male gu assessment - Sheet1 Flashcards

1
Q

What urinary symptoms should be discussed in a male GU subjective assessment?

A

Frequency, urgency, nocturia, dysuria, hesitancy, straining, urine color, and hematuria.

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2
Q

What past GU history information is relevant in a male GU assessment?

A

Erection changes, associated health issues, medications, history of lesions, sores, lumps, discharge, sexual history (partners, STIs).

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3
Q

What should be considered about the gender of the examiner during a male GU assessment?

A

Gender of the examiner may affect patient comfort; embarrassment or erection may occur.

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4
Q

What should be assessed regarding hair distribution during a male GU exam?

A

Check for pubic hair distribution, which may decrease with age, and assess for pests.

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5
Q

What questions should be asked about sexual history?

A

Inquire about partners, contraceptive use, and history of STIs.

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6
Q

What is phimosis?

A

Phimosis is the inability to retract the foreskin over the glans due to tight foreskin.

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7
Q

What are hypospadias and epispadias?

A

Hypospadias: Urethra opens on the underside of the penis; epispadias: Urethra opens on the upper aspect. Both require early surgery.

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8
Q

What should be observed regarding the foreskin in a male GU assessment?

A

Check if circumcised, foreskin retractability, and presence of phimosis.

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9
Q

How should a Foley or condom catheter be assessed?

A

Foley catheter: assess placement, urine color. Condom catheter: check for skin breakdown.

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10
Q

What should be noted in a scrotal assessment?

A

Check for edema, signs of infection, and any history of abdominal or pelvic trauma.

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11
Q

What are normal findings for inguinal or femoral hernias?

A

Hernias should not be palpable. Bulges suggest a hernia and should be referred to an MD or APRN.

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12
Q

When should prostate screenings typically begin?

A

Prostate screenings typically begin at age 40-45.

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13
Q

What is a Prostate-Specific Antigen (PSA) test?

A

PSA is a blood test used to screen for prostate cancer or other prostate conditions.

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14
Q

What is Hypospadias?

A

Hypospadias is a congenital condition where the urethral opening is located on the underside of the penis, often repaired in infancy.

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15
Q

What is Epispadias?

A

Epispadias is a congenital condition where the urethral opening is located on the upper aspect of the penis, requiring surgical repair.

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16
Q

What is the ideal age for surgical repair of hypospadias and epispadias?

A

Both conditions ideally require surgical repair during the first 7 years of life.

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17
Q

What is BPH?

A

Benign Prostatic Hyperplasia (BPH) is an enlargement of the prostate, which can cause urinary symptoms such as frequency and hesitancy.

18
Q

What are common signs of BPH?

A

Signs include frequent urination, urgency, nocturia, weak urine stream, and difficulty starting urination.

19
Q

When should males begin performing Testicular Self-Exams (TSE)?

A

Males should begin performing TSE at age 13 and continue monthly throughout adulthood.

20
Q

How often should a Testicular Self-Exam (TSE) be performed?

A

TSE should be performed once a month.

21
Q

When is the best time to perform a Testicular Self-Exam?

A

It is best to perform TSE after a warm shower, when the scrotum is relaxed.

22
Q

What should males look for during a Testicular Self-Exam?

A

They should check for any changes or lumps in the testicles, including painless lumps, which could indicate a testicular tumor.

23
Q

What is normal to feel during a Testicular Self-Exam?

A

The epididymis, which is located above the testicle, is normal to palpate.

24
Q

What age group is most at risk for testicular cancer?

A

Testicular cancer is most common in males ages 15-34.

25
Q

What is the main recommendation regarding TSE for males?

A

Males should report any changes or lumps they find immediately, as testicular tumors are often painless.

26
Q

Do nurses typically palpate the testicles during an exam?

A

Nurses do not typically palpate the testicles, but they are responsible for educating patients on how to perform the TSE themselves.

27
Q

What causes erectile dysfunction (ED) in males?

A

Causes of ED can include psychological factors (stress, anxiety), physical factors (diabetes, hypertension, heart disease), medications (antihypertensives, antidepressants), and hormonal imbalances.

28
Q

What are common subjective findings related to ED?

A

Males may report difficulty achieving or maintaining an erection, reduced sexual desire, and low satisfaction with sexual activity.

29
Q

How does ED present in the elderly male population?

A

ED in older men may be due to decreased testosterone, reduced blood flow, side effects from medications, and conditions like prostate problems (BPH).

30
Q

What are pediatric considerations related to male genital health?

A

Boys should have descended testes by 9 months of age. Delayed descent increases the risk for testicular cancer later. Abuse or inappropriate activity should be screened.

31
Q

What male genital issues should be assessed for in infancy?

A

Congenital deformities such as hypospadias and epispadias should be assessed. The urethra should be distally centered at birth.

32
Q

What changes occur in the male genital system as men age?

A

Older men may experience a pendulous scrotum, decreased sperm production, smaller testicle size, less rigid erections, and less powerful ejaculations. Prostatic hypertrophy (BPH) is more common.

33
Q

What should be considered when assessing erectile dysfunction in older men?

A

Medications like antihypertensives and antidepressants may contribute to ED. Reassure that these effects are not permanent and suggest consulting a prescriber for medication adjustments.

34
Q

What is Prostatic Hypertrophy (BPH) and its impact on urinary function?

A

BPH causes enlarged prostate, leading to straining with urination, weak urine stream, and urinary retention. It is more common in older men.

35
Q

What is the treatment for ED related to medication side effects?

A

ED due to medications may improve by adjusting prescriptions. Bring up concerns with the prescribing healthcare provider.

36
Q

How is erectile function related to age in elderly men?

A

Men can remain capable of impregnating a woman well into their 80s and 90s, though erectile function may decline with age.

37
Q

What are the most common STIs affecting males?

A

STIs include genital herpes (HSV-2), HPV (which can cause genital warts and cancers), syphilis (treatable with antibiotics), gonorrhea (causing burning urination), HIV/AIDS, and hepatitis.

38
Q

What is the treatment for genital herpes (HSV-2)?

A

Genital herpes is treated with antiviral medications. There is no cure, and the virus remains indefinitely. Barrier methods reduce transmission.

39
Q

What is the HPV vaccine and why is it important?

A

The HPV vaccine can prevent cervical and other cancers caused by HPV. It is most effective when administered before sexual activity.

40
Q

What are the symptoms of gonorrhea and its treatment?

A

Gonorrhea causes burning during urination, pus or inflammation of the urethra, and increased urinary frequency. It is treatable with antibiotics, though drug resistance is rising.

41
Q

What is the current treatment for HIV/AIDS?

A

HIV/AIDS is treated with antiretrovirals, though side effects can be significant, and treatment is costly. Risk reduction includes condoms and PrEP (Truvada, Descovy).

42
Q

What are the key prevention methods for hepatitis?

A

Hepatitis A and B are preventable by vaccines. Hepatitis C has costly treatments available. Risk reduction includes using condoms, avoiding needle use, and vaccination.