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WorksheetsChapters 55 & 56
Total questions: 163
Worksheet time: 8hrs 9mins
What factor is most likely responsible for a young adult client's development of orchitis?
The client was never immunized for mumps
The client is an active homosexual
The client has multiple sexual partners
The client is a military veteran
What is the best reason for the nurse to advise a client who has been prescribed sildenafil (Viagra) for ED to avoid taking a nitrate such as SL NTG (Nitrostat)?
The combo interferes with an erection
Sildenafil counteracts vasodilation by NTG
The client is likely to experience hypotension
Priapism is likely to occur when used together
A client describes experiencing nocturia. To gather more information about symptoms associated with benign prostatic hypertrophy, what question is most important for the nurse to ask next?
"Have you noticed any changes in sexual function?"
"Have you felt any lumps in your scrotum recently?"
"Do you have difficulty starting to void?"
"Do you have problems controlling urination?
Following a SP prostatectomy, the client has a catheter in the urethra and another in an abd incision. When documenting the urinary output in the med record, what is the most accurate nursing documentation?
Record only the output from the urethral catheter
Record only the output from the wound catheter
Record the output from each catheter separately
Record the combined output from both catheters
Following a vasectomy, a client questions how soon he can be sure that his sexual partner will not become pregnant. What nursing response is most accurate?
You are considered sterile immediately
After 10 or more ejaculations, most men are sterile
An long as you produce semen, there is a potential for pregnancy
Once scrotal swelling is diminished, sperms are no longer produced
When the nurse teaches a client who has been diagnosed with chlamydial infection, what statement is accurate?
Men manifest symptoms, but women who are infected do not
This is a rare type of STI
Your sexual partner(s) need(s) simultaneous treatment
There is no known cure for this type of infection
A client who is a man reports symptoms that are suggestive of a gonorrhea infection. If a culture is ordered to detect the causative organism, what body substance does the nurse collect?
Venous blood
Sterile urine
Ejaculated semen
Urethral drainage
A nurse is assessing a client who is a man with tertiary syphilis. What finding is most associated with this stage of disease?
Sharp leg pains
Red skin rash
Penile ulcers
Patchy hair loss
When a nurse counsels a client who is a woman with HSV-2 infection, what information is accurate?
Any children you have in the future will be immune to the disease
If you take your medicine as prescribed, you will not infect anyone else
Have a Pap test on a regularly scheduled basis
Avoid vaginal intercourse for at least 6 months
A nurse refers a client with genital warts to a gynecologist who confirms that they are caused by the HPV. What is the most correct response when the client asks if there is any danger associated with this condition?
Genital warts can be treated with an abx, such as penicillin or tetracycline
Genital warts increase the risk of cancer of the vulva, vagina, and cervix
Genital warts can be prevented if the individual takes birth control pills
Genital warts are of no danger to the client and need not be treated at this time
(a) refers to an inability to retract the foreskin (prepuce). The condition is often caused by congenitally small foreskin; however, chronic inflammation at the glans penis and prepuce secondary to poor hygiene or infection are also etiologic factors
Medical treatment for ____ and ____ consists of bed rest, scrotal elevation, analgesics, anti-inflammatory agents, and comfort measures such as local cold applications. Antibiotic therapy is initiated to eliminate the infectious agent
(a)
(a) is a condition in which the penis becomes engorged and remains persistently erect
When the number of nonmalignant cells in the prostate gland increases, it is called ____ ___ ___
(a)
Because residual urine is a good culture medium for bacteria, symptoms of (a) (inflammation of the bladder) may develop with benign prostatic hyperplasia (BPH)
(a) cancer is second to skin cancer in frequency among American men. It ranks second as the cause of deaths from cancer. About 1 American man in 6 will be diagnosed with this type of cancer, and 1 in 36 will die of the disease
A (a) is a surgical attempt to reverse an elective sterilization by restoring patency and continuity to the vas deferens. It may take from 3 to 6 months after reversal procedures before sperm counts and motility are normal. Lack of success is usually the result of either scar formation or sperm leakage from the surgical connection
(a) is the procedure to surgically remove the testis
Clients report a sudden, sharp testicular pain, with visible local swelling. The pain may be so severe that nausea, vomiting, chills, and fever occur. The condition may follow severe exercise, but it may also occur during sleep or after a simple maneuver such as crossing the legs. ____ __ ___ _____ ____
(a)
A strangulation of the glans penis from an inability to replace the retracted foreskin. If the condition continues, severe edema and urinary retention may occur. (a)
The underlying etiology of this disorder is usually a vascular problem, a medical condition that causes blood to thicken; it may also be a side effect of medications, including those prescribed to treat impotence. (a)
The client notices that it takes more effort to void. Eventually, the urinary stream narrows and has decreased force. The bladder empties incompletely. As residual urine accumulates, the client has the urge to void more often, and nocturia occurs. ______ _____ ______
(a)
In the early stage of BPH, the progression of prostatic enlargement is monitored with this periodic examination. ______ ______ ______
(a)
This minor surgical procedure involves the ligation of the vas deferens and results in permanent sterilization by interrupting the pathway that transports sperm. (a)
Surgery to secure the testis in the scrotum. (a)
Absence of sperm. (a)
An outpatient treatment modality that destroys the prostate gland using a gas cooled to -40F. (a)
Facilitates penile erection by producing smooth muscle relaxation in the corpora cavernosa, facilitating an inflow of blood. This drug is typically taken on demand 15 minutes to 1 hour before sexual activity
Sildenafil (Viagra)
A vacuum assisted device
Surgically implanted penile prosthesis
Apomorphine (Uprima)
Administered as a nasal spray and acts within 15 to 25 minutes of administration. This medication is safer for men with coronary artery disease.
Papaverine (Pavatine) with phentolamine (Regitine) or alprostadil (Caverject)
Surgically implanted penile prosthesis
A vacuum device
Apomorphine (Uprima)
An injection site is selected on either of the lateral sides of the penis. The prescribed medication is injected into erectile tissue at a 90-degree angle
A vacuum device
Papaverine (Pavatine) with phentolamine (Regitine) or alprostadil (Caverject)
Apomorphine (Uprima)
Sildenafil (Viagra)
The device is used to engorge the penis with blood. A constricting attachment prohibits the outflow of blood to sustain the erection
A vacuum device
Apomorphine (Uprima)
Sildenafil (Viagra)
Surgically implanted penile prosthesis
One type contains a saline reservoir that is pumped to fill the implant when sexual activity is desired, and the other type maintains the penis in a semierect state at all times
A vacuum device
Sildenafil (Viagra0
Surgically implanted penile prosthesis
Papaverine (Pavatine) with phentolamine (Regitine) or alprostadil (Caverject)
Which of the following suggestions is best for the nurse to give a client with phimosis who is not a candidate for surgery?
Apply a skin cream nightly and try retracting the tissue
Wash under the foreskin daily, and seek care if retracting the tissue is unsuccessful
Apply warm soaks to the foreskin before having intercourse
Take sitz baths regularly until the tissue retracts
Which of the following would a nurse suggest for a client with an inflammation of the prostate gland caused by an infectious pathogen? Select all that apply.
Refer sexual partners for medical treatment
Avoid standing for long periods of time
Eat fibrous foods daily to avoid constipation
Take mild analgesics for relieving pain
Utilize warm sitz baths to promote comfort
Which of the following nursing interventions is most appropriate for a client undergoing treatment for epididymitis and orchitis?
Use an alcohol rub to keep the scrotum dry
Apply skin cream to keep the scrotal skin supple
Elevate the scrotum to relieve pain
Limit alcohol intake to two drinks per week
Which of the following nursing interventions is advised for clients with prostate cancer to avoid a UTI during the home care of a urinary catheter?
Boil the leg bag regularly in a solution of hot water and vinegar for 15 minutes during the cleaning
Before the insertion, disinfect several inches of the catheter with alcohol or any other antiseptic agent
Clean the leg bag using soap and water and then rinse it with a 1:7 solution of vinegar and water
Separate the leg bag and the catheter only once a day to reduce microbial entry
Which of the following suggestions from a nurse is best to give a client recovering from prostate surgery to deal with impotency?
Substitute masturbation to provide sexual pleasure
Demonstrate sexual feelings in ways other than intercourse
Practice sexual intercourse at least two to three times daily until successful
Perform pelvic floor retraining exercises until erections occur
Following a transurethral prostatectomy (TURP), continuous bladder irrigation (CBI) is used. The nurse anticipates which of the following electrolyte imbalances may occur?
Hyperkalemia
Hypocalcemia
Hyponatremia
Hypermagnesemia
A school nurse is called to the playground to assess an adolescent who experienced intense pain in his testicle after riding his bike. The nurse is correct in assuming that the trauma may most likely have caused which of the following?
Torsion of the spermatic cord
Acute epididymitis
Paraphimosis
Spermatocele
A client asks the nurse to explain the purpose of a CBI following a TURP. Which of the following is the most accurate response?
A CBI helps prevent UTIs
A CBI helps remove blood clots and tissue
A CBI decreases postoperative discomfort
A CBI facilitates urinary continence after recovery
Following a prostatectomy, which of the following is the best technique the nurse can teach a client to avoid urinary retention following a catheter removal?
Exhale against a closed airway like having a BM
Perform several series of squats, push ups, and crunches each day
Contract abdominal muscles while breathing out through pursed li
Apply even pressure from the umbilicus toward the lower abdomen
What is the best nursing measure for ensuring continuous urinary drainage from a SP catheter?
Encourage a large fluid intake each day
Empty the urinary collection bag frequently
Keep the drainage bag below the insertion site
Stabilize the catheter so the skin of the abdomen
Untreated (a) can cause sterility in infected women; infected pregnant women can transmit the microorganism to their infants during birth
The incidence of (a) in the United States has been increasing among young men who are African American having sex with men, a statistic that may correlate with the incidence of human immunodeficiency virus (HIV) infection among this population
It is estimated that one in five Americans is infected with the virus that causes _____ ____; at the current rate of infection, approximately 40-50% of the U.S. population may be infected by the year 2025
(a)
One in four Americans carries the ______ _____ _____ and is infectious, but does not manifest symptoms
(a)
(a) causes aortic regurgitation and insufficiency due to valvular changes
(a) is the most common nationally reportable STI in the U.S.
The study of the occurrence, distribution, and causes of human diseases. (a)
The most common and fastest spreading bacterial STI in the United States. The number of new cases in 2010 totaled 1.3 million. (a)
Tissue irradiation, which may be permanent despite successful eradication of the bacteria, puts those with this type of infection at greater risk for acquiring other STIs, such as acquired immunodeficiency virus (AIDs). (a)
The second most frequently reported communicable disease in the U.S. Its highest incidence occurs in the 15- to 24-year-old age group. (a)
A highly contagious STI that is controllable but not curable. Presently, it affects 16.2% of people in the U.S., with African American women disproportionately affected. _____ _____
(a)
Anyone can become infected, but people with AIDs as well as others with an immunodeficiency are particularly susceptible. _____ ___ ____
(a)
The highest incidence of gonorrhea occurs in this age group-
16-27 year olds
15-24 year olds
16-21 year olds
18-24 year olds
Based on the part of the body it affects. this is the other name for genital herpes.
Herpes complex virus type 2
Herpes simplex virus type 2
Herpes simplex virus type 1
HSV-1
Antimicrobial drugs, such as single oral dose of azithromycin (Zithromax) or a 7-day regimen of doxycycline (Vibramycin), erythromycin (E-mycin), ofloxacin (Floxin), or levofloxacin (Levaquin) are used for treatment
(a)
A single IM dose of a broad-spectrum cephalosporin such as ceftriaxone (Rocephin), along with a second antibiotic such as azithromycin (Zithromax) in a single oral dose or doxycycline (Vibramycin); sexual partners in the preceding 60 days should also be treated
(a)
A single dose of parenterally administered penicillin G (Pfizerpen, Wycillin) is used to treat primary and secondary symptoms. Those with tertiary symptoms may require three doses of penicillin in 1-week intervals to prevent complications
(a)
If treatment is necessary, either type responds to the antiviral drugs acyclovir (Zorivax) valcyclovir (Valtrex), and famciclovir (Famvir)
(a)
The primary provider may prescribe podofilox (Condylox) solution or gel, or imiquimod (Aldara) cream for self-application. Primary provider administered treatment involves surgical excision with scalpel or scissors, laser therapy, electrocautery (heat), cryotherapy (freezing) with liquid nitrogen, local applications of chemicals, or parenteral administration of natural or recombinant interferon
(a)
Which nursing response is accurate when a client asks why chlamydial infection creates a greater risk for acquiring AIDs?
The tissue irritation may be permanent
The immune system is already compromised
The bacterium is genetically similar to the HIV virus
CD4 cells are damaged by the infecting bacterium
Which of the following is a nurse most likely to detect when examining a client who acquired a chlamydial infection as a child while living in an underdeveloped country?
Corneal scarring
Anal ulceration
Genital warts
Urethral infection
When a school nurse discusses STIs, which of the following diseases is accurately identified as being curable with early treatment? Select all that apply.
Gonorrhea
Genital herpes
Syphilis
AIDs
Chlamydia
When a client seeks treatment for an HSV-2 viral infection, which drug can the nurse anticipate the primary provider will prescribe?
Penicillin G (Bicllin)
Ciprofloxacin (Cipro)
Acyclovir (Zorivax)
Podofilox (Condylox)
Which of the following instructions would a nurse give a client undergoing treatment for an HSV-2 infection?
Schedule an annual Pap smear
Have yearly mammograms
Perform breast self-examination monthly
Obtain a Western Blot test every 6 months
What is the rationale for a nurse being unable to find statistics on STIs such as genital herpes, hepatitis B, and venereal warts?
Clients do not seek treatment because of embarrassment
Health care providers are not required to report them
Health care providers are reluctant to report these statistics
Reporting is up to the client, not the provider
A client reports having had a genital lesion that has spontaneously disappeared. Which of the following s/s will the nurse most likely elicit when assessing a client during the second stage of syphilis. Select all that apply.
Ataxia
Fever
Rash
Hyporeflexia
Enlarged lymph nodes
A nurse is teaching a client in the doctor's office about genital warts. Which of the following is the best discharge instruction to give to a client with genital warts?
Advise all sexual contacts to be examined and treated
Avoid intimate contact when warts are present
Use a condom when the warts are visible; otherwise, no condom is necessary
Suggest application of an antibiotic cream to sexual partner after intimate contact
When a client who has gonorrhea is allergic to penicillin, which antibiotic can the nurse expect will be used as an alternative?
Erythromycin (E-mycin)
Amoxicillin (Amoxil)
Ceftriaxone (Rocephin)
Ampicillin (Omnipen)
A primary provider orders ceftriaxone 1 g IM in two equally divided doses for a client with gonorrhea. Calculate the volume the nurse should administer after reconstituting a 1-g vial of powdered ceftriaxone with 3.6 mL of diluent to yield 250 mg/mL.
(a)
(a) is a condition due to which one or both testes fail to descend into the scrotum.
Surgery to secure the testis in the scrotum
(a)
An orchiopexy is preferably performed between the ages of
2 and 3
There is not an age limit
1 and 2
5 and 6
Rotation of the testicle that twists the spermatic cord around the testicular artery compromising blood flow to the testicle
(a)
Inability to retract the foreskin (prepuce)
(a)
Strangulation of the glans penis from an inability to replace the retracted foreskin
(a)
Accumulation of as much as 100 mL of lymphatic fluid between the testis and tunica vaginalis
(a)
Epididymal; sperm-containing cyst
(a)
Venous dilation with damage to elastic fibers and hypertrophy of vein walls
(a)
An inflammation of the prostate gland and is most often caused by microorganisms that reach the prostate by way of urethra
(a)
Inflammation of the epididymis
(a)
Inflammation of the testes
(a)
Surgical removal of the prostate
(a)
Absence of sperm
(a)
______ _____, also known as impotence, is (1) the inability to achieve an erection, (2) the inability to achieve an erection that is sufficiently rigid for sexual activity, or (3) the inability to sustain erection for a satisfactory period of time
(a)
(a) is a condition in which the penis becomes engorged and remains persistently erect without any sexual stimulation
______ _____ ______ indicates that the prostate gland contains more than the usual number of normal cells
(a)
_____ ___ ______ is enlargement of the prostate gland
(a)
The palpation of the prostate gland through the rectum, reveals an enlarged and elastic gland. ____ ____ _____
(a)
_____ ______, a condition in which the semen is deposited in the bladder rather than discharging through the urethra at the time of orgasm, rendering the client sterile
(a)
Surgical removal of the testes
(a)
An outpatient treatment modality that destroys the prostate gland using a gas cooled to -40F passing through as many as 30 hollow probes inserted through the perineum
(a)
A (a) vaccine is one that treats an existing disease as opposed to a vaccine that prevents disease
A minor surgical procedure done in a primary provider's office or clinic. Involves the ligation of the vas deferens and results in permanent sterilization by interrupting the pathway that transports sperm
(a)
A surgical attempt to reverse a vasectomy by restoring patency and continuity to the vas deferens
(a)
Connects the stump of the vas deferens directly to the epididymis
(a)
STIs are also called
(a)
A diverse group of infections spread through sexual activity with a person who is infected
(a)
Reporting of this STI is not required, even though it is the most common STI in the U.S.
(a)
Most common nationally reportable STI disease in the U.S.
(a)
Self-transmission to another area of the body
(a)
A sheet of latex that acts as a barrier between the vagina or anus and a partner's mouth when performing anal or oral sex
(a)
The second most frequently reported STI in the U.S.
(a)
Curable STI if treated early. Consists of 3 stages. Can be transmitted from the blood of a person who is infected, directly from the lesion, or across the placenta from mother to fetus
(a)
Painless ulcer
(a)
A degenerative condition of the CNS that results in stabbing back and leg pain, an unsteady gait, urinary incontinence, blindness, and other neurologic symptoms like dementia
(a)
Soft, rubbery growths of skin tissue
(a)
Neuropathic joint disease also called
(a)
Generally responsible for genital and perineal lesions.
(a)
Herpes simplex virus type 2 also called
(a)
Genital warts also called
(a)
Condition in which infants are born with an abnormally small head
(a)
Very rare, starts as macule, turns to vesicle with pustule formation, and then a painful genital ulcer
(a)
True or false.
Only one testicle must be descended in order to maintain sperm production.
False
True
Cryptorchidism increases the risk of cancer by how much is left untreated?
25-50%
40-60%
20-40%
100%
Sudden, sharp testicular pain; local swelling; nausea, vomiting, chills, and fever are s/s of what condition?
(a)
Nursing management:
Men perform testicular self exam
(a)
Nursing management:
Pre and postoperative pain management, jock strap when out of bed, abx, inspect dressings
(a)
Which of the following requires surgical treatment d/t infertility?
Hydrocele
Spermatocele
Varicocele
Microorganism causing prostatitis
C. Diff
E. Coli
S. Pyogenes
Glandular swelling, tenderness, perineal pain are s/s of what condition?
Cystitis
Cholecystitis
Prostatitis
Epididymitis
Treatment:
Up to 30 days of abx therapy, mild analgesics, sitz baths
(a)
Nursing management:
Sexual partner also needs to be treated, avoid caffeine, prolonged sitting, avoid constipation, encourage draining through masturbation or intercourse
(a)
Viral mumps infection after puberty
(a)
S/S:
Pain, swelling in inguinal area, scrotum; fever; chills with bacterial infection, urine contains pus and bacteria
(a)
Treatment:
Bed rest. scrotal elevation, local cold applications, analgesics, anti-inflammatory agents, abx therapy, surgery if chronic or recurrent
(a)
Nursing management:
Elevate with towel, ice under scrotum, abx at home, sitz bath, heat after swelling, avoid lifting and sex, immunizations
(a)
______ ____ depends on 3 basic processes:
-Adequate neurologic stimulation
-Adequate arterial blood flow such as cavernous artery
-Temporary trapping of venous blood
(a)
Common causes:
Neurologic disorder (spinal cord injury), perineal trauma, testosterone insufficiency, SE of drug therapy, atherosclerosis, HTN, DM, anxiety, depression
(a)
s/s:
-Difficulty in achieving or maintaining an erection
-Insufficient rigidity for penetration
(a)
Medical/surgical management:
-Stopping of drugs causing
-Drug therapy
-Surgery
-Administration of alprostadil/pavatine
-Vacuum device
(a)
Nursing management:
Provide instruction on injection technique, frequency, and SE. Assess for pain, swelling, bleeding, surgical complications
(a)
Causes:
Vascular problem, medical condition, SE of meds
(a)
S/S:
Discomfort, interference with arterial blood flow and urinary elimination, tissue damage
(a)
Treatments:
Vasoconstrictors, draining trapped blood with a needle, emergency surgery to shunt blood temporary out of the corpora cavernosa, Sudafed
(a)
Cause:
Occurs as men age (use abbreviation)
(a)
s/s:
Difficulty urinating, emptying bladder; nocturia; urgency, residual can cause cystitis
(a)
Cancer of the (a) :
Second most common cancer in men, second most common cause of death d/t cancer in men
Cancer of the (a) :
Most common cause of cancer in men between ages of 15 and 35, one of the most treatable types of cancer
Cancer of the (a) :
Rare, occurs more in men who are uncircumsized
Which of the following STIs are easily cured?
Chlamydia
Gonorrhea
Chancroid
Zika
Syphilis
Which of the following STIs do not require reporting? Select all that apply.
Chlamydia
HPV
Zika
Hepatitis B
Genital herpes
The study of the occurrence, distribution, and causes of human diseases
(a)
Which of the following are more likely to acquire an STI?
Men
Women
Which of the following are reasons that the reported incidence of STIs is disproportionately higher in racial and ethnic minorities?
Limited access to health care
Poverty
Actual higher rate of disease occurrence
Unintelligible clients
More reporting by public health clinics
Bacterium that causes chlamydia
(a)
Most common reportable and fastest spreading STI
(a)
This STI, if left untreated in women, can cause sterility.
(a)
Chlamydia:
__% of women and __% of men are asymptomatic
50%; 50%
75%; 25%
15%; 85%
60%; 40%
Bacterium causing gonorrhea
(a)
Treatment of gonorrhea is IM (a)
Medications to treat chlamydia. Select all that apply.
Zithromax
Levaquin
Amoxicillin
Doxycycline
If a client has a cephalosporin allergy, IM _______ and a single dose PO ______ may be used to treat gonorrhea (______;_______)
(a)
True or false. Water should be used for gonococci speculum instead of lubricant.
True
False
Bacterium causing syphilis
(a)
In the (a) stage of syphilis, the client becomes demented and dies from complications involving other organ systems
Which of the following medications may be used in the treatment of syphilis? Select all that apply.
Penicillin-G
Augmentin
Zithromax
Tetracycline
Doxycycline
What is the percentage of people having herpes?
16-21%
55%
22-27%
11%
Genital, perineal lesions (increase risk of cervical cancer and HIV)
HSV-1
HSV-2
Medications used to treat Herpes. Select all that apply.
Tetracycline
Zorivax
All of the above.
Valtrex
Famvir
HPV vaccinations normally done at what age?
8-9
1-3
11-12
13-14
Bacterium causing chancroid
(a)
