A nurse is assessing a patient with testicular disorders.
The patient reports sudden and severe testicular pain, along with swelling and tenderness of the affected testicle.
The nurse also notes the absence of the cremasteric reflex.
What condition is most likely affecting the patient?
Varicocele.
Testicular cancer.
Testicular torsion.
Epididymitis.
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
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.
Correct Answer is C
Explanation
Choice A rationale:
Testicular torsion is not caused by faulty valves or enlarged veins within the scrotum.
It involves the twisting of the spermatic cord, which leads to compromised blood flow to the testicle.
Choice B rationale:
Testicular torsion is not related to gene mutations like the KIT gene or cancerous growth in the testicles.
It is a separate condition with a different pathophysiology.
Choice C rationale:
This is the correct statement.
Testicular torsion occurs when the spermatic cord twists, leading to the compromised blood flow to the affected testicle.
This can result in severe pain and potential tissue damage if not promptly treated.
Choice D rationale:
Abnormal attachment of the testicle within the scrotum is not the primary cause of testicular torsion.
The twisting of the spermatic cord is the key factor in this condition.
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