A client with varicocele expresses concerns about impaired fertility.
What nursing intervention should the nurse prioritize?
Administer analgesics as prescribed to relieve chronic pain.
Encourage the client to perform regular self-examinations.
Provide emotional support and counseling for body image issues.
Educate the client on the importance of heat avoidance.
The Correct Answer is B
Choice A rationale:
Administer analgesics as prescribed to relieve chronic pain.
Administering analgesics for chronic pain may be appropriate in certain situations, but it is not the primary nursing intervention for a client with varicocele expressing concerns about impaired fertility.
The main concern with varicoceles is their potential impact on fertility, and pain management is not the first-line intervention.
Choice B rationale:
Encourage the client to perform regular self-examinations.
Encouraging the client to perform regular self-examinations is an essential nursing intervention for clients with varicoceles.
Self-examinations can help the client detect any changes or complications related to the varicocele and prompt early intervention.
It also empowers the client to actively participate in their own healthcare.
Choice C rationale:
Provide emotional support and counseling for body image issues.
While body image issues can be a concern for some clients with varicoceles, the primary nursing intervention should focus on addressing the specific medical condition and its potential impact on fertility.
Providing emotional support and counseling can be beneficial but may not directly address the client's fertility concerns.
Choice D rationale:
Educate the client on the importance of heat avoidance.
Heat avoidance is not a standard nursing intervention for clients with varicoceles.
While excessive heat exposure can potentially exacerbate varicocele symptoms, it is not a primary preventive measure for impaired fertility associated with varicoceles.
Instead, educating the client on self-examinations and discussing potential treatment options is more relevant to their fertility concerns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
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.
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