A nurse is performing an assessment on a male patient with suspected testicular disorders.
Which clinical findings are associated with testicular torsion? Select all that apply.

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.

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.