Chapter 23

During the examination of an older adult male client the nurse notes thin, gray pubic hairs and a scrotal sac that hangs significantly lower than the penis. Which action by the nurse is the most appropriate?. Document the findings as normal. Inform the client that he is no longer fertile. Notify the healthcare provider of the findings. Ask the client about his sexual practices.

During the examination of a male client who has not been circumcised, the nurse attempts to retract the foreskin of the penis, but skin is very tight and cannot be pulled back. Based on this data, which condition does the nurse anticipate for this client?. Urethral stricture. Paraphimosis. Urethritis. Phimosis.

The nurse is interviewing a male client who states “I feel like I have a bag of worms in my scrotum.” Based on this data, which condition does the nurse suspect?. Orchitis. Varicocele. Epididymitis. Inguinal Hernia.

When caring for a male client scheduled for a prostatectomy due to cancer, which data would the nurse expect for a client with this condition data? Standard Text: Select all that apply. Enlargement of the scrotal sac. Pyuria. Increase in prostatic specific antigen (PSA. Dribbling of urine. Difficulty in initiating urine stream.

While performing prostate palpation, the nurse notes that the client expresses severe tenderness and discomfort during the procedure. Based on this data, which condition does the nurse suspect?. Prostate cancer. Prostatitis. Enlargement of the prostate. Urinary tract infection.

The nurse is providing education to a client who has been experiencing symptoms consistent with benign prostatic hyperplasia (BPH). The nurse presents a diagram the client to illustrate the location of the prostate. Which location will the nurse identify for the client during the teaching session?. A. B. C. D.

The nurse is caring for a client who has hypospadias. When assessing this client, where does the nurse anticipate to find the urinary meatus?. A. B. C. D.

A couple seeking infertility treatments has just received the results of a semen analysis, which shows a diminished sperm count. Which question is most appropriate for the nurse to address to the male partner at this time?. “How often do you masturbate?”. “Do you smoke?”. “How old is your present house?”. “Do you still want to have children?”.

During the focused interview, a male client describes his erection and ejaculate in terms that are less than professional. Which action by the nurse is the most appropriate?. Ask the client to refrain from using the terms. Ask the client to define the terms. Document the client’s responses in the terms used. Find another nurse to complete the assessment.

The nurse has completed testicular self-exam teaching for a male client. Which client statements indicate appropriate understanding of the content presented? Standard Text: Select all that apply. “I will feel hardened areas where the testicles and epididymis are located.”. “I should perform this exam monthly.”. “I should be in a warm room or the shower to perform this exam.”. “I should apply gentle pressure to each testicle to feel the area.”. “It is normal to feel testicular pain during this exam.”.

The nurse is preparing to examine the reproductive system for a male client recently admitted to the medical unit. Which techniques does the nurse plan to incorporate into this physical assessment? Standard Text: Select all that apply. Inspection. Palpation. Percussion. Auscultation. Aspiration.

The nurse is preparing to examine a male client’s reproductive organs. Which actions by the nurse are appropriate to prepare for this examination? Standard Text: Select all that apply. Secure a private examination room. Use clean hands for the examination. Ask the client to lie down on the exam table. Ask the client to empty his bladder. Make sure the room’s temperature is comfortable.

During the examination of a male client’s scrotum the nurse detects a hardened area in the right side of the scrotal sac. Which is the priority nursing action based on this finding?. Ask the client about voiding patterns. Notify the healthcare provider of this finding. Use a light to perform transillumination. Ask the client about sexual practices.

The nurse is preparing to assess a male client who states, “I think I have a hernia in my right groin.” During the physical examination, which area will the nurse palpate to assess for an inguinal hernia. A. B. C. D.

The nurse is examining a male client and notes small clusters of vesicular lesions on the glans penis. The client states the areas are painful and often are reddened. Based on this data, which does the nurse anticipate?. Carcinoma. Genital warts. Syphilis. Genital herpes.

The nurse is assessing a male infant and notes cryptorchidism. The mother asks what effect this will have on the child. Which response by the nurse is the most appropriate?. “There is an increased risk for testicular cancer.”. “He will be unable to father children.”. “He will do fine and have no problems.”. “There will be an abnormal level of sperm production.”.

During the examination of a male client, the nurse detects a bulge in the right inguinal area as the client is bearing down. Based on this data, which condition does the nurse suspect?. Varicocele. Prostatitis. Orchitis. Inguinal Hernia.

The nurse is examining a male client’s genitalia and notes the scrotum is asymmetric. The left side hangs lower than the right side. Based on this data, which action by the nurse is the most appropriate?. Reassess after increasing the temperature in the room. Report the finding to the healthcare provider. Consider this a normal finding and proceed with palpation of the scrotum. Ask if the client if has noticed this before.

The mother of a toddler expresses concern over her son “constantly playing with his penis and scrotum.” Which response by the nurse is the most appropriate in this situation?. “These practices are normal for a child of this age.”. “Does she see his father doing the same actions?”. “Does he know what it means to be a boy or a girl?”. “These behaviors will go away as he gets older.”.

During the examination of an adult male the nurse notes thick, curly hair over the pubis area, a pear-shaped scrotum, and slightly darkened skin on the penis. Based on this data, which action is appropriate?. Ask the client about recent illnesses. Ask the client about sexual practices. Notify the healthcare provider the findings. Document the findings as normal.

An older adult client reports to the ambulatory care clinic for a routine physical examination. During the assessment the client reports plans to marry a much younger woman in the coming weeks. The client voices concerns about his ability to father children. Which information will the nurse provide to the client?. The client is facing infertility in the next few years, as the majority of older men become infertile by age 70 years. Although the production of sperm may be reduced in the older male, fathering a child is still possible with advancing age. There are no changes to fertility of a man associated with aging. Limited studies concerning the fertility of men are available and there is no definitive information available.

The nurse is preparing a presentation on testicular cancer and wishes to target the age group most frequently affected. Which settings would provide the nurse with audiences at an increased risk for this disease process? Standard Text: Select all that apply. Elementary schools. Colleges. Cub Scout groups. High schools. Senior assisted living facilities.

The nurse is interviewing a male client with an elevated prostate specific antigen level (PSA). In order to determine other risk factors for this client, which questions are appropriate for the nurse to include in the assessment process?. “Do you have a positive family history for prostate cancer?”. “Do you masturbate?”. “How frequently do you have sexual intercourse?”. “Do you smoke?”. “Do you have a history of urinary tract infections?”.

The nurse is conducting a health interview for a 55-year-old client who presents to the clinic for an annual physical examination. The client questions the need to begin screening for prostate cancer at this examination. Which response by the nurse is the most appropriate?. “Unless you are at an increased risk for the development of prostate cancer no additional screening indicated.”. “PSA screening tests should be performed once you reach age 75.”. “You need to begin having an annual prostate examination.”. “A cystoscopy should be performed annually to assess for prostate changes at age 55.”.

The nurse is assessing a male client who has epididymitis. Which statement by the nurse would provide appropriate education regarding this condition?. “You will have a decrease in testosterone production.”. “Your sperm maturity may be affected.”. “There will be a decrease in blood flow to your penis.”. “There may be erectile difficulties.”.

During the well-child assessment on a toddler-age male client, the nurse notes that the testes are not descended. Based on this data, which action by the nurse is the most appropriate?. Report the finding to the healthcare provider. Ask the parent if the child has had any surgeries. Proceed with palpation of the scrotum. Inquire about the child’s voiding patterns.

A couple is seeking infertility information from the nurse. Which statement made by the couple would indicate the need for intervention by the nurse?. “We have been to two doctors already.”. “We have intercourse at least three times a week.”. “We are using temperature tracking for ovulation prediction.”. “We have been trying to conceive for a year.”.

The nurse is examining a male adolescent with suspected spermatic cord torsion. Which is the priority intervention for this client?. Medicate for pain with narcotics. Prepare for surgery. Elevate the scrotum. Administer anti-inflammatory medications.

An adult male presents to the urologist office with concerns relating to his fertility. Which data in the client’s medical history warrants further investigation?. The client was treated for gonorrhea 2 years ago. The client has a history of genital herpes simplex. The client’s medical history indicates a past history of marijuana use. The client works in a paint manufacturing company.

The parents of a school-age male client voice concerns about the seemingly advanced level of sexual maturity of their son. The examination reveals the child has thick pubic hair and enlarged genitalia. Based on this data, which intervention does the nurse anticipate for this client?. Administration of estrogen to reduce the impact of escalating testosterone levels. Continued observation of the rate of maturation for the next 6 to 9 months. Referral to an endocrinologist. Reduction of processed foods in the diet to reduce hormone exposure.