NSG 211 Exam 5 complete study guide
to boost your grades
Male genitalia considerations for newborns and infants circumcision
Male genitalia considerations for children and adolescents Tanner's stages of maturation
Male genitalia considerations for older adults - stool retention
- incontinence
- declining testosterone levels
- testes drop lower in scrotum
- benign prostatic hyperplasia (BPH)
- erectile dysfunction
Cultural considerations for male genitalia - cultural beliefs, gender identity, sexual orientation
- piercings and tattoos
- transgender female (male at birth)
Signs/symptoms to do an urgent male genitalia assessment - testicular torsion (twisting of the
testicles) vs. epididymtis (Inflammation of the tube at the back of the testicle that stores and
carries sperm)
- fournier's gangrene
- catheter-acquired urinary tract infection (CAUTI)
- colorectal cancer
What is the difference between testicular torsion and epididymitis that indicates testicular
torsion? Elevation of affected testicles does not lessen pain
- In the client who presents with scrotal pain, differentiating factors between epididymitis and
testicular torsion that indicate testicular torsion include elevation of affected testicle does not
lessen pain and fever is rare.
Subjective Data Collection for male genitalia
- Assessment of Risk Factors - past medical history
- medical and surgical history
,- lifestyle and personal habits (5 P's: partners, practices, protection, past history of STI's,
prevention of pregnancy
- medications
- family history
Subjective Data Collection for male genitalia
- Ask about... - frequency, urgency, nocturia
- dysuria, hesitancy, straining
- urine color, past GU history
- Penis: pain, lesions, discharge
- Scrotum: self-care behaviors, lump
- sexual activity, STI contact
*Frame your questions around the age level you are assessing
Teaching and Health Promotion of male genitalia - Health goals
---testicular/prostate cancer; family planning; STI's
- Testicular self-examination
--- strategies; rationale
--- procedure
--- warning signs
- Screening for prostate cancer
Common symptoms of prostate cancer - pain
- difficulties with urination
- erectile dysfunction (ED)
- penile lesions, discharge, rash
- scrotal enlargement
- older adults
- cultural considerations
Equipment needed for assessment of male genitalia - disposable gloves
- water-soluble lubricant
- flashlight or penlight
- stethoscope
- measurements of your index finger
Inspection of the Penis should look like - should be free of lesions, glans should look
smooth
- if not circumcised, foreskin should retract easily
Normal findings of the scrotum - asymmetry is normal
- free of lesions
Inspection of the inguinal area inspect for bulging - hernia
What is the age group of the highest incidence of testicular cancer ages 15-40 years old
, How often and when should a TSE be performed once a month after a warm shower
Comprehensive physical assessment of male genitalia - utilize inspection and palpation as
appropriate
- groin
- penis
- scrotum
- sacrococcygeal areas
- perineal area
- inguinal region and femoral areas
Additional things to consider in a comprehensive physical assessment of the male genitalia
- testicles
- vas deferens
- transillumination of the scrotum
- hernias
- perianal and rectal examination
- prostate
- stool
Abnormal findings of the penis - HSV- 2
- syphilitic chancre
- genital warts
- cancer
- phimosis
- hypospadias-distal
- priapism
- peonies disease
What is HSV-2? causes genital herpes through sexual contact
What is syphilitic chancre? bacterial infection that causes sores
What are genital warts? A small bump on the genitals caused by a common sexually
transmitted infection
What is phimosis? A condition in which tight foreskin can't be pulled back over the head of
the penis.
What is hypospadias-distal? When the opening of the urethra is located midway between the
edge of the head and the middle of the side of the penis
What is priapism? persistent and painful erection of the penis.
What is Peyronie's disease? Fibrous scar tissue inside the penis that causes curved, painful
erections.
to boost your grades
Male genitalia considerations for newborns and infants circumcision
Male genitalia considerations for children and adolescents Tanner's stages of maturation
Male genitalia considerations for older adults - stool retention
- incontinence
- declining testosterone levels
- testes drop lower in scrotum
- benign prostatic hyperplasia (BPH)
- erectile dysfunction
Cultural considerations for male genitalia - cultural beliefs, gender identity, sexual orientation
- piercings and tattoos
- transgender female (male at birth)
Signs/symptoms to do an urgent male genitalia assessment - testicular torsion (twisting of the
testicles) vs. epididymtis (Inflammation of the tube at the back of the testicle that stores and
carries sperm)
- fournier's gangrene
- catheter-acquired urinary tract infection (CAUTI)
- colorectal cancer
What is the difference between testicular torsion and epididymitis that indicates testicular
torsion? Elevation of affected testicles does not lessen pain
- In the client who presents with scrotal pain, differentiating factors between epididymitis and
testicular torsion that indicate testicular torsion include elevation of affected testicle does not
lessen pain and fever is rare.
Subjective Data Collection for male genitalia
- Assessment of Risk Factors - past medical history
- medical and surgical history
,- lifestyle and personal habits (5 P's: partners, practices, protection, past history of STI's,
prevention of pregnancy
- medications
- family history
Subjective Data Collection for male genitalia
- Ask about... - frequency, urgency, nocturia
- dysuria, hesitancy, straining
- urine color, past GU history
- Penis: pain, lesions, discharge
- Scrotum: self-care behaviors, lump
- sexual activity, STI contact
*Frame your questions around the age level you are assessing
Teaching and Health Promotion of male genitalia - Health goals
---testicular/prostate cancer; family planning; STI's
- Testicular self-examination
--- strategies; rationale
--- procedure
--- warning signs
- Screening for prostate cancer
Common symptoms of prostate cancer - pain
- difficulties with urination
- erectile dysfunction (ED)
- penile lesions, discharge, rash
- scrotal enlargement
- older adults
- cultural considerations
Equipment needed for assessment of male genitalia - disposable gloves
- water-soluble lubricant
- flashlight or penlight
- stethoscope
- measurements of your index finger
Inspection of the Penis should look like - should be free of lesions, glans should look
smooth
- if not circumcised, foreskin should retract easily
Normal findings of the scrotum - asymmetry is normal
- free of lesions
Inspection of the inguinal area inspect for bulging - hernia
What is the age group of the highest incidence of testicular cancer ages 15-40 years old
, How often and when should a TSE be performed once a month after a warm shower
Comprehensive physical assessment of male genitalia - utilize inspection and palpation as
appropriate
- groin
- penis
- scrotum
- sacrococcygeal areas
- perineal area
- inguinal region and femoral areas
Additional things to consider in a comprehensive physical assessment of the male genitalia
- testicles
- vas deferens
- transillumination of the scrotum
- hernias
- perianal and rectal examination
- prostate
- stool
Abnormal findings of the penis - HSV- 2
- syphilitic chancre
- genital warts
- cancer
- phimosis
- hypospadias-distal
- priapism
- peonies disease
What is HSV-2? causes genital herpes through sexual contact
What is syphilitic chancre? bacterial infection that causes sores
What are genital warts? A small bump on the genitals caused by a common sexually
transmitted infection
What is phimosis? A condition in which tight foreskin can't be pulled back over the head of
the penis.
What is hypospadias-distal? When the opening of the urethra is located midway between the
edge of the head and the middle of the side of the penis
What is priapism? persistent and painful erection of the penis.
What is Peyronie's disease? Fibrous scar tissue inside the penis that causes curved, painful
erections.
