinary catheter for several days, do not void with
catheter in (can cause bladder spasms...pee will come out on its own!), pink clotty urine after
catheter removal (normal! notify if it does not go away after a few days/less than 150-200 ml
every few hours), retrograde ejaculation
the nurse is caring for a patient on continuous bladder irrigation following a TURP. what is
priority care? - Answer administer 1 L/hr of bladder irrigation
acute prostatitis s/s - Answer *fever, chills*, low back pain, discharge, boggy/tender prostate,
elevated WBC/PSA
chronic prostatitis s/s - Answer hesitancy, urgency, dysuria, hematuria, perineal discomfort,
backache, enlarged/firm/tender prostate, elevated WBC/PSA
prostatitis complications - Answer *epididymitis, cystitis*, prostatic abscess, UTI
prostatitis RX - Answer sitz bath, NSAID, stool softener, alpha blocker (Flomax), avoid urinary
, prostate cancer risk factors - Answer >65, black, fam HX, PIN lesions (precancerous), BRCA2,
high animal fat diet, low fiber intake, vasectomy, environmental toxin exposure
prostate cancer s/s - Answer early- bladder obstruction (difficulty starting, frequent UTI,
urinary retention)
late (sign of metastasis)- hematuria, pelvic/lower back pain, swollen lymph nodes, weight loss
PSA recommended screening - Answer low risk- 50
high risk (1st degree relative has it)- 45
higher risk (2+ relative with it)- 40
transrectal ultrasound (TRUS) with biopsy teaching - Answer small amt of bleeding normal,
report hematuria/fever/chills/difficulty urinating, drink lots of fluids, avoid strenuous activity
prostate cancer RX - Answer watchful waiting, radial prostatectomy (curative), bilateral
orchiectomy, radiation, LH-RH agonists (Lupron, SE hot flashes/gynecomastia/decreased
libido/osteoporosis), anti-androgens (flutamide, same SE), chemo
ED/impotence types - Answer organic- gradual deterioration of function (HTN/anti HTN drugs,
prostatectomy, neuro conditions)
functional- psychological causes (difficulty performing on demand, stress)
ED RX - Answer PDE-5 inhibitors (viagra/levitra/cialis, avoid with patients on nitrates!, SE
dyspepsia/facial flushing/HA/priapism), vacuum constriction device, penile implant
priapism - Answer uncontrolled long maintained erection without sexual desire, affects
corpora cavernosa
caused by neural/vascular/pharm (thrombosis, leukemia, SCA, DM, ED drugs, prolonged sexual
activity)
priapism RX - Answer MUST BE RESOLVED WITHIN 24-30 HR!!, prostatic massage, sedation, ice
packs, rest, needle aspiration, meperidine (demerol), catheterization
priapism complications - Answer penile ischemia, gangrene, fibrosis, ED
