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chapter 26: Assessing male genitalia and rectum

Terms in this set (39)

The nurse is documenting current health concerns during the health history of an older adult male client. Identification of what may help most at this time?
Previous problems
A male infant is born with the urethral meatus opening on the underside of the penis. When providing information to the parents, what is the correct terminology to use for this condition?
Hypospadias
A nurse recognizes that which finding is normal upon palpation of the prostate?
Nontender and rubbery
An uncircumcised, 78 year-old male has presented at the clinic complaining that he cannot retract his foreskin over his glans. On examination it is noted that the foreskin is very constricted. What is this condition called?
Phimosis
A client comes to the Emergency Department complaining of sudden sharp testicular pain. Further examination reveals torsion of the spermatic cord. Which of the following would the nurse expect to do next?
Prepare the client for surgery.
On inspecting a client's external genitalia, a nurse notes that he is uncircumcised. This means that which of the following covers the glans of the penis?
Prepuce
While assessing an adult male client, the nurse detects pimple-like lesions on the client's glans. The nurse explains the need for a referral to the client. The nurse determines that the client has understood the instructions when the client says he may have
herpes infection.
A patient has undergone a digital rectal examination. This assessment will allow the clinician to diagnose which of the following?
BPH
A male client seeks medical attention for a swelling in the groin area. What should the nurse consider is occurring with this client? Select all that apply.
Hernia
Cancer
Infection
A teenage male client comes to the ED with severe left testicular pain and vomiting. Elevation of his left testicle does not lessen the pain. What could these symptoms indicate for this patient?
Left testicular torsion
Which client should a nurse recognize has the highest risk to develop prostate cancer?
65-year-old Caucasian male whose father had prostate cancer at age 55
A 60-year-old coach comes to the clinic complaining of difficulty starting to urinate for the last several months. He believes the problem is steadily getting worse. When asked he says he has a very weak stream, and it feels like it takes 10 minutes to empty his bladder. He also has the urge to go to the bathroom more often than he used to. He denies any blood or sediment in his urine and any pain with urination. He has had no fever, weight gain, weight loss, or night sweats. His medical history includes type 2 diabetes and high blood pressure treated with medications. He does not smoke but drinks a six pack of beer weekly. He has been married for 35 years. His mother died of a myocardial infarction in her 70s, and the client's father is currently in his 80s with high blood pressure and arthritis. Examination reveals a mildly obese alert and cooperative man. His blood pressure is 130/70 with a heart rate of 80. He is afebrile, and his cardiac, lung, and abdominal examinations are normal. Visualization of the anus shows no inflammation, masses, or fissures. Digital rectal examination reveals a smooth, enlarged prostate. No discrete masses are felt. There is no blood on the glove. An analysis of the urine shows no red blood cells, white blood cells, or bacteria. What disorder of the anus, rectum, or prostate is most likely?
Benign prostatic hyperplasia (BPH)
Which of the following is a sign or symptom of benign prostatic hypertrophy (BPH)?
Nocturia
Francis is a middle-aged man who noted right sided lower abdominal pain after straining with yardwork. Which of the following findings would make a hernia a more likely diagnosis?
Absence of symmetry of the inguinal areas with straining
You are giving an educational event to a local men's group about prostate cancer. What group should you be sure to tell the attendees of this event should receive information regarding the predisposition of prostate cancer?
African Americans
Which of the following would the nurse expect to be done to assess the size of the prostate?
Digital rectal examination
Upon observation, the nurse documents that a male child's urethral meatus is located on the underside of his penis. What is the term for this structural abnormality?
Hypospadias
The nurse suspects that a male client may have a hernia. The nurse should further assess the client for
bowel sounds at the bulge.
A patient presents at the clinic with severe scrotal pain. What is the presumptive diagnosis?
Testicular torsion
The nurse is preparing a presentation for a local community group about prostate cancer and possible dietary risk factors. Which of the following would the nurse most likely include?
High-fat diet
Which client would the nurse identify as being at highest risk for the development of testicular cancer?
A 25-year-old man with a history of cryptorchidism.
A nurse examines the external genitalia of a client and observes that the scrotum is enlarged, reddened, and swollen. On palpation, the epididymis is tender and the client complains of sudden pain. How should the nurse document this condition?
Epididymitis
A nurse is instructing a client on how to perform testicular self-examination (TSE). Which of the following should the nurse mention? Select all that apply.
Stand in front of a mirror and check for scrotal swelling
Roll the testis gently in a horizontal plane between thumb and fingers
Perform the TSE once a month
The nurse is assessing male genitalia and finds clusters of pimple-like clear vesicles. The nurse recognizes this as what?
Herpes
The client tells the nurse that he has little or no interest in sex. He says he is concerned and he knows his wife is unhappy with his lack of libido. What can the nurse tell the client often causes lack of libido?
Side effects of medications
The rectum is lined with folds of mucosa, and each fold contains a network of arteries, veins, and visceral nerves. When these veins undergo chronic pressure, the result may be
hemorrhoids.
A 45-year-old male client tells the nurse that he has had problems in having an erection for the last couple of weeks but is "doing better now." The nurse should explain to the client that
transient periods of erectile dysfunction are common.
During assessment of an adult client, which of the following lifestyle practices would indicate to the nurse that the client may be at high risk for HIV/AIDS? A client who
has anal intercourse with other males.
A nurse examines the anal area of a client and observes the presence of a varicose vein. How should the nurse document this finding?
External hemorrhoid
An adult male client comes to the clinic complaining of awakening at night to void and voiding more than once in a 2-hour time period. The client has a history of bladder irritation. What would be an appropriate nursing diagnosis for this client?
Risk for urge incontinence
A nurse is caring for a client with prostatitis. The nurse knows that what nursing care measure will be employed when caring for this client?
Administer the prescribed dose of antibiotics
An adolescent present at the free clinic with a collection of fluid in the tunica vaginalis of the testes. The nurse knows that the term that defines this condition is what?
Hydrocele
After teaching a group of student about structural abnormalities of the male reproductive system, the instructor determines that the teaching was successful when the students identify which of the following as an example?
Cryptorchidism
A teenager presents at the ER with severe scrotal and abdominal pain, vomiting, and nausea. He tells the nurse that he participated in a polar bear plunge in his community (jumping into cold water off-season). What conditions would the nurse suspect?
Torsion of the spermatic cord
When performing the physical assessment of a client, the nurse notes the presence of a small cyst that contains hair, which is located midline in the sacrococcygeal area and has a palpable sinus tract. How should the nurse document this finding?
Pilonidal cyst
A nurse examining a client's external genitalia notices that his scrotum and testes draw up and he shivers. This phenomenon is known as which of the following?
Cremasteric reflex
On palpating a client's scrotum and testes, the nurse notes that the testes appear to be of normal shape and size. Which of the following would indicate a normal length for testes?
4.5 cm
The inguinal canal in a male client is located
just above and parallel to the inguinal ligament.
A 17-year-old male client expresses concern about feeling lumps on his testicles. What response by the nurse would best address the client's concerns?
"The normal testicle contains internal structures that cause lumps on the surface."
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