Nursing Review about Reproductive Disorders (NLE/PRC 6-10)



Nursing Review about Reproductive Disorders

6. The nurse is teaching a male client to perform monthly testicular self-examinations. Which of the following points would be appropriate to make:

a. Testicular cancer is a highly curable type of cancer.
b. Testicular cancer is very difficult to diagnose.
c. Testicular cancer is the number one cause of death in males.
d. Testicular cancer is more common on older men.

7. A nurse caring for a client following a transurethral resection of the prostate (TURP) notices that the client has suddenly become confused and disoriented. The nurse interprets that this may be due to which of the following potential complication of this surgical procedure:

a. Hypernatremia
b. Hyponatremia
c. Hyperchloremia
d. Hypochloremia

8. According to some Nursing Review, a factor in infertility may be related to the pH of the vaginal canal. A medication that is ordered to alter the vaginal pH is:

a. Estrogen therapy
b. Sulfur insufflations
c. Lactic acid douches
d. Sodium bicarbonate douches

9. A female client has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client:

a. This condition puts her at higher risk for cervical cancer; she should have a Papanicolau (Pap) smear annually.
b. The most common treatment is Metronidazole (Flagyl) which should eradicate the problem within 7 to 10 days.
c. The potential for transmission to her sexual partner will be eliminated if condoms are used every time they have sexual intercourse.
d. The human papilloma virus (HPV) which causes condylomata acuminate can’t be transmitted during oral sex.

10. A nurse is assigned to a client returning from the post-anesthesia care unit following transurethral prostatectomy. The nurse avoids during which of the following after this procedure:

a. Reporting signs of confusion.
b. Administering a belladonna and opium (B&O) suppository at room temperature.
c. Removing the traction tape on the three-way catheter.
d. Monitor hourly urine output.



Nursing Review about Reproductive Disorders
ANSWERS AND RATIONALE

6) A
- Testicular cancer is highly curable particularly when it is treated in its early stage. Self-examinations allow early detection and facilitate the early initiation of treatment. The highest mortality rates from cancer among men are in men with lung cancer. Testicular cancer is found more commonly in younger men ages 20-40 years old.

7) B
- The client who suddenly becomes disoriented and confused following TURP could be experiencing early signs of hyponatremia. This may occur because of the flushing solution used during the operative procedure is hypotonic. If enough solution is absorbed through the prostate veins during surgery, the client experiences increased circulating volume and dilutional hyponatremia. The nurse needs to report these symptoms.

8) D
- Based on some nursing review, sperm motility is increased at pH values near neutral or slightly alkaline; a sodium bicarbonate douche will reduce the acidity of fluids in the vagina and help optimize the pH.

A- Estrogen does not alter pH.B- Sulfur does not change pH in any way.C- This would increase the acid content and kill the sperm.

9) A
- Women with condylomata acuminata are at risk for cancer of the cervix and vulva. Yearly Pap smears are very important for early detection. Because condylomata acuminata is a virus, there is no permanent cure. Because it can occur on the vulva, a condom won’t protect sexual partners. HPV can be transmitted to her parts of the body, such as the mouth, oropharynx, and larynx.

10) C
- nurse should avoid removing the traction tape applied by the surgeon in the operating room. The purpose of the tape is to place pressure on the prostate to reduce bleeding Suppositories ordered on a PRN basis for bladder spasm should be warmed to a room temperature before administration. The nurse routinely monitors hourly urine output since the client has a three-way bladder irrigation running. The nurse also assesses for confusion which could result from hyponatremia secondary to the hypotonic solution irrigation during the surgical procedure.

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