Chapter 53: Male Reproductive System
Introduction
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. A patient has been prescribed flutamide (Eulexin) for the treatment of prostate cancer:
What possible side effect should the nurse remind the patient might occur?
a. Incontinence
b. Insomnia
c. Weight loss
d. Hot flashes
ANS: D
Hot flashes, ED, edema, hypertension, and confusion are some of the side effects of
flutamide:
DIF: Cognitive Level: Knowledge REF: p: 1059 OBJ: 4
TOP: Flutamide KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
2. What instruction should a nurse include when giving education about taking sildenafil
(Viagra)?
a. No more than two tablets should be taken in a 24-hour period:
b. Erection occurs without stimulation:
c. Nitrates should be taken at least 4 hours before taking Viagra:
d. Tablet should be taken 1 hour before sexual activity:
ANS: D
Viagra should be taken 1 hour before sexual activity: Erection depends on
stimulation: No more than one tablet a day should be taken: Persons taking nitrates
should not take Viagra because of the risk of a possibly fatal myocardial infarction:
, DIF: Cognitive Level: Comprehension REF: p: 1060 OBJ: 4
TOP: Sildenafil (Viagra) KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
3. When completing a health history with a patient, a nurse should encourage the patient to
describe the symptoms in objective terms: Which statement is a good example of the
description of pain?
a. “This spot seems to hurt more right here:”
b. “This pain is the worst pain in the world:”
c. “My pain reminds me of when I hurt my foot last year:”
d. “I would say my pain is a 5 on a scale from 1 to 10:”
ANS: D
Encourage the patient to use descriptive terms such as stinging or aching and ask him
to indicate the intensity on a scale from 1 to 10:
DIF: Cognitive Level: Application REF: p: 1052 OBJ: 2
TOP: Health History KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
4. What is the purpose of the urethral smear?
a. Screens for human immunodeficiency viral (HIV) infection:
b. Detects sexually transmitted infections:
c. Verifies fertility through a sperm count:
d. Eliminates concerns of prostate problems:
ANS: B
A sterile swab is inserted into the urethra to obtain a specimen to detect sexually
transmitted infections:
DIF: Cognitive Level: Knowledge REF: p: 1057 OBJ: 3
TOP: Diagnostic Tests KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
Introduction
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. A patient has been prescribed flutamide (Eulexin) for the treatment of prostate cancer:
What possible side effect should the nurse remind the patient might occur?
a. Incontinence
b. Insomnia
c. Weight loss
d. Hot flashes
ANS: D
Hot flashes, ED, edema, hypertension, and confusion are some of the side effects of
flutamide:
DIF: Cognitive Level: Knowledge REF: p: 1059 OBJ: 4
TOP: Flutamide KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
2. What instruction should a nurse include when giving education about taking sildenafil
(Viagra)?
a. No more than two tablets should be taken in a 24-hour period:
b. Erection occurs without stimulation:
c. Nitrates should be taken at least 4 hours before taking Viagra:
d. Tablet should be taken 1 hour before sexual activity:
ANS: D
Viagra should be taken 1 hour before sexual activity: Erection depends on
stimulation: No more than one tablet a day should be taken: Persons taking nitrates
should not take Viagra because of the risk of a possibly fatal myocardial infarction:
, DIF: Cognitive Level: Comprehension REF: p: 1060 OBJ: 4
TOP: Sildenafil (Viagra) KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
3. When completing a health history with a patient, a nurse should encourage the patient to
describe the symptoms in objective terms: Which statement is a good example of the
description of pain?
a. “This spot seems to hurt more right here:”
b. “This pain is the worst pain in the world:”
c. “My pain reminds me of when I hurt my foot last year:”
d. “I would say my pain is a 5 on a scale from 1 to 10:”
ANS: D
Encourage the patient to use descriptive terms such as stinging or aching and ask him
to indicate the intensity on a scale from 1 to 10:
DIF: Cognitive Level: Application REF: p: 1052 OBJ: 2
TOP: Health History KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
4. What is the purpose of the urethral smear?
a. Screens for human immunodeficiency viral (HIV) infection:
b. Detects sexually transmitted infections:
c. Verifies fertility through a sperm count:
d. Eliminates concerns of prostate problems:
ANS: B
A sterile swab is inserted into the urethra to obtain a specimen to detect sexually
transmitted infections:
DIF: Cognitive Level: Knowledge REF: p: 1057 OBJ: 3
TOP: Diagnostic Tests KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
