Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. A 60-year-old man who had a prostatectomy 3 weeks earlier asks if the ongoing
incontinence will ever stop: What should the nurse understand about this procedure in
order to answer the patient?
a. Postprostatectomy incontinence is usually permanent:
b. Postprostatectomy incontinence usually clears up in 6 months:
c. Although the constant dribbling will stop, stress incontinence will continue:
d. Postprostatectomy incontinence frequently requires a second surgery to correct the
problem:
ANS: B
Postprostatectomy incontinence clears up in approximately 6 months in most patients:
DIF: Cognitive Level: Knowledge REF: p: 1070 OBJ: 1
TOP: Postprostatectomy Incontinence KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. After an accident at a track meet, a young male runner is brought to the emergency
department complaining of intense pain in his scrotum and nausea and vomiting: What
should the nurse suspect based on these initial findings?
a. Cryptorchidism
b. Testicular torsion
c. Varicocele
d. Epididymitis
ANS: B
Symptoms of testicular torsion are intense pain, often accompanied by nausea and
vomiting:
, DIF: Cognitive Level: Comprehension REF: p: 1076 OBJ: 1
TOP: Testicular Torsion KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. After a physician has left the room of a 30-year-old man who has been diagnosed with
testicular cancer, the patient covers his face with both hands and sighs: What is the
nurse’s most therapeutic intervention at this time?
a. Ask the patient, “Do you want to talk about your cancer?”
b. Leave the room and pull the door closed:
c. Go to the nurse’s station and call the patient’s wife:
d. Complete the patient care as quickly as possible:
ANS: A
You can help the patient through active listening, providing information, and referring
him for counselling as needed:
DIF: Cognitive Level: Application REF: p: 1078 OBJ: 3
TOP: Patient with Testicular Cancer KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
4. A nurse is formulating a teaching plan for a patient with acute prostatitis: What
information should be included regarding treatment?
a. There will be a 2-week period with a temporary catheter and the instillation of
antibiotics in the bladder:
b. There will be a 6-week course of antibiotics and anti-inflammatory drugs:
c. There will be a 6-week course of broad-spectrum antibiotics followed by a
prostatectomy:
d. There will be a 16-week protocol of sitz baths and the use of a sturdy scrotal
support:
ANS: B
Acute bacterial prostatitis is treated with antibiotics, analgesics, anti-inflammatory
drugs, and sitz baths for a period of 6 weeks: Chronic prostatitis requires a 16-week
period of antibiotic therapy: