A triage nurse recognizes that which client needs to be seen immediately?
A client who has had an unrelieved erection for the past 4 hours
Priapism is a prolonged erection that cannot be relieved. It is a medical emergency and is often painful. Delayed treatment can result in permanent loss of penile function. A rash on the pen
An infant has cryptorchidism, and hormone treatment has failed. How should the nurse prepare the parents for treatment of their child's condition?
Surgery will be recommended around the age of 1
If hormonal therapy is not successful in initiating testis descent (success rates range from 6% to 75%), the testis is located and moved surgically (orchiopexy) in young children around the age of 1 or is re
A male client's foreskin cannot be retracted. Which term will the nurse observe documented in the chart?
Phimosis
Phimosis is a condition in which the foreskin cannot be retracted. Balanitis is inflammation of the glans penis. Priapism is a prolonged erection. Paraphimosis is when the foreskin is retracted and cannot be reduced.
An infant's testes fail to descend from the abdomen into the scrotum. The nurse is caring for which client?
An infant with cryptorchidism
Cryptorchidism is the condition in which one or both testes fail to descend from the abdomen into the scrotum. Orchitis is an acute inflammation of the testes. Testicular torsion is when the testis rotates and interrupts bloo
A nurse is teaching a men's group about prostate cancer. Which information should the nurse include about the most important risk factor in the development of prostate cancer?
advanced age
Incidence increases with advancing age, with more than 75% of all prostate cancers diagnosed in men older than 65 years. Balanitis and vasectomy do not significantly increase the risk of prostate cancer. Vitamin E has been found to be protect
An uncircumcised man presents to the urgent care reporting that he is unable to return his foreskin over the top of the penis. What does the nurse suspect?
Paraphimosis
Paraphimosis is a condition in which the foreskin is retracted and cannot be returned to cover the glans. Phimosis is a condition in which the foreskin cannot be retracted back over the glans. Urethral stricture is a narrowing of the urethra,
What client should the nurse see first?
A client with testicular torsion
Torsion of the testis is a surgical emergency. If it cannot be reduced manually (scrotal elevation), surgery must be performed within 6 hours after the onset of symptoms to preserve normal testicular function. Testicular t
A 15-year-old football player sustains a hit to the groin and presents to the emergency department in severe pain with a swollen scrotum. The nurse recognizes that these signs and symptoms support which medical diagnosis?
Torsion of the testis
Torsion of the testis is when the testis rotates on its vascular pedicle, interrupting its blood supply, causing pain and swelling. Onset may be spontaneous or follow physical exertion or trauma. Torsion of the testis can occur at an
Which term should the nurse use to describe overdevelopment of breast tissue in a male client?
Gynecomastia
Overdevelopment of breast tissue in men is known as gynecomastia. Papilloma consists of multiple, finger-like projections or a branching axis lined by myoepithelial cells and luminal cells. Cryptorchidism is the absence of one or more testes
A client has a diagnosis of cryptorchidism. This indicates to the nurse that the client has which condition?
An undescended testis
Cryptorchidism is a group of abnormalities in which the testis fails to descend completely. Cryptorchidism is not an undersized penis. In hypospadias, the urethral meatus is located on the ventral undersurface of the penis or on the
A nurse is talking about the primary reason for the continued spread of sexually transmitted diseases. Which information did the nurse share?
People unaware of being infected
Many infected individuals do not seek treatment because symptoms are absent, minor, or transient, thus contributing to ongoing transmission to others. Later onset, low-risk behaviors, and decreased average number of partne
A client has priapism. The nurse is caring for which client?
A client with a prolonged, painful penile erection
Priapism is a prolonged, painful penile erection. Balanitis is inflammation of the glans penis. Impotence (also called erectile dysfunction) is an inability to maintain an erection. Peyronie disease invol
A man presents to the urgent care clinic with reports of urinary frequency and urgency with urethral itching and a history of unsafe sexual practices. The nurse suspects the client has which condition?
Urethritis
Urethritis is an inflammatory process, often caused by sexually transmitted microorganisms, that produces urethral itching or burning sensation and urinary frequency and urgency. Urethral stricture is a narrowing of the urethra, resulting in de
A public health nurse is screening healthy people for sexually transmitted infections (STIs). Which group of people should the nurse target because they have the highest risk for STI exposure and infection?
Adolescents
Perhaps partly as a result of risk-taking behavior, adolescents tend to be at highest risk for STI exposure and infection. Young adults, middle-aged adults, and older adults do not face risk as high as that of adolescents.
A man presents to the urology clinic reporting that the top of his penis is red and swollen. The nurse recognizes that these symptoms are suggestive of which condition?
Balanitis
Balanitis is an inflammation of the glans penis (top of the penis). Peyronie disease is a fibrotic condition that causes lateral curvature of the penis during erection. Penile cancer usually begins as a small, flat, ulcerative lesion on the glan
A young man is diagnosed with orchitis after reporting pain in his testes. Which assessment question demonstrates an understanding of the etiology of this condition?
Have a you ever had the mumps?"
Orchitis is inflammation of the testes often occurring after an infection with the mumps. Priapism is the condition characterized by a prolonged erection. Although sperm count can be affected by orchitis, it is not the eti
A man diagnosed with a scrotal disorder describes the resulting feeling as "like a bag of worms in there." Which condition is supported by the client's statement?
Varicocele
Varicocele is dilation of the testicular vein and the pampiniform plexus within the scrotum and is classically described as a "bag of worms." A hydrocele is a collection of fluid within the tunica vaginalis. Spermatocele is a painless benign cy
Parents are concerned that their 7-year-old son is experiencing breast budding. The nurse recognizes this as indicative of which condition?
Mixed precocious puberty
Mixed precocious puberty causes the child to develop some secondary sex characteristics of the opposite gender. Partial precocious puberty involves the partial development of secondary sex characteristics, without progression to o
A patient relates a history of numerous episodes of prostatitis. Which findings if noted in his patient history would serve as an indicator for these recurrent infections? Select all that apply:
Hematuria, weak urinary system, and Feels like he can't empty his bladder upon voiding
Recurrent prostatitis can lead to alterations in urinary flow, incomplete voiding, and hematuria.
It is most important that the nurse teach the technique for testicular self-examination to males of which age group?
Ages 15 to 35 years
Testicular cancer is the most common solid tumor in men aged 15 to 35 years. It is most important that men of this most susceptible age group know this procedure. All men should self-examine; but the other options are not the most susc
A nurse is asked which sexually transmitted infection is caused by human papillomavirus. What is the nurse's best response?
Condylomata
Condylomata are caused by the human papillomavirus. Syphilis is caused by the bacteria Treponema pallidum. Chlamydia is caused by the bacteria Chlamydia trachomatis. Herpes is caused by the herpes simplex virus.
A nurse is teaching a health class about preventive measures for penile cancer. Which information should the nurse include that will decrease the risk for penile cancer?
circumcision at birth
Circumcision at birth decreases the risk of penile cancer. Smoking and aging increase the risk. Weight loss is not associated with penile cancer prevention.
A middle-aged man reports an abnormal curvature of the penis that has existed since puberty but is getting worse. He states that intercourse is painful. The client's statements support which diagnosis?
Peyronie disease
Peyronie disease (bent nail syndrome) is a fibrotic condition that causes lateral curvature of the penis during erection. It develops slowly and usually affects middle-aged men, causing painful erection and painful intercourse. Orchitis i