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","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 A
Explanation
Choice B rationale:
Orchidopexy is a surgical procedure to correct undescended testicles.
It involves moving an undescended testicle into the scrotum and fixing it in place.
This procedure is not used for testicular cancer.
Choice C rationale:
Varicocelectomy is a surgical procedure used to treat a varicocele, which is the enlargement of veins within the scrotum.
It is not the correct term for the surgical removal of a testicle.
Choice D rationale:
Prostatectomy is the surgical removal of the prostate gland and is not related to the treatment of testicular cancer.
In the case of testicular cancer, the medical term for the surgical removal of the affected testicle is orchiectomy (Choice A).
This procedure may be performed to treat testicular cancer and prevent its spread to the other testicle or other parts of the body.
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