Nursing Management: Male Reproductive Problems
Chapter 55: Nursing Management: Male Reproductive Problems
Test Bank
MULTIPLE CHOICE
1. To determine the severity of the symptoms for a 68-year-old 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. erectile dysfunction (ED).
d. force of the urinary stream.
ANS: D
The American Urological Association (AUA) Symptom Index for a patient with BPH asks questions about the force and frequency of urination, nocturia, etc. Blood in the urine, ED, and back or hip pain are not typical symptoms of BPH.
DIF: Cognitive Level: Apply (application)
REF:
1308
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
2. A 58-year-old 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 maintain an erection during intercourse. Which action should the nurse take?
a. Provide teaching about medications for erectile dysfunction (ED).
b. Discuss that TURP does not commonly affect erectile function.
c. Offer reassurance that sperm production is not affected by TURP.
d. Discuss alternative methods of sexual expression besides intercourse.
ANS: B
ED is not a concern with TURP, although retrograde ejaculation is likely and the nurse should discuss this with the patient. Erectile function is not usually affected by a TURP, so the patient will not need information about penile implants or reassurance that other forms of sexual expression may be used. Because the patient has not asked about fertility, reassurance about sperm production does not address his concerns.
DIF: Cognitive Level: Apply (application)
REF:
1311
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
3. The health care provider prescribes finasteride (Proscar) for a 67-year-old patient who has
benign prostatic hyperplasia (BPH). When teaching the
Test Bank
MULTIPLE CHOICE
1. To determine the severity of the symptoms for a 68-year-old 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. erectile dysfunction (ED).
d. force of the urinary stream.
ANS: D
The American Urological Association (AUA) Symptom Index for a patient with BPH asks questions about the force and frequency of urination, nocturia, etc. Blood in the urine, ED, and back or hip pain are not typical symptoms of BPH.
DIF: Cognitive Level: Apply (application)
REF:
1308
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
2. A 58-year-old 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 maintain an erection during intercourse. Which action should the nurse take?
a. Provide teaching about medications for erectile dysfunction (ED).
b. Discuss that TURP does not commonly affect erectile function.
c. Offer reassurance that sperm production is not affected by TURP.
d. Discuss alternative methods of sexual expression besides intercourse.
ANS: B
ED is not a concern with TURP, although retrograde ejaculation is likely and the nurse should discuss this with the patient. Erectile function is not usually affected by a TURP, so the patient will not need information about penile implants or reassurance that other forms of sexual expression may be used. Because the patient has not asked about fertility, reassurance about sperm production does not address his concerns.
DIF: Cognitive Level: Apply (application)
REF:
1311
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
3. The health care provider prescribes finasteride (Proscar) for a 67-year-old patient who has
benign prostatic hyperplasia (BPH). When teaching the