Which action by the unlicensed assistive personnel (UAP) who are assisting with the care of patients with male reproductive problems indicates that the nurse should provide more teaching?
a. The UAP apply a cold pack to the scrotum for a patient with mumps orchitis.
b. The UAP help a patient who has had a prostatectomy to put on antiembolism hose.
c. The UAP leave the foreskin pulled back after cleaning the glans of a patient who has a retention catheter.
d. The UAP encourage a high oral fluid intake for patient who had transurethral resection of the prostate yesterday.
Question 2When obtaining the pertinent health history for a man who is being evaluated for infertility, which question is most important for the nurse to ask?
a. Are you circumcised?
b. Have you had surgery for phimosis?
c. Do you use medications to improve muscle mass?
d. Is there a history of prostate cancer in your family?
Question 3Several patients call the urology clinic requesting appointments with the health care provider as soon as possible. Which patient will the nurse schedule to be seen first?
a. 22-year-old who has noticed a firm, nontender lump on his scrotum
b. 35-year-old who is concerned that his scrotum feels like a bag of worms
c. 40-year-old who has pelvic pain while being treated for chronic prostatitis
d. 70-year-old who is reporting frequent urinary dribbling after a prostatectomy
Question 4A 76-year-old patient who has been diagnosed with stage 2 prostate cancer chooses the option of active surveillance. The nurse will plan to
a. vaccinate the patient with sipuleucel-T ( Provenge).
b. provide the patient with information about cryotherapy.
c. teach the patient about placement of intraurethral stents.
d. schedule the patient for annual prostate-specific antigen testing.
Question 5The health care provider prescribes the following interventions for a patient with acute prostatitis caused by E. coli. Which intervention should the nurse question?
a. Instruct patient to avoid sexual intercourse until treatment is complete.
b. Administer ibuprofen (Advil) 400 mg every 8 hours as needed for pain.
c. Catheterize the patient as needed if symptoms of urinary retention develop.
d. Give trimethoprim/sulfamethoxazole (Bactrim) DS 1 tablet daily for 28 days.
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