A client is diagnosed with testicular cancer.
Which nursing assessment should be prioritized for this client?
Assess the client's adherence to regular follow-up appointments.
Evaluate the client's emotional well-being and psychological distress.
Monitor for signs of testicular necrosis.
Check for varicocele enlargement.
The Correct Answer is B
Choice A rationale:
Assess the client's adherence to regular follow-up appointments.
While assessing a client's adherence to regular follow-up appointments is important for monitoring their progress and ensuring they receive appropriate care, it is not the highest priority in this case.
The client has already been diagnosed with testicular cancer, and their emotional well-being and potential complications should be addressed first.
Choice B rationale:
Evaluate the client's emotional well-being and psychological distress.
This is the prioritized nursing assessment for a client diagnosed with testicular cancer.
A cancer diagnosis can have a significant emotional impact on a patient, causing distress and anxiety.
Addressing the client's emotional well-being is crucial to providing holistic care.
Psychological support and interventions can help the client cope with the diagnosis and its associated stress.
Choice C rationale:
Monitor for signs of testicular necrosis.
While testicular necrosis is a potential complication in some cases, it is not the highest priority assessment for a client diagnosed with testicular cancer.
Other complications and emotional well-being should be assessed first, as they have a more immediate impact on the client's overall health and quality of life.
Choice D rationale:
Check for varicocele enlargement.
Checking for varicocele enlargement is not a priority assessment in a client with a confirmed diagnosis of testicular cancer.
Varicoceles are typically not associated with testicular cancer, and addressing this concern should come after evaluating the client's emotional well-being and potential complications related to cancer treatment.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Epididymitis is characterized by inflammation of the epididymis, often due to infection.
While it can cause scrotal pain, it typically presents with symptoms such as swelling, redness, and fever.
Enlarged, twisted, and palpable veins within the scrotum are not characteristic of epididymitis.
Choice B rationale:
Testicular torsion is a medical emergency characterized by the twisting of the spermatic cord, leading to compromised blood flow to the testicle.
It presents with severe and sudden scrotal pain, often accompanied by nausea and vomiting.
Enlarged veins within the scrotum are not a typical feature of testicular torsion.
Choice C rationale:
Varicocele is the correct choice.
A varicocele is an enlargement of the veins within the scrotum, similar to varicose veins in the legs.
It often presents as a dull ache and pain in the scrotum, especially after prolonged standing or physical activity.
The enlarged, twisted, and palpable veins are a hallmark sign of varicocele.
Choice D rationale:
Testicular cancer can present with painless testicular lumps or swelling, but it does not typically involve enlarged, twisted veins in the scrotum.
While testicular cancer should be considered in the differential diagnosis of scrotal pain, it is not the most likely condition based on the provided symptoms.
Correct Answer is ["B","C"]
Explanation
Choice A rationale:
Monthly breast self-examination is not relevant to the early detection of testicular disorders in male adolescents.
Breast self-examination is a practice more appropriate for females to monitor breast health.
Choice D rationale:
Annual rectal examination is not a method for detecting testicular disorders.
It is used for assessing the prostate gland, not the testicles.
Choice E rationale:
Annual prostate-specific antigen (PSA) blood test is also unrelated to testicular health in male adolescents.
PSA testing is primarily used to screen for prostate cancer in older males and is not recommended for adolescents.
For male adolescents, the emphasis should be on educating them about testicular self-examination (Choice B) as a valuable tool for early detection of testicular disorders like testicular cancer.
Additionally, awareness of any pain or discomfort in the scrotum (Choice C) is crucial because any unusual symptoms should prompt medical evaluation.
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