Chapter 54: Male Reproductive and Genital
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ProblemsLewis: Medical-Surgical Nursing, 10th
i i i i i
Edition
i
MULTIPLE iCHOICE
1. To idetermine ithe iseverity iof ithe isymptoms ifor ia ipatient iwith ibenign iprostatic
hyperplasiai(BPH), ithe inurse iwill iask ithe ipatient iabout
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a. blood iin ithe iurine. c. force iof iurinary istream.
b. lower iback ior ihip ipain. d. i erectile idysfunction i(ED).
ANS: i C
The iAmerican iUrological iAssociation iSymptom iIndex ifor ia ipatient iwith iBPH iasks
iquestionsiabout ithe iforce iand ifrequency iof iurination, inocturia, iand iso ion. iBlood iin ithe iurine,
iED, iand iback ior ihip ipain iare inot itypical isymptoms iof iBPH.
DIF: Cognitive iLevel: iApply i(application) REF: 1268
TOP: i Nursing iProcess: iAssessment MSC: i NCLEX: iPhysiological iIntegrity
2. A ipatient iwho ihas ibeen irecently idiagnosed iwith ibenign iprostatic ihyperplasia i(BPH) itells ithe
nurse ithat ihe idoes inot iwant ito ihave ia itransurethral iresection iof ithe iprostate i(TURP) ibecause
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itimight iaffect ihis iability ito ihave isexual iintercourse. iWhich iaction ishould ithe inurse itake?
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a. Discuss ialternative imethods iof isexual iexpression.
b. Teach iabout imedication ifor ierectile idysfunction i(ED).
c. Clarify ithat iTURP idoes inot icommonly iaffect ierection.
d. Offer ireassurance ithat ifertility iis inot iaffected iby iTURP.
ANS: i C
ED iis inot ia iconcern iwith iTURP, ialthough iretrograde iejaculation iis ilikely, iand ithe inurse ishould
idiscuss ithis iwith ithe ipatient. iErectile ifunction iis inot iusually iaffected iby ia iTURP, iso itheipatient
iwill inot ineed iinformation iabout ipenile iimplants ior ireassurance ithat iother iforms iof isexual
iexpression imay ibe iused. iBecause ithe ipatient ihas inot iasked iabout ifertility, ireassurance iabout
isperm iproduction i does inot iaddress ihis iconcerns.
DIF: Cognitive iLevel: iApply i(application) REF: 1272
TOP: i Nursing iProcess: iImplementation MSC: i NCLEX: iPhysiological iIntegrity
3. The ihealth icare iprovider iprescribes ifinasteride i(Proscar) ifor ia ipatient iwho ihas ibenign
prostaticihyperplasia i(BPH). iWhen iteaching ithe ipatient iabout ithe idrug, ithe inurse iinforms ihim
i
that
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a. he ishould ichange iposition ifrom ilying ito istanding islowly ito iavoid idizziness.
b. his iinterest iin isexual iactivity imay idecrease iwhile ihe iis itaking ithe imedication.
c. improvement iin ithe iobstructive isymptoms ishould ioccur iwithin iabout i2 iweeks.
d. he iwill ineed ito imonitor ihis iblood ipressure ifrequently ito iassess ifor ihypertension.
ANS: i B
A idecrease iin ilibido iis ia iside ieffect iof ifinasteride ibecause iof ithe iandrogen isuppression ithat
ioccurs iwith ithe idrug. iAlthough iorthostatic ihypotension imay ioccur iif ithe ipatient iis ialso itakingia
imedication ifor ierectile idysfunction, iit ishould inot ioccur iwith ifinasteride ialone. i Improvementiin
isymptoms iof iobstruction itakes iabout i6 imonths. iThe imedication idoes inot icause ihypertension.
i i i i i
ProblemsLewis: Medical-Surgical Nursing, 10th
i i i i i
Edition
i
MULTIPLE iCHOICE
1. To idetermine ithe iseverity iof ithe isymptoms ifor ia ipatient iwith ibenign iprostatic
hyperplasiai(BPH), ithe inurse iwill iask ithe ipatient iabout
i
a. blood iin ithe iurine. c. force iof iurinary istream.
b. lower iback ior ihip ipain. d. i erectile idysfunction i(ED).
ANS: i C
The iAmerican iUrological iAssociation iSymptom iIndex ifor ia ipatient iwith iBPH iasks
iquestionsiabout ithe iforce iand ifrequency iof iurination, inocturia, iand iso ion. iBlood iin ithe iurine,
iED, iand iback ior ihip ipain iare inot itypical isymptoms iof iBPH.
DIF: Cognitive iLevel: iApply i(application) REF: 1268
TOP: i Nursing iProcess: iAssessment MSC: i NCLEX: iPhysiological iIntegrity
2. A ipatient iwho ihas ibeen irecently idiagnosed iwith ibenign iprostatic ihyperplasia i(BPH) itells ithe
nurse ithat ihe idoes inot iwant ito ihave ia itransurethral iresection iof ithe iprostate i(TURP) ibecause
i
itimight iaffect ihis iability ito ihave isexual iintercourse. iWhich iaction ishould ithe inurse itake?
i
a. Discuss ialternative imethods iof isexual iexpression.
b. Teach iabout imedication ifor ierectile idysfunction i(ED).
c. Clarify ithat iTURP idoes inot icommonly iaffect ierection.
d. Offer ireassurance ithat ifertility iis inot iaffected iby iTURP.
ANS: i C
ED iis inot ia iconcern iwith iTURP, ialthough iretrograde iejaculation iis ilikely, iand ithe inurse ishould
idiscuss ithis iwith ithe ipatient. iErectile ifunction iis inot iusually iaffected iby ia iTURP, iso itheipatient
iwill inot ineed iinformation iabout ipenile iimplants ior ireassurance ithat iother iforms iof isexual
iexpression imay ibe iused. iBecause ithe ipatient ihas inot iasked iabout ifertility, ireassurance iabout
isperm iproduction i does inot iaddress ihis iconcerns.
DIF: Cognitive iLevel: iApply i(application) REF: 1272
TOP: i Nursing iProcess: iImplementation MSC: i NCLEX: iPhysiological iIntegrity
3. The ihealth icare iprovider iprescribes ifinasteride i(Proscar) ifor ia ipatient iwho ihas ibenign
prostaticihyperplasia i(BPH). iWhen iteaching ithe ipatient iabout ithe idrug, ithe inurse iinforms ihim
i
that
i
a. he ishould ichange iposition ifrom ilying ito istanding islowly ito iavoid idizziness.
b. his iinterest iin isexual iactivity imay idecrease iwhile ihe iis itaking ithe imedication.
c. improvement iin ithe iobstructive isymptoms ishould ioccur iwithin iabout i2 iweeks.
d. he iwill ineed ito imonitor ihis iblood ipressure ifrequently ito iassess ifor ihypertension.
ANS: i B
A idecrease iin ilibido iis ia iside ieffect iof ifinasteride ibecause iof ithe iandrogen isuppression ithat
ioccurs iwith ithe idrug. iAlthough iorthostatic ihypotension imay ioccur iif ithe ipatient iis ialso itakingia
imedication ifor ierectile idysfunction, iit ishould inot ioccur iwith ifinasteride ialone. i Improvementiin
isymptoms iof iobstruction itakes iabout i6 imonths. iThe imedication idoes inot icause ihypertension.
