A college student arrives at the clinic for a physical examination and asks the practical nurse (PN) how he should perform testicular self-examination (TSE). Which information should the PN provide?
Examine the testicles during bathing
Manipulate the testicles upon rising.
Inspect the testicles using a mirror.
Compare both testicles concurrently.
The Correct Answer is A
A. Examine the testicles during bathing: Performing TSE during a warm shower or bath allows the scrotal skin to relax, making it easier to palpate the testicles and detect any lumps, swelling, or changes in texture, which is the recommended method for accurate self-examination.
B. Manipulate the testicles upon rising: While morning may be convenient for some hygiene routines, the scrotum is often tighter when cold, making palpation less effective than during a warm bath or shower.
C. Inspect the testicles using a mirror: Visual inspection alone is insufficient because small lumps or irregularities may not be visible. Palpation is essential to detect early abnormalities.
D. Compare both testicles concurrently: Comparing both testicles can help identify asymmetry, but the primary step is careful palpation of each testicle individually to detect changes in size, shape, or texture.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Close the room door to allow the client some quiet and privacy: Providing privacy can be helpful, but in this situation, the client’s withdrawal may indicate anxiety or fear. Simply closing the door does not address the emotional needs that often arise before surgery.
B. Use an open-ended statement to encourage communication: Open-ended statements invite the client to express thoughts and feelings freely, allowing the nurse to assess concerns about the upcoming surgery. This fosters trust, therapeutic communication, and emotional support.
C. Express concern and empathy for the client's loneliness: While showing empathy is important, assuming the client is lonely may not accurately reflect the client’s emotional state. The nurse should first explore what the client is feeling through open-ended conversation.
D. Affirm that facing surgery can be a frightening experience: Offering reassurance without assessing the client’s actual feelings may seem presumptive. It is more therapeutic to first allow the client to verbalize specific fears or concerns before providing reassurance or education.
Correct Answer is B
Explanation
A. Is there something you want to tell me?: This question is vague and may not elicit a clear response regarding potential abuse. The client may not recognize this as an opportunity to disclose harm.
B. Is anyone hurting you?: This direct, nonjudgmental question focuses on safety and gives the client an opportunity to disclose abuse. Observed bruising patterns and minimal eye contact are warning signs of intimate partner or domestic violence, making direct inquiry essential.
C. How is your marital relationship?: While exploring relationships can provide context, this question is indirect and may not prompt the client to disclose abuse. It may also allow the abuser’s influence to remain unchallenged.
D. Do you want to see a social worker?: Offering resources is important after disclosure but is premature if the client has not been directly asked about potential harm. Immediate assessment of safety takes priority over referral.
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