Author Question: A patient comes to the clinic with repeated bouts of epididymitis and is adamant that he always ... (Read 32 times)

scienceeasy · **on:** Jun 25, 2018

A patient comes to the clinic with repeated bouts of epididymitis and is adamant that he always takes the medication he is given. What additional questions should the nurse ask to determine possible causes of epididymitis?

Select all that apply.
1. Are you sexually active?
2. Do you use condoms?
3. Do you practice unprotected anal intercourse?
4. Do you do any heavy lifting?
5. Do you use any drugs or alcohol?

Question 2

A patient seen in the emergency department for priapism is sent to the medical unit. The admitting nurse should anticipate which actions as part of the nursing care plan?

Select all that apply.
1. Assess the penis to include color changes and degree of erection.
2. Palpate the penis for firmness and rigidity.
3. Administer analgesic as prescribed for pain.
4. Administer iced saline enemas as prescribed.
5. Push oral fluids.

aloop · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1, 2, 3, 4
Epididymitis is more often seen in sexually active men who are less than 35 years of age. Sexually transmitted urethritis is usually the precipitating factor in younger men. Unprotected anal intercourse is another cause. It may also be associated with prostatitis or a urinary tract infection. Chemical epididymitis may be the problem due to reflux of urine into the ejaculatory ducts with increased abdominal pressure from excessive heavy lifting. Drugs and alcohol are not specific causes of epididymitis.

Answer to Question 2

Correct Answer: 1, 2, 3, 4
Priapism is an involuntary, sustained, painful erection that is not associated with sexual arousal. Impaired blood flow results in ischemia. The nurse will assess the penis for color changes, degree of erection, and palpate for firmness and rigidity. Analgesics are given for pain control and iced saline enemas to induce anesthesia. Intake and output should be monitored as acute urinary retention can occur. Excessive oral intake would be inappropriate.