Genitourinary (Male)

Feel free to use these questions elsewhere, but please credit me by linking back to this site. Answer key with rationales found below.

  1. A nurse is preparing to assess a patient with BPH. The nurse expects the patient to report which of the following (select all that apply)?
    1. Getting up during the night to urinate
    2. Increased force of urine stream
    3. Anuria
    4. Frequency
    5. Intermittency
  2. The nurse is preparing to admit a patient who is post-op following a prostatectomy. The nurse knows it is important to
    1. Irrigate the bladder to clear
    2. Maintain clean technique for cather care
    3. Administer anticholinergics to decrease diarrhea
    4. Keep the bladder irrigation fluid above the level of the patient’s bladder
  3. A 25 year old male African-American patient presents to the clinic. He has undescended testicles and a history of HIV. He smokes a half pack per day and drinks alcohol on the weekends. The nurse knows it is important to educate this patient about self-testicular examination based on his (select all that apply)…
    1. Age
    2. Ethnicity
    3. Cryptorchidism
    4. History of HIV
    5. Smoking
    6. Alcohol use

  1. 1, 4, 5

    Signs of BPH include nocturia, frequency, intermittency, decreased force of stream, urgency, dysuria, bladder pain, incontinence, difficulty starting, and dribbling.

  2. 4

    The nurse should ensure that the irrigation fluid is kept above the patient’s bladder and that the drainage bag is below the patient’s bladder. The nurse should irrigate the bladder to pink, maintain aspetic technique for catheter care, and should prepare to adminsiter stool softeners to prevent constipation.

  3. 1, 3, 4

    Testicular cancer is most common in 15-35 year old males.It is more comon in those with undescended testicles (cryptorchidism), those with a history of HIV, those with a family history of testicular cancer, and those with a history of orchitis. There is yet no link known between testicular cancer and ethnicity, smoking, or alcohol use.

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