Chapter 67: Concepts of Care for Clients
with Male Reproductive Problems
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. The nurse is providing preoperative education to a client prior to having an
orchiectomy for testicular cancer. What statement by the client indicates the need to
review the information?
a. “I can still function sexually without one of my testes.”
b. “I will investigate sperm banking before the operation.”
c. “There should be no effect on my ability to reproduce.”
d. “Testicular self-exam will be important on the remaining testis.”
ANS: C
Oligospermia and azoospermia are common in clients with testicular function and can
affect reproduction. The statement that there will be no effect on reproduction
requires the nurse to review the information with the client. Sperm banking is an
option prior to treatment to store sperm for future use. Normal sexual function is
possible with one testis. Self-examination of the remaining testis is important for early
detection of another tumor.
DIF: Analyzing TOP: Integrated Process: Nursing Process: Evaluation
KEY: Male reproductive problems, Testicular cancer MSC:
Client Needs Category: Physiological Integrity: Physiological Adaptation
2. The nurse has provided postvasectomy discharge instructions to the client. What
statement by the client demonstrates good understanding?
, a. “We can have unprotected intercourse as soon as I have healed.”
b. “An ice pack to my scrotum will help with the swelling.”
c. “I need to report signs of infection, swelling, or bruising right away.”
d. “The stitches can be removed here in the office in 7 to 10 days.”
ANS: B
After vasectomy, clients are instructed to use birth control until the 3-month semen
analysis shows that the procedure has worked, to use an ice pack intermittently for 24
to 48 hours, that swelling and bruising are normal, and the bandage can be removed in
48 hours. There are no sutures to be removed.
DIF: Analyzing TOP: Integrated Process: Nursing Process: Evaluation
KEY: Male reproductive problems, Vasectomy, Health teaching
MSC: Client Needs Category: Physiological Integrity: Reduction of
Risk Potential
3. A client comes to the clinic with concerns about an enlarged left testicle and heaviness
in his lower abdomen. Which diagnostic test would the nurse expect to be ordered?
a. Alpha-fetoprotein (AFP)
b. Prostate-specific antigen (PSA)
c. Serum acid phosphatase (PAP)
d. C-reactive protein (CRP)
ANS: A
These are symptoms of possible testicular cancer. AFP is a tumor marker that is
elevated in testicular cancer. PSA and PAP testing is used in testing for prostate
cancer and its metastasis. CRP is diagnostic for inflammatory conditions.
DIF: Remembering TOP: Integrated Process: Nursing Process: Analysis
KEY: Male reproductive problems, Laboratory values MSC:
Client Needs Category: Physiological Integrity: Reduction of Risk Potential
with Male Reproductive Problems
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. The nurse is providing preoperative education to a client prior to having an
orchiectomy for testicular cancer. What statement by the client indicates the need to
review the information?
a. “I can still function sexually without one of my testes.”
b. “I will investigate sperm banking before the operation.”
c. “There should be no effect on my ability to reproduce.”
d. “Testicular self-exam will be important on the remaining testis.”
ANS: C
Oligospermia and azoospermia are common in clients with testicular function and can
affect reproduction. The statement that there will be no effect on reproduction
requires the nurse to review the information with the client. Sperm banking is an
option prior to treatment to store sperm for future use. Normal sexual function is
possible with one testis. Self-examination of the remaining testis is important for early
detection of another tumor.
DIF: Analyzing TOP: Integrated Process: Nursing Process: Evaluation
KEY: Male reproductive problems, Testicular cancer MSC:
Client Needs Category: Physiological Integrity: Physiological Adaptation
2. The nurse has provided postvasectomy discharge instructions to the client. What
statement by the client demonstrates good understanding?
, a. “We can have unprotected intercourse as soon as I have healed.”
b. “An ice pack to my scrotum will help with the swelling.”
c. “I need to report signs of infection, swelling, or bruising right away.”
d. “The stitches can be removed here in the office in 7 to 10 days.”
ANS: B
After vasectomy, clients are instructed to use birth control until the 3-month semen
analysis shows that the procedure has worked, to use an ice pack intermittently for 24
to 48 hours, that swelling and bruising are normal, and the bandage can be removed in
48 hours. There are no sutures to be removed.
DIF: Analyzing TOP: Integrated Process: Nursing Process: Evaluation
KEY: Male reproductive problems, Vasectomy, Health teaching
MSC: Client Needs Category: Physiological Integrity: Reduction of
Risk Potential
3. A client comes to the clinic with concerns about an enlarged left testicle and heaviness
in his lower abdomen. Which diagnostic test would the nurse expect to be ordered?
a. Alpha-fetoprotein (AFP)
b. Prostate-specific antigen (PSA)
c. Serum acid phosphatase (PAP)
d. C-reactive protein (CRP)
ANS: A
These are symptoms of possible testicular cancer. AFP is a tumor marker that is
elevated in testicular cancer. PSA and PAP testing is used in testing for prostate
cancer and its metastasis. CRP is diagnostic for inflammatory conditions.
DIF: Remembering TOP: Integrated Process: Nursing Process: Analysis
KEY: Male reproductive problems, Laboratory values MSC:
Client Needs Category: Physiological Integrity: Reduction of Risk Potential
