Lewis Test Bank BPH QUESTIONS
WITH CORRECT ANSWERS GRADED
A+
The nurse taking a focused health history for a patient with possible testicular
cancer will ask the patient about a history of
a. testicular torsion.
b. testicular trauma.
C. undescended testicles.
d. sexually transmitted infection (STI).
C. undescended testicles.
Rational:
Cryptorchidism is a risk factor for testicular cancer if it is not corrected before
puberty. STI, testicular torsion, and testicular trauma are risk factors for other
testicular conditions but not for testicular cancer.
The nurse will plan to provide teaching for a 67-year-old patient who has been
diagnosed with orchitis about
A. pain management.
b. emergency surgical repair.
c. application of heat to the scrotum.
d. aspiration of fluid from the scrotal sac.
A. pain management.
Rational:
Orchitis is very painful, and effective pain management will be needed. Heat,
aspiration, and surgery are not used to treat orchitis.
A 71-year-old patient who has benign prostatic hyperplasia (BPH) with urinary
retention is admitted to the hospital with elevated blood urea nitrogen (BUN)
, and creatinine. Which prescribed therapy should the nurse implement first?
a. Infuse normal saline at 50 mL/hr.
B. Insert a urinary retention catheter.
c. Draw blood for a complete blood count.
d. Schedule a pelvic computed tomography (CT) scan.
B. Insert a urinary retention catheter.
Rational:
The patient data indicate that the patient may have acute kidney injury caused by the
BPH. The initial therapy will be to insert a catheter. The other actions are also
appropriate, but they can be implemented after the acute urinary retention is
resolved.
To determine the severity of the symptoms for a 68-year-old patient with
benign prostatic hyperplasia (BPH) the nurse will ask the patient about
a. blood in the urine.
b. lower back or hip pain.
c. erectile dysfunction (ED).
D. force of the urinary stream.
D. force of the urinary stream.
Rational:
The American Urological Association (AUA) Symptom Index for a patient with BPH
asks questions about the force and frequency of urination, nocturia, etc. Blood in the
urine, ED, and back or hip pain are not typical symptoms of BPH.
A 58-year-old patient who has been recently diagnosed with benign prostatic
hyperplasia (BPH) tells the nurse that he does not want to have a transurethral
resection of the prostate (TURP) because it might affect his ability to maintain
an erection during intercourse. Which action should the nurse take?
Discuss that TURP does not commonly affect erectile function.
Rational:
ED is not a concern with TURP, although retrograde ejaculation is likely and the
nurse should discuss this with the patient. Erectile function is not usually affected by
a TURP, so the patient will not need information about penile implants or
reassurance that other forms of sexual expression may be used. Because the patient
WITH CORRECT ANSWERS GRADED
A+
The nurse taking a focused health history for a patient with possible testicular
cancer will ask the patient about a history of
a. testicular torsion.
b. testicular trauma.
C. undescended testicles.
d. sexually transmitted infection (STI).
C. undescended testicles.
Rational:
Cryptorchidism is a risk factor for testicular cancer if it is not corrected before
puberty. STI, testicular torsion, and testicular trauma are risk factors for other
testicular conditions but not for testicular cancer.
The nurse will plan to provide teaching for a 67-year-old patient who has been
diagnosed with orchitis about
A. pain management.
b. emergency surgical repair.
c. application of heat to the scrotum.
d. aspiration of fluid from the scrotal sac.
A. pain management.
Rational:
Orchitis is very painful, and effective pain management will be needed. Heat,
aspiration, and surgery are not used to treat orchitis.
A 71-year-old patient who has benign prostatic hyperplasia (BPH) with urinary
retention is admitted to the hospital with elevated blood urea nitrogen (BUN)
, and creatinine. Which prescribed therapy should the nurse implement first?
a. Infuse normal saline at 50 mL/hr.
B. Insert a urinary retention catheter.
c. Draw blood for a complete blood count.
d. Schedule a pelvic computed tomography (CT) scan.
B. Insert a urinary retention catheter.
Rational:
The patient data indicate that the patient may have acute kidney injury caused by the
BPH. The initial therapy will be to insert a catheter. The other actions are also
appropriate, but they can be implemented after the acute urinary retention is
resolved.
To determine the severity of the symptoms for a 68-year-old patient with
benign prostatic hyperplasia (BPH) the nurse will ask the patient about
a. blood in the urine.
b. lower back or hip pain.
c. erectile dysfunction (ED).
D. force of the urinary stream.
D. force of the urinary stream.
Rational:
The American Urological Association (AUA) Symptom Index for a patient with BPH
asks questions about the force and frequency of urination, nocturia, etc. Blood in the
urine, ED, and back or hip pain are not typical symptoms of BPH.
A 58-year-old patient who has been recently diagnosed with benign prostatic
hyperplasia (BPH) tells the nurse that he does not want to have a transurethral
resection of the prostate (TURP) because it might affect his ability to maintain
an erection during intercourse. Which action should the nurse take?
Discuss that TURP does not commonly affect erectile function.
Rational:
ED is not a concern with TURP, although retrograde ejaculation is likely and the
nurse should discuss this with the patient. Erectile function is not usually affected by
a TURP, so the patient will not need information about penile implants or
reassurance that other forms of sexual expression may be used. Because the patient
