Question 1 of 9
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The nurse is caring for a patient immediately after a prostatectomy. On assessment, the nurse notes that no urine has drained from the catheter in the past 4 hours and that the abdomen is distended. Which complication would the nurse suspect is occurring?
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- Spasms of the bladderBladder spasms are a concern after a prostatectomy; the nurse would check for kinks or obstruction of the catheter before medicating.
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- Clots obstructing the catheterIn the postoperative period after a prostatectomy, the patient will experience the passage of blood clots. These clots may become lodged in the catheter tubing, resulting in severe unrelieved pain. The diagnosis would be confirmed by the lack of urine passage in the tubing.
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- Infection of the surgical incisionAbdominal distension and absence of urinary drainage are not signs of infection of the surgical incision.
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- Psychological maladjustment to the procedureAbdominal distension and absence of urinary drainage are not signs of infection of psychological maladjustment to the procedure.
Question 2 of 9
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Which statement by the student nurse indicates understanding of symptoms of benign prostatic hyperplasia (BPH)?
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- “The onset of symptoms is sudden.”The symptoms are usually gradual in onset, not sudden.
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- “The symptoms are immediately noticed.”Symptoms may not be noticed until prostatic enlargement has been present for some time because the bladder can compensate for a small amount of resistance to urine flow.
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- “Manifestations are associated with respiratory tract symptoms.”Respiratory tract symptoms are not associated with BPH.
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- “Manifestations are associated with lower urinary tract symptoms.”Manifestations of BPH are mainly associated with symptoms of the lower urinary tract.
Question 3 of 9
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Which patient statement indicates an understanding of their prescription for tadalafil for treatment of erectile dysfunction?
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- “I may feel sleepy after taking this medication.”Drowsiness and sedation are not common side effects of tadalafil. Sedation is a side effect of trazodone.
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- “My nose might feel stuffy when I take this drug.”Nasal congestion is a common side effect of tadalafil.
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- “This medication is administered topically as a gel.”There are several topical medications that can be used for treatment of erectile dysfunction, but tadalafil is administered orally.
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- “I need to report headaches right away if I get them after taking this medication.”Headaches are a common side effect of tadalafil and do not need to be reported to the provider immediately.
Question 4 of 9
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Which complementary therapy has been shown to improve erectile dysfunction in some studies? Select all that apply. One, some, or all responses may be correct.
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- RoseRose has been shown to improve erectile dysfunction in some studies.
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- GarlicGarlic has not been shown to be an effective complementary therapy for erectile dysfunction.
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- JasmineJasmine has been shown to improve erectile dysfunction in some studies.
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- AcupunctureAcupuncture has been shown to improve erectile dysfunction in some studies.
- Correct
- AromatherapyAromatherapy has been shown to improve erectile dysfunction in some studies.
Question 5 of 9
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Which intervention would the nurse anticipate for a patient with priapism?
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- Emergency surgeryEmergency surgery is not usually indicated for a patient with priapism. Emergency surgery is often indicated for testicular torsion.
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- Urinary catheterizationUrinary catheterization is often performed for patients with priapism to remove pressure from the penis.
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- Increase oral fluid intakeOral fluid intake is increased with varicocele, not priapism.
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- Local injections to dissolve plaquesLocal injections to dissolve plaques is used to treat Peyronie disease, not priapism.
Question 6 of 9
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Which medication used to treat benign prostatic hyperplasia can cause gynecomastia as a side effect?
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- TadalafilTadalafil is a phosphodiesterase 5 inhibitor that acts by increasing vasodilation and inducing smooth muscle relaxation. Gynecomastia is not a side effect of this medication.
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- FinasterideFinasteride is a steroid that can cause gynecomastia as a side effect.
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- TamsulosinTamsulosin is an α-adrenergic blocker that can cause hypotension and dizziness, but it does not cause gynecomastia as a side effect.
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- DoxazosinDoxazosin is an α-adrenergic blocker that can cause hypotension and dizziness, but it does not cause gynecomastia as a side effect.
Question 7 of 9
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Which treatment option is most likely to be recommended to a patient with benign prostatic hyperplasia (BPH)?
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- Urethral stent placementUrethral stent placement is used as a temporary treatment measure for BPH and is not the gold standard treatment.
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- Suprapubic prostatectomySuprapubic prostatectomy is removal of the prostate gland through the bladder and not the most commonly used treatment for BPH.
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- Transurethral needle ablation (TUNA)TUNA involves placement of radiofrequency needles in the prostate to coagulate tissue. It is not the most commonly used treatment for BPH.
- Correct
- Transurethral resection of the prostate (TURP)TURP is most likely to be recommended because it is the gold standard treatment option for BPH.
Question 8 of 9
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The nurse is caring for a patient scheduled for a transurethral resection of the prostate (TURP). Which patient statement indicates an understanding of the procedure?
- Correct
- “A three-way catheter will be placed in my urethra.”A three-way catheter is placed in the urethra during the TURP procedure to facilitate effective urinary drainage.
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- “A laser will be used to destroy my prostate gland.”A laser beam is used to destroy prostate tissue during a laser prostatectomy but not during a TURP procedure.
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- “I will be placed under general anesthesia for this procedure.”Spinal anesthesia, not general, is used for the TURP procedure.
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- “A stent is placed in my urethra so that I can urinate effectively.”Urethral stents are a temporary treatment option for benign prostatic hyperplasia but are not used as part of the TURP procedure.
Question 9 of 9
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Which information would the nurse include in the postoperative teaching for a patient undergoing a transurethral resection of the prostate (TURP) procedure?
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- “Decrease fiber intake in your diet.”Fiber intake should be increased to prevent straining, which can increase intraabdominal pressure and cause further bleeding.
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- “Report any blood-tinged urine immediately.”Blood-tinged urine is an expected finding for the first few days after surgery, so this does not need to be reported. If the bleeding lasts longer than a few days or is bright red, it should be reported immediately.
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- “You may require bladder irrigation after surgery.”Bladder irrigation is commonly performed on patients after undergoing TURP.
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- “You will be able to urinate normally right after surgery.”A urinary catheter is usually left in place for a few days after TURP, so the patient will not be able to urinate normally until that is removed.
