A client presents with a complaint of a dull ache and pain in the scrotum, especially after prolonged standing or physical activity.
The client mentions that there are enlarged, twisted, and palpable veins within the scrotum.
What condition should the nurse suspect?
Epididymitis.
Testicular torsion.
Varicocele.
Testicular cancer.
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
Choice A rationale:
Swelling and enlargement of the scrotum are not typically associated with testicular torsion.
In fact, testicular torsion often presents with a high-riding, tender testicle and a higher position of the affected testicle, rather than swelling and enlargement.
Choice B rationale:
This is a correct finding associated with testicular torsion.
Severe, sudden-onset testicular pain is a hallmark symptom of this condition due to the compromised blood flow to the testicle.
Choice C rationale:
Warmth and erythema of the scrotal area are not commonly seen in testicular torsion.
These symptoms are more indicative of inflammatory conditions rather than testicular torsion.
Choice D rationale:
Absence of a cremasteric reflex is associated with testicular torsion.
The cremasteric reflex is typically absent on the side of the torsion due to the disruption of nerve signals.
Choice E rationale:
A palpable mass within the scrotum can be a sign of testicular torsion, particularly if the torsion has led to testicular swelling and distortion of the normal anatomy.
Correct Answer is C
Explanation
Choice A rationale:
Varicocele.
Varicocele is unlikely to cause sudden and severe testicular pain with swelling and tenderness.
While it can cause discomfort, it typically does not present with such acute symptoms.
Choice B rationale:
Testicular cancer.
Testicular cancer can cause testicular pain and swelling, but it is not typically associated with the sudden and severe pain described in the scenario.
Additionally, the absence of the cremasteric reflex is not a common feature of testicular cancer.
Choice C rationale:
Testicular torsion.
This is the correct answer.
Testicular torsion is a medical emergency characterized by the twisting of the spermatic cord, leading to a sudden and severe testicular pain, along with swelling and tenderness.
The absence of the cremasteric reflex is a notable clinical sign of testicular torsion.
Choice D rationale:
Epididymitis.
While epididymitis can cause testicular pain and tenderness, it usually develops more gradually and is often associated with infection.
The sudden and severe nature of the pain described in the scenario is more indicative of testicular torsion.
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