A nurse is caring for a patient with testicular torsion.
Which potential complication should the nurse be most concerned about in this case?
Impaired fertility.
Testicular atrophy.
Recurrent torsion.
Metastasis to other organs.
The Correct Answer is A
Choice A rationale:
Impaired fertility.
In the case of testicular torsion, the most concerning potential complication is impaired fertility.
Testicular torsion is a medical emergency where the spermatic cord twists, cutting off blood supply to the testicle.
If not promptly treated, it can result in permanent damage to the testicle, leading to impaired fertility or even loss of the affected testicle.
Choice B rationale:
Testicular atrophy.
Testicular atrophy can be a consequence of testicular torsion, but impaired fertility takes precedence as the most concerning potential complication.
Testicular atrophy refers to the shrinking of the testicle due to reduced blood flow and can result from untreated torsion.
However, the primary concern is preserving fertility whenever possible.
Choice C rationale:
Recurrent torsion.
While recurrent torsion is a potential complication, it is not the most concerning one in this case.
The immediate priority is to address the acute torsion episode and prevent permanent damage to the testicle.
Once the initial episode is managed, strategies to reduce the risk of recurrent torsion can be considered.
Choice D rationale:
Metastasis to other organs.
Metastasis to other organs is not a direct concern in cases of testicular torsion.
Testicular torsion is a mechanical issue involving the twisting of the spermatic cord, and it does not typically lead to metastasis.
The primary focus should be on restoring blood flow and preventing damage to the affected testicle.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
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.
Correct Answer is D
Explanation
Choice A rationale:
Testicular cancer is not primarily caused by hormonal imbalances in the scrotum.
Hormonal factors may play a role in some cases, but they are not the primary cause.
Choice B rationale:
Exposure to estrogen-like compounds during childhood is not a well-established cause of testicular cancer.
Genetic and environmental factors are more commonly associated with this cancer.
Choice C rationale:
Testicular cancer is not caused by the enlargement of veins within the scrotum.
The causes of testicular cancer are more complex and involve genetic and environmental factors.
Choice D rationale:
This is the correct statement.
The exact cause of testicular cancer is not fully understood, but genetic factors can increase the risk.
Family history of testicular cancer is a known risk factor, suggesting a genetic component.
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