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Flashcards in Male reproductive system Deck (3):
1

A nurse is caring for a 74 year-old client with benign prostatic hypertrophy (BPH). Which finding would the nurse anticipate when assessing this client?

Clients with BPH have frequent urination in small amounts day and night, with difficulty starting the urinary stream.

2

A client diagnosed with testicular cancer has undergone a unilateral orchiectomy. The client expresses fears about his prognosis prior to discharge. What information would the nurse want to include when helping the client better understand this type of cancer?

A: This surgery causes impotence and infertility

B: With early intervention, the cure rate for teticular cancer is about 50%

C: Intensive chemotherapy is the treatment of choice following surgery

D: Testicular cancer has a five-year survival rate of 95% with early diagnosis and treatment

D: Testicular CA has a 5-yr survival rate of 95%

With aggressive treatment and early detection/diagnosis the cure rate is 90%. The other options are incorrect information. After unilateral orchiectomy, the remaining testicle can produce adequate sperm for fertility and impotence is unlikely. In bilateral orchiectomy, fertility is lost, so sperm banking prior to surgery is recommended. Dissection of lymph nodes for surgical cancer treatment may cause nerve injury, which would increase the risk of impotence.

3

A client diagnosed with testicular cancer is scheduled for a right orchiectomy. The nurse is able to answer the client's questions about this procedure with the understanding that a unilateral orchiectomy involves which of the following approaches?

A partial surgical removal of the perineal area

A surgical removal of one testicle

A dissection of related lymph nodes by the testes

The affected testicle is surgically removed along with its tunica and spermatic cord. The other genitals and the perineal area are not involved.