NURS 2207 GU/MEN'S HEALTH
QUIZ QUESTIONS AND ANSWERS
(LATEST)
The nurse reviews the medical records of four male clients. Which
client would the nurse note as having the highest risk for development
of clinical manifestations related to prostate cancer?
1. African American 55-year-old
2. White 45-year-old
3. Asian 55-year-old
4. Hispanic 45-year-old - ANSWERS-1. African American 55-year-
old
Rationale:
Cancer of the prostate is rare before age 50 years but increases with
age. African American men develop cancer of the prostate more often
and at an earlier age than white men do. African American men
develop prostate cancer more often than any other ethnic group. Asian
American men have a lower incidence than white men do.
,After a prostatectomy, the client reported the urinary catheter tubing
pulled too tightly on the leg. The nurse observed the excessively taut
indwelling catheter tubing and properly taped tubing to the thigh.
Which action would the nurse implement?
1. Explain the tubing traction assists to control bleeding.
2. Adjust the catheter tubing tension to relieve the taut pressure.
3. Untape the urinary catheter and retape the catheter closer to the
urinary meatus.
4. Assess the degree of tension on the catheter and contact the primary
health care provider. - ANSWERS-1. Explain the tubing traction
assists to control bleeding.
Rationale:
Traction on the indwelling catheter pulls the balloon tight against the
prostatic fossa, which promotes hemostasis. The nurse must insure
maintenance of the catheter's tension until the primary health care
provider determines there is no longer a risk of bleeding. There is not
a need to notify the primary health care provider; pressure at the site
is an expectation.
The nurse shares the discharge instructions with a client who has
prostate cancer. The client asks, "How much more blood will they
need? Don't they have enough?" Which laboratory test would the
,nurse discuss the need to monitor throughout the course of the
disease?
1. Albumin
2. Creatinine
3. Blood urea nitrogen (BUN)
4. Prostate-specific antigen (PSA) - ANSWERS-4. Prostate-specific
antigen (PSA)
Rationale:
The PSA is an indication of the presence of prostate cancer; the higher
the level, the greater the tumor burden. The health care provider will
monitor the PSA levels throughout the course of the disease and
periodically thereafter. Albumin is a protein and an indicator of
nutritional and fluid status. Creatinine and BUN levels indicate renal
function and may elevate when blockage of the urethra occurs from
an enlarged prostate, but the reports do not indicate metastasis or
prostate cancer.
The client with a suprapubic prostatectomy for cancer of the prostate
has continuous bladder irrigations (CBI) in place after surgery. Which
primary goal is the nurse trying to achieve with the CBI?
1. Stimulate continuous formation of urine.
, 2. Facilitate the measurement of urinary output.
3. Prevent the development of clots in the bladder.
4. Provide continuous pressure on the prostatic fossa. - ANSWERS-3.
Prevent the development of clots in the bladder.
Rationale:
A continuous flushing of the bladder dilutes the bloody urine and
empties the bladder, preventing clots. Fluid instilled into the bladder
does not affect kidney function. Urinary output can be measured
regardless of the amount of fluid instilled. The urinary retention
catheter is not designed to exert pressure on the prostatic fossa.
Four days after a client had a cystectomy and formation of an ileal
conduit, the nurse observes mucus threads in the client's urine. Which
action would the nurse take?
1. Recognize that this is an expected response.
2. Obtain a specimen for culture and sensitivity.
3. Notify the primary health care provider immediately.
QUIZ QUESTIONS AND ANSWERS
(LATEST)
The nurse reviews the medical records of four male clients. Which
client would the nurse note as having the highest risk for development
of clinical manifestations related to prostate cancer?
1. African American 55-year-old
2. White 45-year-old
3. Asian 55-year-old
4. Hispanic 45-year-old - ANSWERS-1. African American 55-year-
old
Rationale:
Cancer of the prostate is rare before age 50 years but increases with
age. African American men develop cancer of the prostate more often
and at an earlier age than white men do. African American men
develop prostate cancer more often than any other ethnic group. Asian
American men have a lower incidence than white men do.
,After a prostatectomy, the client reported the urinary catheter tubing
pulled too tightly on the leg. The nurse observed the excessively taut
indwelling catheter tubing and properly taped tubing to the thigh.
Which action would the nurse implement?
1. Explain the tubing traction assists to control bleeding.
2. Adjust the catheter tubing tension to relieve the taut pressure.
3. Untape the urinary catheter and retape the catheter closer to the
urinary meatus.
4. Assess the degree of tension on the catheter and contact the primary
health care provider. - ANSWERS-1. Explain the tubing traction
assists to control bleeding.
Rationale:
Traction on the indwelling catheter pulls the balloon tight against the
prostatic fossa, which promotes hemostasis. The nurse must insure
maintenance of the catheter's tension until the primary health care
provider determines there is no longer a risk of bleeding. There is not
a need to notify the primary health care provider; pressure at the site
is an expectation.
The nurse shares the discharge instructions with a client who has
prostate cancer. The client asks, "How much more blood will they
need? Don't they have enough?" Which laboratory test would the
,nurse discuss the need to monitor throughout the course of the
disease?
1. Albumin
2. Creatinine
3. Blood urea nitrogen (BUN)
4. Prostate-specific antigen (PSA) - ANSWERS-4. Prostate-specific
antigen (PSA)
Rationale:
The PSA is an indication of the presence of prostate cancer; the higher
the level, the greater the tumor burden. The health care provider will
monitor the PSA levels throughout the course of the disease and
periodically thereafter. Albumin is a protein and an indicator of
nutritional and fluid status. Creatinine and BUN levels indicate renal
function and may elevate when blockage of the urethra occurs from
an enlarged prostate, but the reports do not indicate metastasis or
prostate cancer.
The client with a suprapubic prostatectomy for cancer of the prostate
has continuous bladder irrigations (CBI) in place after surgery. Which
primary goal is the nurse trying to achieve with the CBI?
1. Stimulate continuous formation of urine.
, 2. Facilitate the measurement of urinary output.
3. Prevent the development of clots in the bladder.
4. Provide continuous pressure on the prostatic fossa. - ANSWERS-3.
Prevent the development of clots in the bladder.
Rationale:
A continuous flushing of the bladder dilutes the bloody urine and
empties the bladder, preventing clots. Fluid instilled into the bladder
does not affect kidney function. Urinary output can be measured
regardless of the amount of fluid instilled. The urinary retention
catheter is not designed to exert pressure on the prostatic fossa.
Four days after a client had a cystectomy and formation of an ileal
conduit, the nurse observes mucus threads in the client's urine. Which
action would the nurse take?
1. Recognize that this is an expected response.
2. Obtain a specimen for culture and sensitivity.
3. Notify the primary health care provider immediately.
