A nurse is caring for a young adult patient who has testicular cancer and expresses concern about their sexual function following an orchiectomy of the involved testicle.
What responses should the nurse make?

There are other ways to express intimacy besides intercourse.

The removal of a single testicle will not prevent you from having an erection.

You should focus on recovering from your cancer right now.

I’m sure any partner will understand that you have no control over this.

Answer and Explanation

The Correct Answer is B

Choice A rationale

While it’s true that there are other ways to express intimacy besides intercourse, this response may not address the patient’s specific concern about sexual function following an orchiectomy.

Choice B rationale

This response directly addresses the patient’s concern. The removal of a single testicle does not typically prevent a man from having an erection or enjoying sexual activity.

Choice C rationale

While focusing on recovery is important, this response may not be helpful to the patient. It does not address his concern about sexual function and may make him feel that his concerns are being dismissed.

Choice D rationale

This response may not be helpful to the patient. It does not address his concern about sexual function and may make him feel that his feelings are being minimized.

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Correct Answer is C

Explanation

Choice A rationale

Enjoying a glass of red wine every evening is not directly linked to an increased risk of osteoporosis. While excessive alcohol consumption can contribute to bone loss, moderate consumption (up to one drink per day for women and up to two drinks per day for men) does not appear to significantly affect bone mineral density.

Choice B rationale

Regular physical activity, such as walking, is actually beneficial for bone health. Weight-bearing exercises, including walking, can help increase bone density and reduce the risk of osteoporosis.

Choice C rationale

Lactose intolerance can increase the risk of osteoporosis. Individuals with lactose intolerance often avoid dairy products, which are a major source of dietary calcium. Calcium is essential for bone health, and inadequate calcium intake can lead to decreased bone density and an increased risk of osteoporosis.

Choice D rationale

Gardening is a form of physical activity, and like walking, it can help increase bone density and reduce the risk of osteoporosis. There is no evidence to suggest that gardening increases the risk of osteoporosis.

A. Orthopnea. B. Pink frothy sputum. C. Lower extremity edema. D. Damp skin.

Correct Answer is C

Explanation

Choice A rationale

Orthopnea, or difficulty breathing when lying flat, is a common symptom of left-sided heart failure. It occurs due to fluid accumulation in the lungs, which makes it hard for the person to breathe when lying down.

Choice B rationale

Pink frothy sputum is a sign of pulmonary edema, a condition often associated with left-sided heart failure. It happens when fluid backs up into the lungs, causing shortness of breath and coughing up blood-tinged, frothy sputum.

Choice C rationale

Lower extremity edema is a common symptom of right-sided heart failure. It occurs due to fluid accumulation in the peripheral tissues, especially the legs and ankles, as a result of the heart’s inability to pump blood effectively.

Choice D rationale

Damp skin, or diaphoresis, is not specifically associated with right-sided heart failure. It can be a symptom of many conditions, including left-sided heart failure, where it is caused by the body’s increased effort to compensate for the heart’s decreased pumping ability.

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A nurse is caring for a young adult patient who has testicular cancer and expresses concern about their sexual function following an orchiectomy of the involved testicle.What responses should the nurse make?

Nursing Test Bank

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A nurse is caring for a young adult patient who has testicular cancer and expresses concern about their sexual function following an orchiectomy of the involved testicle.
What responses should the nurse make?