1. Case Study: Male Genitalia

2. Meet the Client: Mr. Jones
Meet Mr. Jones, a 65 year old male complaining of urination difficulty. States he feels the urge to urinate often, but the urine stream is intermittent and weak.

3. Question 1
Mr. Jones has been unable to void for the last 12 hours. He is getting anxious and experiencing discomfort. The best method for the nurse to use to when assessing for bladder distention in a male client is to check for:
a. A rounded swelling above the pubis
b. Dullness in the lower left quadrant
c. Rebound tenderness below the symphysis
d. Urine discharge from the uretheral meatus

4. Question 1
Mr. Jones has been unable to void for the last 12 hours. He is getting anxious and experiencing discomfort. The best method for the nurse to use to when assessing for bladder distention in a male client is to check for:
a. A rounded swelling above the pubis
b. Dullness in the lower left quadrant
c. Rebound tenderness below the symphysis
d. Urine discharge from the uretheral meatus

5. Question 2
Mr. Jones has been diagnosed with prostatic hypertrophy. He has failed to seek medical attention until urinary obstruction is almost complete. One reason for this delay in seeking attention is that he may:
a. Feel too self-conscious to seek help when reproductive organs are involved
b. Expect that it is normal to have to live with some urinary problems as he grows older.
c. Fear that sexual indiscretions in earlier life may be the cause of the problem.
d. Have little discomfort in relation to the amount of pathology because responses to pain stimuli fade with age.

6. Question 2
Mr. Jones has been diagnosed with prostatic hypertrophy. He has failed to seek medical attention until urinary obstruction is almost complete. One reason for this delay in seeking attention is that he may:
a. Feel too self-conscious to seek help when reproductive organs are involved
b. Expect that it is normal to have to live with some urinary problems as he grows older.
c. Fear that sexual indiscretions in earlier life may be the cause of the problem.
d. Have little discomfort in relation to the amount of pathology because responses to pain stimuli fade with age.

7. Question 3
The nurse should specifically assess a client with prostatic hypertrophy for which of the following?
a. Voiding at less frequent intervals
b. Difficulty starting the flow of urine
c. Painful urination
d. Increased force of the urine stream

8. Question 3
The nurse should specifically assess a client with prostatic hypertrophy for which of the following?
a. Voiding at less frequent intervals
b. Difficulty starting the flow of urine
c. Painful urination
d. Increased force of the urine stream

9. Question 4
Mr. Jones has an elevated prostate-specific antigen (PSA) level. The nurse should:
a. Instruct the client to request having a colonoscopy before coming to the conclusions about the PSA results
b. Instruct the client that an urologist will monitor the PSA level biannually when elevated.
c. Determine if the prostatic palpation was done before or after the blood sample was drawn.
d. Ask the client if he emptied his bladder before the blood sample was obtained.

10. Question 4
Mr. Jones has an elevated prostate-specific antigen (PSA) level. The nurse should:
a. Instruct the client to request having a colonoscopy before coming to the conclusions about the PSA results
b. Instruct the client that an urologist will monitor the PSA level biannually when elevated.
c. Determine if the prostatic palpation was done before or after the blood sample was drawn.
d. Ask the client if he emptied his bladder before the blood sample was obtained.

11. Question 5
If the nurse was caring for a patient with a history of benign prostatic hypertrophy (BPH), the nurse should do which of the following? (Select all that apply)
a. Provide privacy and time for the client to void
b. Monitor intake and output
c. Catheterize the client for postvoid residual urine
d. Ask the client if he has urinary retention
e. Test the urine for hematuria

12. Question 5
If the nurse was caring for a patient with a history of benign prostatic hypertrophy (BPH), the nurse should do which of the following? (Select all that apply)
a. Provide privacy and time for the client to void
b. Monitor intake and output
c. Catheterize the client for postvoid residual urine
d. Ask the client if he has urinary retention
e. Test the urine for hematuria

13. Meet the Client: Mr. Walker
Mr. Walker is a 28 year old male recently diagnosed with epididymitis.

14. Question 6
With a recent diagnoses with epididymitis, the nurse should assess the client for:
a. Burning and pain on urination
b. Severe tenderness and swelling in the scrotum
c. Foul – smelling ejaculate
d. Foul – smelling urine

15. Question 6
With a recent diagnoses with epididymitis, the nurse should assess the client for:
a. Burning and pain on urination
b. Severe tenderness and swelling in the scrotum
c. Foul – smelling ejaculate
d. Foul – smelling urine

16. Question 7
The nurse is teaching Mr. Walker to perform a testicular self-examination, the nurse explains that the examination should be performed:
a. After intercourse
b. At the end of the day
c. After a warm bath or shower
d. After exercise

17. Question 7
The nurse is teaching Mr. Walker to perform a testicular self-examination, the nurse explains that the examination should be performed:
a. After intercourse
b. At the end of the day
c. After a warm bath or shower
d. After exercise

18. Question 8
The nurse is assessing a client’s testes. Which of the following findings indicate the testes are normal?
a. Soft
b. Egg-shaped
c. Spongy
d. Lumpy

19. Question 8
The nurse is assessing a client’s testes. Which of the following findings indicate the testes are normal?
a. Soft
b. Egg-shaped
c. Spongy
d. Lumpy