Nursing Care of
Male Patients
With
Genitourinary
Disorders.
,TEST BANK FOR UNDERSTANDING MEDICAL SURGICAL NURSING 6TH EDITION BY WILLIAMS
Test Bank - Understanding Medical-Surgical Nursing 6e (Williams and Hopper) 701
Chapter 43. Nursing Care of Male Patients With Genitourinary
Disorders
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is caring for a man diagnosed with prostatitis. What symptom should the nurse expect when
collecting data from the patient?
a. Dysuria
b. Polyuria
c. Hematuria
d. Glycosuria
____ 2. The nurse is assisting with teaching a 56-year-old office manager who reports engaging in a variety of
activities. Which one should the nurse explain most likely increased his risk for developing prostatitis?
a. Sitting for long periods in his office
b. Bowling once a week with the office team
c. Drinking three to four martinis each night after work
d. Having sexual intercourse with his wife once a week
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____ 3. The nurse is caring for a patient with prostatitis. Which manifestation should the nurse attend to
immediately?
a. Shaking chills
b. Inability to urinate
c. Fever 101F (38.3C)
d. Low back pain rated 9 on a 0-to-10 scale
____ 4. A patient diagnosed with benign prostatic hyperplasia is prescribed the alpha-blocking medication
terazosin (Hytrin) to reduce symptoms. For which side effect should the nurse monitor this patient?
a. Dry mouth
b. Headaches
c. Hypotension
d. Urinary frequency
____ 5. A 70-year-old male arrives in the emergency department and says, I havent urinated in 24 hours. I feel
like I have to go, but I cant. What care should the nurse anticipate providing first?
a. STAT administration of IV fluids
b. Emergency preparation for a cystoscopy
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, TEST BANK FOR UNDERSTANDING MEDICAL SURGICAL NURSING 6TH EDITION BY WILLIAMS
Test Bank - Understanding Medical-Surgical Nursing 6e (Williams and Hopper) 702
c. STAT insertion of an indwelling catheter
d. Emergency preparation for an intravenous pyelogram (IVP)
____ 6. The nurse is providing pre-operative care for an 80-year-old patient who is scheduled to have prostate
surgery. The patient says, I know a man who was impotent after this surgery. Will that happen to me? Which
response by the nurse is most appropriate?
a. There are many treatments available if it does occur.
b. Most men your age learn to deal with erectile dysfunction if it does occur.
c. Impotence should not be a problem; sperm production is not affected by this surgery.
d. Some prostate surgery can cause erectile dysfunction. Ill ask your surgeon to explain the risks to you.
____ 7. A patient who has just returned from a transurethral resection of the prostate (TURP) asks the nurse
why he needs a urinary catheter. What is the correct explanation?
a. The catheter keeps your bladder empty to reduce risk for infection. It is important to leave it in for at least 72
hours.
b. The catheter is keeping pressure on the area to prevent bleeding. We will remove it when the risk for
bleeding has passed.
c. We can take the catheter out when you are able to urinate on your own. Ill ask the physician if we can
remove it later today.
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d. The catheter is being used to irrigate your bladder with antibiotics. It is important to continue this until you
can take antibiotics orally.
____ 8. The nurse is caring for a patient with continuous bladder irrigation after a transurethral resection of the
prostate (TURP). Which assessment finding should take priority?
a. Pink-tinged urine
b. 10-mL urine output in an hour
c. Patient report of bladder spasms
d. Leakage of small amounts of urine around the catheter
____ 9. The nurse has just removed an indwelling catheter from a patient following transurethral resection of
the prostate. What action by the nurse is most important?
a. Monitor vital signs.
b. Watch for bladder spasms.
c. Offer the urinal every 15 minutes.
d. Collect serial samples of urine to monitor for color.
____ 10. A patient is discharged home after a prostatectomy. Two days later, he calls the nurse and says his
bleeding has increased. The nurse asks what he has been doing since discharge. Which activity reported by the
patient indicates the need for teaching by the nurse?
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