NSG 6001 Week 4 Questions and Answers 2023 with
complete solution
An older male patient reports urinary frequency, back pain, and nocturia. A
dipstick urinalysis reveals hematuria. What will the provider do next to evaluate
this condition?
PSA and perform a digital rectal exam
An older male patient has a screening PSA which is 12 ng/ml. What does this
value indicate.
BPH
A male patient reports nocturia and daytime urinary frequency and urgency
without changes in the force of the urine stream. What is the likely cause of this?
UTI
A 70 year old male reports urinary hesitancy, post void dribbling, and a
diminished urine stream. A digital rectal exam reveals an enlarged prostate gland
that feels rubbery and smooth. Which tests will the primary care provider order
based on these findings?
Urinalysis and serum creatinine
The provider orders the oral phosphodiesterase type 5 inhibitor Sildenafil to treat
erectile dysfunction in a 65-year-old male patient. What will be included when
teaching this patient about taking this medication? Select all that apply.
Take on an empty stomach
The medication effects may last for 24-36 hours
Medication may be taken once daily
Which is true about hypoactive sexual desire in older men?
Hypoactive sexual desire in older men is related to sexual aversion.
A young adult male reports a dull pain in the scrotum and the provider notes a
bluish color showing through the skin on the affected side. Palpation reveals a
"bag of worms" on the proximal spermatic cord. What is an important next step in
managing this patient?
Referral to an emergency department for surgical consultation.
An adolescent male reports severe pain in one testicle. The examiner notes
edema and erythema of the scrotum on that side with a swollen, tender spermatic
cord and absence of the cremasteric reflex. What is the most important
intervention?
Doppler ultrasound to assess testicular blood flow.
A high school athlete is brought to the emergency department after collapsing
during outdoor practice on a hot day. The patient is weak, irritable, and confused.
Serum NA is 152 mEq/ml and has dry mucous membranes and tachycardia. What
is the initial approach for rehydration in this patient?
Intravenous fluid resuscitation with an isotonic solution.
An elderly patient who is taking thiazide diuretic has been ill with nausea and
vomiting and is brought into the emergency department for evaluation. An
assessment reveals oliguria, hypertension, and tachycardia and serum sodium is
118 mEq/ml. What is the treatment?
complete solution
An older male patient reports urinary frequency, back pain, and nocturia. A
dipstick urinalysis reveals hematuria. What will the provider do next to evaluate
this condition?
PSA and perform a digital rectal exam
An older male patient has a screening PSA which is 12 ng/ml. What does this
value indicate.
BPH
A male patient reports nocturia and daytime urinary frequency and urgency
without changes in the force of the urine stream. What is the likely cause of this?
UTI
A 70 year old male reports urinary hesitancy, post void dribbling, and a
diminished urine stream. A digital rectal exam reveals an enlarged prostate gland
that feels rubbery and smooth. Which tests will the primary care provider order
based on these findings?
Urinalysis and serum creatinine
The provider orders the oral phosphodiesterase type 5 inhibitor Sildenafil to treat
erectile dysfunction in a 65-year-old male patient. What will be included when
teaching this patient about taking this medication? Select all that apply.
Take on an empty stomach
The medication effects may last for 24-36 hours
Medication may be taken once daily
Which is true about hypoactive sexual desire in older men?
Hypoactive sexual desire in older men is related to sexual aversion.
A young adult male reports a dull pain in the scrotum and the provider notes a
bluish color showing through the skin on the affected side. Palpation reveals a
"bag of worms" on the proximal spermatic cord. What is an important next step in
managing this patient?
Referral to an emergency department for surgical consultation.
An adolescent male reports severe pain in one testicle. The examiner notes
edema and erythema of the scrotum on that side with a swollen, tender spermatic
cord and absence of the cremasteric reflex. What is the most important
intervention?
Doppler ultrasound to assess testicular blood flow.
A high school athlete is brought to the emergency department after collapsing
during outdoor practice on a hot day. The patient is weak, irritable, and confused.
Serum NA is 152 mEq/ml and has dry mucous membranes and tachycardia. What
is the initial approach for rehydration in this patient?
Intravenous fluid resuscitation with an isotonic solution.
An elderly patient who is taking thiazide diuretic has been ill with nausea and
vomiting and is brought into the emergency department for evaluation. An
assessment reveals oliguria, hypertension, and tachycardia and serum sodium is
118 mEq/ml. What is the treatment?
