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Fnsame Fnsame
wrote...
Posts: 588
Rep: 3 0
6 years ago
The nurse reviews teaching provided to a client recovering from prostate surgery. Which client statements indicate that teaching has been effective? (Select all that apply.)
 
  1. I can have sex in 3 weeks.
  2. I will be healed in 2 weeks.
  3. I should not drive for 2 weeks.
  4. I should take stool softeners as prescribed.
  5. I should drink up to 3 liters of fluid per day.

Question 2

The nurse is evaluating the effectiveness of teaching provided to a client with erectile dysfunction. Which comment made by the client should be addressed by the nurse?
 
  1. I do not want to upset my wife so I will share my concerns with you.
  2. I know there are surgical options if I cannot tolerate the pills.
  3. I am not embarrassed to tell you I am unable to have an erection.
  4. I know I need to take the sildenafil (Viagra) about an hour before having sex.

Question 3

The nurse is conducting a community education program on testicular cancer. What should the nurse include as early signs and symptoms of testicular cancer?
 
  1. Enlargement of the scrotum
  2. Severe pain in the groin
  3. Difficulty maintaining an erection
  4. A painless, hard nodule on a testicle

Question 4

A client with cryptorchidism is being seen at the infertility clinic. The nurse gives high priority to including which instruction?
 
  1. Advising the client to seek the assistance of a sex counselor
  2. Teaching testicular self-exam (TSE) due to risk for testicular cancer
  3. Avoiding the use of scrotal support devices
  4. Avoiding strenuous activity

Question 5

The client with epididymitis is prescribed antibiotics. What should the nurse instruct the client at this time?
 
  1. Use ice packs on your scrotum and wear scrotal support.
  2. Take the antibiotics until the swelling subsides.
  3. Take warm sitz baths three to four times a day.
  4. You may resume sexual activity after forty-eight hours.

Question 6

When caring for the client who has had a transurethral resection of the prostate (TURP), the nurse should assess the client frequently for which complication?
 
  1. Hypertension and bradycardia
  2. Bright red blood and large clots in the urine
  3. Large amounts of dilute, light pink urine
  4. Increased hemoglobin and hematocrit

Question 7

When caring for a client who has had a prostatectomy, discharge teaching by the nurse should include:
 
  1. restriction of fluids to reduce incontinence.
  2. use of a condom catheter for incontinence.
  3. kegel exercises and bladder training for incontinence.
  4. provide a list of absorbent products for urinary incontinence.

Question 8

A 38-year-old male client tells the nurse that he is afraid that he is sterile. Which client statement helps the nurse determine that the client is sterile and not infertile?
 
  1. I have had unprotected sex with my wife for eight months and she has not conceived.
  2. I was treated for a sexually transmitted disease a few years ago.
  3. I only have one orgasm while having intercourse.
  4. I have had unprotected sex for the past ten years with my wife who has a child from a previous marriage.
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Replies
wrote...
6 years ago
The answer to question 1

Answer: 3, 4, 5

1. Sexual intercourse should be avoided for 6 weeks.
2. Healing will take up to 8 weeks.
3. Driving should be avoided for 2 weeks.
4. Stool softeners should be taken to prevent straining with bowel movements.
5. Fluids should be increased up to 3 liters per day.

The answer to question 2

Answer: 1

1. Clients should express a willingness to share concerns with their partners, since the problem affects both parties and fosters communication.
2. An implantable prosthesis is a surgical option.
3. Willingness to discuss with a health care worker is positive.
4. This statement does not need to be questioned.

The answer to question 3

Answer: 4

1. Enlargement of one testicle, hard lumps, or an irregular shape are signs of testicular cancer.
2. Enlargement of one testicle, hard lumps, or an irregular shape are signs of testicular cancer.
3. Enlargement of one testicle, hard lumps, or an irregular shape are signs of testicular cancer.
4. Enlargement of one testicle, hard lumps, or an irregular shape are signs of testicular cancer.

The answer to question 4

Answer: 2

1. A sex counselor is not required.
2. Testicular cancer risk is increased with cryptorchidism. It may cause problems with fertility, which should be addressed by a fertility specialist.
3. Scrotal supports are not needed.
4. Activity is not restricted.

The answer to question 5

Answer: 1

1. Ice packs and scrotal supports are recommended to relieve pain.
2. The complete course of antibiotics should be taken.
3. Warm sitz baths would increase pain.
4. Client should be counseled regarding sexually transmitted diseases.

The answer to question 6

Answer: 2

1. Frank red blood, large clots, decreased urinary output, a decrease in hemoglobin and hematocrit, tachycardia, and hypotension could indicate hemorrhage.
2. Frank red blood, large clots, decreased urinary output, a decrease in hemoglobin and hematocrit, tachycardia, and hypotension could indicate hemorrhage.
3. Frank red blood, large clots, decreased urinary output, a decrease in hemoglobin and hematocrit, tachycardia, and hypotension could indicate hemorrhage.
4. Frank red blood, large clots, decreased urinary output, a decrease in hemoglobin and hematocrit, tachycardia, and hypotension could indicate hemorrhage.

The answer to question 7

Answer: 3

1. Fluids should not be restricted.
2. A condom catheter may be indicated for total incontinence.
3. Because stress incontinence often occurs following a prostatectomy, Kegel exercises can improve urine retention.
4. A referral to a physical therapist or continence specialist may be indicated.

The answer to question 8

Answer: 4

1. Infertility is an inability to conceive during a one-year period of unprotected intercourse.
2. Some STDs can cause infertility, but further information would be necessary.
3. The number of orgasms does not predict fertility.
4. Since client has not conceived a child in 10 years and knowing the wife is not infertile supports sterility.
Fnsame Author
wrote...
6 years ago
I sincerely appreciate your time, great answers!
wrote...
6 years ago
Thank you for commenting back
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