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CHAPTER 39
MIDTERM UNIT 6
| Question | Answer |
|---|---|
| Which of the following physiologic processes results from the synthesis and release of testosterone? | Musculoskeletal growth |
| A 41-year-old male client is planning on having a vasectomy. While explaining this surgery to the client, the health care worker will include which physiologic principle as the basis for this contraception technique? | “Sperm can no longer pass through the ductus deferens.” |
| A client has been diagnosed with an anterior pituitary tumor, and synthesis and release of follicle-stimulating hormone has become deranged. What are the potential consequences of this alteration in endocrine function? | Dysfunction of spermatogenesis |
| While discussing the physiological process behind penile erection, the anatomy and physiology instructor mentions that what substance is released to facilitate smooth muscle relaxation and shunting of blood into the sinusoids? | Nitric oxide |
| Common risk factors associated with erectile dysfunction due to generalized penile arterial insufficiency include: | Cigarette smoking |
| Which of the following clients is at greatest risk for developing balanitis xerotica obliterans? | A male who has an uncircumcised penis |
| Which of the following clinical manifestations are characteristic for clients with Peyronie disease? Select all that apply. | Presence of a hard mass on the tunica albuginea of the penis painful erection |
| From the following list of clients, which ones are at high risk for developing priapism? Select all that apply. | A sixth grade male returning to school following sickle cell crisis D) A college student with complete spinal cord injury at T12 level following auto accident |
| Squamous cell cancer of the penis is characterized by which of the following clinical manifestations? | Painless lump on the inner surface of the prepuce |
| During a visit to the health care provider, a client complains of swelling in the scrotum. The health care worker suspects a hydrocele and performs an exam by shining a light through the scrotum. If the hydrocele is dense, the health care worker should: | Order an ultrasound or biopsy to rule out testicular cancer. |
| Which of the following disorders of the male genitourinary system creates the most urgent need for prompt and aggressive surgical treatment? | Intravaginal testicular torsion |
| A client arrives in the emergency department complaining of severe testicular pain associated with nausea and vomiting. Their pulse rate is 120 beats/minute. Physical exam reveals an enlarged testis that is painful to palpation. The nurse suspects: | Testicular torsion |
| A client comes to the college campus nurse complaining of unilateral pain, swelling, and redness on his scrotal area. The nurse knows these clinical manifestations are likely caused by: | Epididymitis |
| A 30-year-old man has been diagnosed with mumps orchitis. The nurse should educate the client that which of the following complications may occur? | Sterility |
| After seeking care due to recent history of testicular enlargement and scrotal pain, a 22-year-old college student has been diagnosed with testicular cancer. Which of the client's following statements indicates the need for further teaching? | “I can't shake this feeling like I've received a death sentence.” |
| Which of the following clients is at high risk for developing acute bacterial prostatitis? | An elderly male diagnosed with frequent UTIs testing positive for gram-negative rods |
| Men older than age 50 are at high risk for prostatic hypertrophy with complications that include: | Urine retention |
| When evaluating a client with suspected benign prostatic hypertrophy (BPH), the health care worker should collect data related to which of the following signs/symptoms? Select all that apply. | Urinary frequency issues D) Weak urine stream E) Straining to empty the bladder |
| Which of the following assessments is most likely to reveal a potential exacerbation in a 70-year- old client's diagnosis of benign prostatic hyperplasia (BPH)? | Digital rectal examination |
| dx w/ prostate cancer. However, because he has a hx of heart failure with an ef 20% and COPD d/t smoking, the client is not a candidate for major surgery. Which of the following treatments should the nurse anticipate being utilized for this client? | Stent placed to widen and maintain the patency of the urethra |
| Which of the following statements about screening for prostate cancer is most accurate? | BPH and prostatitis can confound prostate screening results. |
| Which of the following diagnoses is most likely to require surgical correction? | Hypospadias |
| A 17-year-old male has developed phimosis to the point that he is having difficulty voiding. The nurse should prepare this teenager for: | Circumcision |
| During physical exam of a newborn, the nurse palpates the scrotal sac and only locates one testicle. Which statement about undescended testicles is most accurate? | “The child can become infertile later in life as a result of decreased sperm count.” |
| Which of the following statements are accurate when it comes to changes in the male reproductive system as one ages? Select all that apply. | Sexual energy levels decrease as one ages with decreasing testosterone levels. C) The testes become smaller and lose their firmness. D) The prostate gland enlarges with age. |
Created by:
krystalcarey