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The nurse taking a focused health history for a patient with
possible testicular cancer will ask the patient about a
history of
a. testicular torsion.
b. testicular trauma.
c. undescended testicles.
d. sexually transmitted infection (STI). - Answer-ANS: C
Cryptorchidism is a risk factor for testicular cancer if it is
not corrected before puberty. STI, testicular torsion, and
testicular trauma are risk factors for other testicular
conditions but not for testicular cancer.
After a transurethral resection of the prostate (TURP), a
64-year-old patient with continuous bladder irrigation
complains of painful bladder spasms. The nurse observes
clots in the urine. Which action should the nurse take first?
a. Increase the flow rate of the bladder irrigation.
b. Administer the prescribed IV morphine sulfate.
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c. Give the patient the prescribed belladonna and opium
suppository.
d. Manually instill and then withdraw 50 mL of saline into
the catheter. - Answer-ANS: D
The assessment suggests that obstruction by a clot is
causing the bladder spasms, and the nurse's first action
should be to irrigate the catheter manually and to try to
remove the clots. IV morphine will not decrease the
spasm, although pain may be reduced. Increasing the flow
rate of the irrigation will further distend the bladder and
may increase spasms. The belladonna and opium
suppository will decrease bladder spasms but will not
remove the obstructing blood clot.
The nurse in the clinic notes elevated prostate specific
antigen (PSA) levels in the laboratory results of these
patients. Which patient's PSA result is most important to
report to the health care provider?
a. A 38-year-old who is being treated for acute prostatitis
b. A 48-year-old whose father died of metastatic prostate
cancer
c. A 52-year-old who goes on long bicycle rides every
weekend
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d. A 75-year-old who uses saw palmetto to treat benign
prostatic hyperplasia (BPH) - Answer-B
A 57-year-old patient is incontinent of urine following a
radical retropubic prostatectomy. The nurse will plan to
teach the patient
a. to restrict oral fluid intake.
b. pelvic floor muscle exercises.
c. to perform intermittent self-catheterization.
d. the use of belladonna and opium suppositories. -
Answer-B
Several patients call the urology clinic requesting
appointments with the health care provider as soon as
possible. Which patient will the nurse schedule to be seen
first?
a. 22-year-old who has noticed a firm, nontender lump on
his scrotum
b. 35-year-old who is concerned that his scrotum "feels
like a bag of worms"
c. 40-year-old who has pelvic pain while being treated for
chronic prostatitis