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Terms in this set (103)A patient with benign prostatic hyperplasia (BHP) is being considered for a transurethral resection of the prostate (TURP). What complications can occur as a result of this procedure? Select all that apply. A. Fluid overload After returning from transurethral resection of the prostate, the patient's urine in the continuous bladder irrigation system is a burgundy color. Which patient needs does the nurse anticipate after the surgeon sees the patient? Select all that apply. C. Antispasmodic drugs A patient is diagnosed with benign prostatic hyperplasia (BPH). When discussing the diagnosis with the patient, the nurse would likely make which statement? B. "The exact cause of BPH is unclear." A patient was recently diagnosed with benign prostatic hyperplasia (BPH). The nurse is teaching the patient the physiology of the bladder and prostate in patients with BPH. Which statement by the patient indicates the need for further teaching? D. "The bladder muscle thins to help urine push past the enlarged prostate gland." A patient with benign prostatic hyperplasia is being discharged with alpha-adrenergic blockers. Which
information is important for the nurse to include when teaching the patient about this type of pharmacologic management? Select all that apply. A. Be careful when changing positions. The nurse is assessing a patient for benign prostatic hyperplasia (BPH) using the International Prostate Symptoms Score (I-PSS). What statement most accurately describes the I-PSS system? C. It asks the patient about the severity of urinary symptoms. The nurse is preparing a patient for a digital rectal examination (DRE) of the prostate. What does the nurse teach the patient about the examination? A. The patient must void before the physical examination. The nurse is caring for a patient who is being treated with a 5-alpha reductase inhibitor (5-ARI) as the first-line drug therapy for benign prostatic hyperplasia (BPH). What instruction does the nurse
give to the patient about this therapy? B. Orthostatic hypotension is a side effect of this treatment. Which method is a common complementary and
alternative therapy for benign prostatic hyperplasia (BPH)? C. Serenoa repens The nursing instructor is teaching a group of nursing students how to prepare a patient with benign prostatic hyperplasia (BPH) for a digital rectal examination (DRE). What statement by a student nurse indicates a need for further teaching? A. "The residual urine will be measured during the examination." What noninvasive techniques are available to destroy
excess prostate tissue in patients with benign prostatic hyperplasia (BPH) who do not experience a relief of urinary symptoms with drug therapy? Select all that apply. A. Contact laser prostatectomy What preoperative teaching does the nurse provide to a patient who is to undergo a transurethral resection of the prostate (TURP)? B. Epidural or spinal anesthesia will be administered to the patient. The nurse is obtaining a health history from a patient suspected of benign prostatic hyperplasia (BPH). What are the symptoms of BPH? Select all that apply. B. Frequent waking during the night to void A patient with erectile
dysfunction (ED) is prescribed phosphodiesterace-5 (PDE-5) inhibitors. What are the dosing-related side effects of PDE-5? Select all that apply. A. Dyspepsia The nurse is teaching a patient about taking tadalafil (Cialis) for erectile
dysfunction. Which statement by the patient indicates a need for further teaching? A. "I must have sex within an hour after taking the drug." Which symptoms are most likely to occur with benign enlargement of the prostate? Select all that apply. B. Bladder calculi A patient is scheduled for a transurethral resection of the prostate (TURP) for benign prostatic hyperplasia. What preoperative information must the patient understand? B. Sexual function is not usually affected with TURP. The nurse is caring for a patient with erectile dysfunction who has not had success with other treatment modalities. The nurse anticipates that the health care provider will recommend which treatment for this patient? A. Penile implants
When planning care for a patient who is Jewish, which spiritual leader should the nurse include as a potential health care resource? A. Rabbi A patient underwent a transurethral resection of the prostate (TURP) yesterday for benign prostatic hyperplasia. What intervention does the nurse perform for the patient during the first postoperative
day? B. Assess for excessive bleeding. A nurse is performing vitals on a patient who is recovering from a transurethral resection of the prostrate (TURP) and notices that arterial bleeding is occurring and the urinary drainage is bright red with numerous clots.
What should the nurse do? Select all that apply. B. Notify the surgeon immediately Which are risk
factors for development of benign prostatic hyperplasia (BPH)? Select all that apply. A. Obesity The nurse assesses a patient with
BPH and notices that he has some signs and symptoms of depression. What urinary symptoms most likely contributed to his depression? Select all that apply. A. Nocturia A patient had a transurethral resection of the prostate (TURP) yesterday. The staff nurse
notes that the urinary output from the catheter has decreased and the patient is reporting severe bladder spasms. What is the nurse's priority action? B. Irrigate the catheter with normal saline. The nurse is caring for a patient
after a transurethral resection of the prostate. What action does the nurse take? B. Use normal saline solution for bladder irrigant. A patient has undergone transurethral resection of the
prostate (TURP) for benign prostatic hyperplasia. Upon discharge, the nurse should give the patient instructions about performing which type of exercises? A. Kegel exercises When teaching a group of men about preventing chronic bacterial prostatitis, which statement should the nurse make? A. "Prostatitis is more common in older men." What is first-line drug therapy for benign prostatic hypertrophy (BPH)? D. 5-alpha reductase inhibitor, such as finasteride (Proscar) A patient fills out the International Prostate Symptom Score, and the nurse notices that while the patient has restricted urinary flow, he does not complain of frequency or nocturia. Which diagnosis is most likely for this patient? A. The patient has an infection. Which are symptoms that indicate a patient is experiencing radiation proctitis? Select all that apply. C. Rectal urgency Which herb is approved by the U.S. Food and Drug Administration (FDA) to help manage the urinary symptoms associated with benign prostatic hypertrophy (BPH) and finasteride? D. Saw palmetto extract
Twelve hours after the patient has a transurethral resection of the prostate, he begins having bright red urinary drainage with numerous clots. The nurse, per the surgeon's orders, irrigates the catheter with normal saline, but the bleeding and clots continue. When the nurse calls the surgeon again, which drug does the nurse expect the surgeon to order? D. Aminocaproic acid A patient has returned from the Patient Anesthesia Care Unit following a transurethral resection of the prostate. What interventions are appropriate for the nurse to implement? Select all that apply. A. Monitor the patient closely for signs of infection. The nurse is caring for a patient with benign prostatic hyperplasia (BPH). What nonsurgical interventions to improve urinary elimination does the nurse teach the patient? Select all that apply. B. Avoid drugs that cause urinary retention. A 55-year-old male reports difficulty maintaining an erection. After discussing the patient's history, which statement by the patient would best support a diagnosis of erectile
dysfunction? D. "After a motor vehicle accident last year, I received a laminectomy." A patient has undergone transurethral resection of the prostate (TURP). Which
interventions does the nurse incorporate in this patient's postoperative care? Select all that apply. A. Administer antispasmodic
medications. A 65-year-old patient with benign prostatic hyperplasia (BPH) is prescribed finasteride and doxazosin. What is the priority nursing assessment to perform following the first dose? C. Blood pressure in different positions A patient with benign prostatic hyperplasia (BPH) is prescribed finasteride. What instructions does the nurse give to the patient about this drug? Select all that apply. B. "Obtain routine liver function tests while on this medication." The nurse is completing a physical assessment of an obese
patient who complains of frequency, nocturia, and overflow incontinence. Which assessment technique is the best technique to use to assess this patient's urinary system? C. Percussion A 66-year-old man is receiving education pertaining to the use of a vacuum constrictive device (VCD). A patient would demonstrate understanding of the device's
primary action when he states: A. "This device draws blood into my penis." A patient with severe benign prostatic hypertrophy has elected to undergo
holmium laser enucleation of the prostate (HoLEP). The patient admits to having a very active lifestyle, and he expresses fear that the surgery will cause permanent incontinence. What teaching point can the nurse use to calm this patient's anxiety? D. After recovery is complete, most patients have better urinary control than before surgery. A patient with a
diagnosis of benign prostatic hyperplasia was given a prescription for tamsulosin. Which statement by the patient indicates further drug teaching is needed? D. "I need follow-up lab testing because tamsulosin can cause kidney dysfunction." The nurse is performing a history assessment of a patient complaining of several urinary problems, including frequency, post-void dribbling, overflow incontinence, nocturia, and incomplete emptying. The patient scored a 24 on the International Prostate Symptom Score. What other conditions should the nurse assess the patient for? Select all that apply. A. Hematuria A nurse is educating a patient who will receive a penile implant. Which statement demonstrates correct patient teaching by the nurse? D. "Contact your provider for a temperature greater than 100.4 °F." The patient diagnosed with benign prostatic hyperplasia (BPH) just completed a teaching session by the nurse. Which statement by the patient indicates that further teaching is
needed? A. "I will take saw palmetto twice a day." Following a transurethral resection of the prostate, a patient's urinary drainage is ketchup-like with numerous clots. What is the most
appropriate nursing intervention? D. Notifying the surgeon and irrigating the catheter with saline solution Which test would most likely be used to diagnose and grade bladder outlet
obstruction and detrusor muscle function? D. Urodynamic pressure-flow studies The nurse is assessing a patient who is experiencing blood in his urine. If the patient has a CBC (complete blood count) done, what findings are most likely on the CBC? A. An elevated WBC and a low RBC Which side effect is a patient most likely to experience if receiving both flutamide (Eulexin) and a luteinizing-hormone-releasing hormone (LH-RH) agonist? B. Hot flashes The nurse is caring for a patient just diagnosed with benign prostatic hypertrophy. The physician is starting the patient on dutasteride therapy. What teaching points should the nurse include when talking to the patient about his diagnosis and therapy? Select all that apply. A. Noticeable improvement may take as long as 6 months to achieve. The nurse knows that which procedure involves an interventional radiologist threading a small vascular catheter into the prostate's arteries and injecting particles blocking some of the blood flow to shrink the prostate gland? B. Prostate artery embolization The nurse just completed teaching a patient about finasteride. Which statement made by the patient indicates understanding of why the medication was prescribed? C. "Finasteride reduces an enlarged prostate." Which type of medications are most likely to cause urinary retention? Select all that apply. A.
Antihistamines The nurse reviews the medication profile of a patient with benign prostatic hyperplasia and notes long-term use of coumadin. The nurse anticipates that which mimimally invasive surgical procedure will be performed to treat the patient's condition? D. Holmium laser enucleation of the prostate (HoLEP) A patient has been diagnosed with benign prostatic hyperplasia. His medical chart indicates that he has a history of heart disease, seasonal allergies, obesity, and type II diabetes mellitus. Which medication is it imperative for the nurse to teach the patient to avoid? A. Antihistamines What are the priority collaborative problems for benign prostatic hyperplasia (BPH)? Select all that apply. C. Urinary retention due to bladder outlet obstruction Which glycoprotein is produced by the prostate gland? D. Prostate-specific antigen glycoprotein Which organ produces testosterone? A. Testes The nurse is educating a group of young men about testicular self-examination (TSE). Which statement by a member of the group indicates teaching has been
effective? B. "I will look and feel for any lumps or changes to my testes." Which drug can be injected into the penis to make it erect by
engorging it with blood? D ... A patient with prostate cancer is being evaluated for metastasis. Which laboratory test indicates possible bone metastasis? B. Serum alkaline phosphatase What is the major androgen found in the adult male? B. Testosterone Which patient is most likely to have the greatest risk of prostate cancer? D. A 70-year-old patient What is the other name for an undescended testis? D. Cryptorchidism With which male patient does the nurse conduct prostate screening and education? B. Adult who is older than 50 years The potential problem of grief is most relevant to a patient after which procedure? C. Radical prostatectomy What are the risk factors for prostate cancer? Select all that apply. A. Exposure to arsenic What is the second most common type of cancer found in men in the world? C. Prostate cancer What is the usual presenting symptom for testicular cancer? B. Hard, painless mass The nurse is assessing a patient suspected of having prostate cancer. What risk factor is associated with the development of prostate cancer? B. Presence of BRCA2 gene mutations A patient is undergoing a diagnostic workup for suspected testicular cancer. Which serum tumor marker is indicative of testicular cancer? A. Alpha-fetoprotein (AFP) What are the advantages of laparoscopic radical prostatectomy compared to
open surgery? Select all that apply. A. Minimal bleeding A patient with prostate cancer is prescribed
hormonal therapy. Which drugs inhibit tumor progression by blocking the uptake of testicular and adrenal androgens? Select all that apply. B. Flutamide Which man is at greatest risk of developing prostate cancer? B. 52-year-old African American whose diet includes red meat Which type of non-germ cell tumors secretes estrogen? B. Androblastoma Hormone treatment for prostate cancer works by which action? C. Suppresses growth of the tumor Which descriptions of laparoscopic radical prostatectomy (LRP) are most accurate? Select all that apply. B. It requires smaller incisions and has less scarring. A patient with prostate cancer asks why he must have surgery instead of radiation, even if his cancer is the least-invasive type. What is the nurse's best response? D. "Surgery is the most common intervention to cure the disease." Which assessment finding causes the nurse to suspect that a patient may have testicular cancer? C. Painless testicular lump
What are the available options for lymph node dissection? Select all that apply. D. Minimally invasive surgery using a laparoscope Which
tumors are considered germ cell tumors? Select all that apply. A. Teratoma The nurse is reviewing the results of a patient's prostate specific antigen (PSA) test and notices an elevation in the findings. What may this
finding represent? B. Prostate cancer What other types of cancers may invade the testes apart from testicular cancer? Select all that apply. A. Leukemia When is the best time for the nurse to begin discharge planning and a community-based plan of care for a patient with prostate cancer? B. Before surgery Which factors place a patient at risk for developing testicular
cancer? Select all that apply. B. Family history Why is prostate cancer screening often emphasized to the African-American population in the United States? C. Prostate cancer occurs at an earlier age. Which statement about the classification of testicular cancers is correct? B. Nonseminomas are testicular germ cell tumors. What is included in the surgical management of a patient being treated for prostate cancer? Select all that apply. B.
Preoperative care A patient who had a prostectomy is discharged from the hospital with a urinary catheter. What instructions does the nurse provide to the patient about caring for the catheter at home? A. Clean the end of the new tubing with alcohol swabs. The nurse is educating a group of young men about self-examination for testicular cancer. Which statement made by a participant indicates a need for further education? D. "I should examine the peripheral areas of the testes as this is where most tumors are." A patient with prostate cancer asks the nurse for more information and counseling. Which resources does the nurse suggest? Select all that
apply. A. Us TOO International Which group of men are
at the highest risk for prostate cancer? C. African American What does the nurse teach a patient with urge incontinence about Kegel exercises? C. They involve the use of perineal and gluteal muscles. A patient develops urinary incontinence following an open radical prostatectomy for prostate cancer. What does the nurse instruct the patient regarding Kegel exercises to help with urge continence? Select all that apply. B. "Contract and relax the perineal and gluteal muscles." The nurse is teaching a patient how to perform a testicular self-examination. What does the nurse instruct the patient to do? D. Roll each testicle between the thumb and fingers. Arrange the common risk factors that cause prostate cancer from highest to lowest priority. A. Advanced age The nurse is caring for a patient after an open radical prostatectomy. What action does the nurse take? D. Encourage the patient to use patient-controlled analgesia (PCA). The nurse is planning the discharge of a patient who had a radical prostectomy. What instruction does the nurse provide to the patient about caring for the catheter at home? D. "Replace the old drainage bag with a new one at least once a week." A patient who underwent a radical retropubic prostatectomy informs the nurse of abdominal discomfort due to constipation. What is the nurse most likely to administer? B. Milk of magnesia The nurse is caring for a patient with a history of prostate cancer and prostate removal several years ago. The nurse reviews the laboratory results for the prostate-specific antigen (PSA) level, and it is 15 ng/dL. Based on these results, what would the nurse expect the health care provider to prescribe next? D. Computed tomography (CT) scan or magnetic resonance imaging (MRI) The health care provider is treating a patient who has prostate cancer. What questions must the health care provider ask the patient? Select all that apply. A. Family history The nurse reviews the medical record of a patient
who is undergoing treatment for prostate cancer. The nurse suspects that the cancer has metastasized to the pelvic bones based on what assessment finding? D. Increased serum alkaline phosphatase levels The issue that is often
foremost in the minds of men who have been diagnosed with prostate cancer and must be addressed by the nurse is the alteration of which factor? B. Sexual function after treatment
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