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Ch. 34 - Nursing Management: Patients with Male Reproductiv
Test 2
28
Nursing
Undergraduate 4
02/10/2015

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Cards

Term
What are the screening tests for prostate cancer?
Definition
digital rectal examination (DRE) and prostate-specific antigen (PSA).
Term
What are the treatment options for prostate cancer?
Definition
surgery, radiation, and hormonal treatments
Term
What are the surgical options for prostate cancer?
Definition
Transurethral resection of the prostate (TURP)
Suprapubic prostatectomy
Perineal prostatectomy
Retropubic prostatectomy
Transurethral incision of the prostate (TOIP)
Robotic or laparoscopic prostatectomy
Term
What does a preoperative assessment of prostate cancer indicate?
Definition
for reduced anxiety and learning about his prostate disorder and the perioperative experience
Term
What does a postoperative assessment of prostate cancer indicate?
Definition
need for maintenance of fluid volume balance, relief of pain and discomfort, ability to perform self-care activities, and absence of complications:
Term
What complications are associated with prostate cancer?
Definition
hemorrhage, infections, catheter obstruction, DVT, and sexual dysfunction
Term
What is Orchitis?
Definition
An inflammation of the testes caused by a variety of factors:
Term
How is orchitis treated?
Definition
Antibiotics and supportive care
Term
What is a Hydrocele?
Definition
A collection of fluid, generally in the tunica vaginalis of the testis
Term
What is Varicocele?
Definition
An abnormal dilation of the veins of the pampiniform venous plexus in the scrotum
Term
What are the symptoms of testicular cancer?
Definition
Symptoms appear gradually, with a mass or lump on the testicle and painless enlargement of the testis
Term
What is the treatment for testicular cancer?
Definition
Treatment is orchiectomy (testis removal) and/or radiation
Term
What does CANCER stand for?
Definition
C: Chemo precautions.
A: Antiemetics BEFORE drug therapy!
N: Nephrotoxicity
C: Colony stimulating factors. (Neupogen, Neumega, Epogen)
E: Evaluate for secondary infections.
R: Rapidly dividing cells (Hair, sperm, skin, stomach lining etc.)
Term
What does SUCKS stand for?
Definition
S: Sexual functioning. (Infertility & reproduction issues.)
U: Use PPE’s
C: Corticosteroids. (Decrease sensitivity reactions, decrease N&V, stimulates appetite, & increase doses for anti-CA effects.)
K: Keep pain under control w/ opioids if needed.
S: Side effects. (N&V, stomatitis, alopecia, & bone marrow suppression.)
Term
What are the anti emetic drugs?
Definition
-metoclopramide (Reglan)
-promethazine (Phenergan)
-aprepitant (Emend)
-ondansetron (Zofran)
-dronabinol (Marinol)
Term
What does ANTI-EM stand for?
Definition
A- action blocks the effects of serotonin
N- nausea & vomiting from chemo or radiation
T- take before chemotherapy
I- interactions with drugs that affect AST/ALT (Liver function)

E- extrapyramidal symptoms
M- monitor AST/ALT during treatment
Term
What do steroids cause?
Definition
-Osteoperosis
-Hyperglycemia
-Immune suppression
-GI bleed
Term
What is the hormone treatment for prostate cancer?
Definition
ESTROGEN
Term
What are complications from TURP?
Definition
Erectile dysfunction
Incontinence
Term
What do you assess for TURP?
Definition
-Tubes
-Urinary Output
-Red drainage
-Pieces of clots
-Spasms
Term
Triple lumen?
Definition
-Irrigation (N/S, LR)
-Drainage of urine and fluid
-Balloon pump
Term
Is the balloon bigger on the TURP than on a regular catheter?
Definition
Yes, can be up to 20
Term
How do you assess for a blockage in a TURP?
Definition
-Input - Output
-Bladder distention
-Bladder scan
Term
Should TURP sit in chair for extended periods of time?
Definition
No
Term
Is the following statement true or false?
A sudden cessation of output from a patient’s urinary catheter is suggestive of a nursing diagnosis of fluid volume deficit.
Definition
False
Rationale: Although fluid imbalances are possible after prostate surgery, a sudden stoppage of output is often indicative of catheter obstruction. Irrigation may be necessary.
Term
IF testicles are swollen, what is suspected?
Definition
Liver cancer, lung cancer
Term
Is the following statement true or false?
Painless hematuria is a hallmark sign of testicular cancer.
Definition
False
Rationale: Testicular cancer does not normally cause urinary symptoms. Instead, most patients experience heaviness in the scrotum, inguinal area, or lower abdomen; backache (from retroperitoneal node extension); abdominal pain; weight loss; and general weakness.
Term
A patient with a brain tumor is prescribed dexamethasone. Which of the following are true regarding steroid therapy?
Prescribed to reduce cerebral swelling
Hypoglycemia is an expected adverse effect
Can result in bone loss
Has a diuretic effect
Can cause fluid retention
Definition
Prescribed to reduce cerebral swelling
Can result in bone loss
Can cause fluid retention
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