ATI Care of Male Patients with Reproductive Problems, Questions and Answers with Explanations.

ATI Care of Male Patients with Reproductive Problems, Questions and Answers with Explanations, 100% Correct, Download to Score A

Test Bank

MULTIPLE CHOICE

1. The nurse is assisting a client with limited mobility into position for examination of his prostate gland. How does the nurse best assist the client?

a.	Assist the client to bend over the examination table.
b.	Hold the client up as he bends over the bedside table.
c.	Help the client lie down in a side-lying fetal position.
d.	Assist the client to lie in a prone position.

ANS: C

A side-lying fetal position will be easiest for this client to assume so that the examination can proceed. It will be too difficult for him, as well as for the nurse, to attempt to stand up and lean over the examination table or bedside table. Placing the client in a prone position will not allow the prostate to be accessed as easily as placing him in a side-lying fetal position.

DIF: Cognitive Level: Application/Applying or higher REF: N/A

TOP: Client Needs Category: Physiological Integrity (Reduction of Risk Potential—Diagnostic Tests) MSC: Integrated Process: Nursing Process (Implementation)

2. A client’s laboratory findings reveal an elevated serum acid phosphatase level and a high-normal prostate-specific antigen level. How does the nurse interpret this information?

a.	The client shows evidence of renal disease and should be evaluated further.
b.	These results may indicate prostate cancer. He should be further evaluated.
c.	These results are not abnormal. He does not need to be evaluated further.
d.	These results may indicate an infection. He should be evaluated further.

ANS: B

Both serum acid phosphatase and prostate-specific antigen levels will be elevated when the client has prostate cancer. The results are not indicative of renal disease or infection, but they are abnormal, may indicate prostate cancer, and should be further evaluated.

DIF: Cognitive Level: Application/Applying or higher REF: N/A

TOP: Client Needs Category: Health Promotion and Maintenance (Health Screening)

MSC: Integrated Process: Nursing Process (Assessment)

3. Which client statement indicates understanding about a transrectal ultrasound?

a.	“This will determine if the outlet of my bladder is obstructed.”
b.	“This will determine the amount of residual urine present.”
c.	“This is performed to view the interior of the bladder and urethra.”
d.	“This is performed to view the prostate and do a tissue biopsy.”

ANS: D

A transrectal ultrasound is performed to view the prostate and surrounding structures and possibly also to do a tissue biopsy. A urodynamic pressure flow study will determine if the outlet of the client’s bladder is obstructed. A bladder scan will determine the amount of residual urine that is present. A cytoscopy will allow the interior of the bladder and urethra to be visualized.

DIF: Cognitive Level: Application/Applying or higher REF: N/A

TOP: Client Needs Category: Physiological Integrity (Reduction of Risk Potential—Diagnostic Tests) MSC: Integrated Process: Teaching/Learning

4. Which statement indicates that a client understands the most appropriate time of day to take an alpha blocker drug for treatment of benign prostatic hyperplasia (BPH)?

a.	“I’ll take my medication at bedtime.”
b.	“As soon as I get up, I will take my medication.”
c.	“I will take my medication with food or milk.”
d.	“I’ll take my medication on an empty stomach.”

ANS: A

Bedtime dosing should decrease the risk of hypotension with an alpha blocker drug. Giving the medication during the day will increase the client’s risk of experiencing weakness, lightheadedness, and dizziness.

DIF: Cognitive Level: Application/Applying or higher REF: N/A

TOP: Client Needs Category: Physiological Integrity (Pharmacological and Parenteral Therapies—Adverse Effects/Contraindications/Side Effects/Interactions)

MSC: Integrated Process: Nursing Process (Evaluation)

5. The nurse is assessing a client who has undergone a transurethral resection of the prostate (TURP). Which assessment finding requires immediate action by the nurse?

a.	Passing small blood clots after catheter removal
b.	Experiencing urinary frequency after catheter removal
c.	Having bright red drainage with multiple blood clots
d.	Having the urge to void continuously while the catheter is inserted

ANS: C

A client who undergoes a TURP is at risk for bleeding during the first 24 hours after surgery. Passage of small blood clots and tissue debris, urinary frequency and leakage, and the urge to void continuously while the client still has the catheter inserted are all considered to be expected complications of the procedure. They will resolve as the client continues to recover and the catheter is removed. However, the presence of bright red blood with clots indicates arterial bleeding and should be reported to the provider.

DIF: Cognitive Level: Application/Applying or higher REF: N/A

TOP: Client Needs Category: Physiological Integrity (Reduction of Risk Potential—Potential for Complications from Surgical Procedures and Health Alterations)

MSC: Integrated Process: Nursing Process (Assessment)

6. A client’s prostate-specific antigen (PSA) level is 2.0 ng/mL. Which action by the nurse is most appropriate?

a.	Inform the client that the results are normal and no cancer has been detected.
b.	Inform the client that results are normal and schedule a digital rectal examination.
c.	Let the client know that the results are elevated and he is at risk for prostate cancer.
d.	Tell the client that cancer is indicated and that the health care provider recommends watchful waiting.

ANS: B

A normal PSA in men younger than age 50 is less than 2.5 ng/mL. Although the finding is within normal limits for a PSA value, a client could have prostate cancer and not present with an elevated PSA. Also, laboratory findings should not be used as the sole screening tool. Without a digital rectal examination (DRE), the health care provider cannot know whether the client is in the early stages of prostate cancer. The client should be informed that although the level is within the normal range, he still needs a DRE.

DIF: Cognitive Level: Application/Applying or higher REF: N/A

TOP: Client Needs Category: Health Promotion and Maintenance (Health Screening)

MSC: Integrated Process: Nursing Process (Assessment)

7. Which client diagnosed with prostate cancer is not a candidate for watchful waiting?

a.	Client with very early cancer of the prostate
b.	Client who is asymptomatic
c.	Client who wants to avoid urinary incontinence as a result of treatment
d.	Client who refuses frequent digital rectal examinations (DREs)