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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Testicular cancer is not primarily caused by hormonal imbalances in the scrotum.
Hormonal factors may play a role in some cases, but they are not the primary cause.
Choice B rationale:
Exposure to estrogen-like compounds during childhood is not a well-established cause of testicular cancer.
Genetic and environmental factors are more commonly associated with this cancer.
Choice C rationale:
Testicular cancer is not caused by the enlargement of veins within the scrotum.
The causes of testicular cancer are more complex and involve genetic and environmental factors.
Choice D rationale:
This is the correct statement.
The exact cause of testicular cancer is not fully understood, but genetic factors can increase the risk.
Family history of testicular cancer is a known risk factor, suggesting a genetic component.
Correct Answer is C
Explanation
Choice A rationale:
Hormonal imbalances in the testicular veins.
This choice is not the primary pathophysiological mechanism underlying varicocele.
While hormonal imbalances can contribute to various reproductive issues, they are not the primary cause of varicocele.
Varicocele is primarily a vascular disorder involving the dilation of scrotal veins.
Choice B rationale:
Mutations in the KIT gene leading to tissue growth.
Mutations in the KIT gene are not associated with varicocele.
Varicocele is mainly related to venous dilation, not tissue growth due to genetic mutations.
Choice C rationale:
Dilation of scrotal veins due to faulty valves.
This is the correct answer.
Varicocele occurs when the valves within the testicular veins fail to function correctly, leading to the dilation and enlargement of these veins.
This increased pressure in the veins can result in scrotal pain and other symptoms commonly associated with varicocele.
Choice D rationale:
Obstruction of the spermatic cord blood flow.
While varicocele can affect blood flow in the spermatic cord, it is not primarily caused by the obstruction of blood flow.
The main issue is the faulty valves in the scrotal veins that lead to venous dilation and increased pressure.
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