A nurse is reinforcing teaching about testicular self-examination with a young adult client.
Which of the following instructions should the nurse include?
Squeeze each testicle between the thumb and forefinger.
Perform the examination just after a warm bath or shower.
Begin performing testicular self-examination at 30 years of age.
Complete the examination once per week.
The Correct Answer is B
Choice A rationale
Squeezing each testicle between the thumb and forefinger is incorrect for testicular self-examination. This method could cause discomfort and does not allow proper palpation of the testicle surface for detecting abnormalities.
Choice B rationale
Performing the examination just after a warm bath or shower is recommended because warmth relaxes the scrotum, making it easier to feel for lumps or changes in the testicular tissue. This improves examination accuracy.
Choice C rationale
Beginning testicular self-examination at 30 years of age is incorrect. Guidelines suggest that self-examination should begin in adolescence or early adulthood to identify testicular cancer early, as it often affects younger men.
Choice D rationale
Completing the examination once per week is excessive and could lead to unnecessary anxiety. Monthly self-examinations are typically recommended to monitor for changes or abnormalities over time. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Exophthalmos is characterized by abnormal protrusion or bulging of the eyes due to retro-orbital tissue swelling and inflammation associated with Graves’ disease. This condition is a hallmark symptom of Graves’ ophthalmopathy.
Choice B rationale
Sunken eyes are not indicative of exophthalmos and are typically associated with dehydration or aging, rather than retro-orbital tissue changes as seen in Graves’ disease.
Choice C rationale
Eyelid swelling might occur in various conditions, such as allergies or infections, but it does not specifically point to exophthalmos or Graves’ disease-related complications.
Choice D rationale
Redness and watering of the eyes are non-specific symptoms that could occur in conjunctivitis or dry eye syndrome but do not define exophthalmos uniquely.
Correct Answer is C
Explanation
Choice A rationale
Instilling saline into the tubing is not recommended as it increases infection risks and does not clear secretions effectively. It is contraindicated in tracheostomy care and can harm the patient’s respiratory system.
Choice B rationale
Checking the cuff pressure is essential to prevent complications like tracheal injury or air leaks. However, it does not directly alleviate restlessness or crackles in the lungs caused by secretions.
Choice C rationale
Performing suctioning removes secretions from the tracheostomy tube and airways, improving oxygenation and reducing lung crackles. It is the most effective immediate intervention for this scenario.
Choice D rationale
Increasing humidification prevents secretion thickening but does not address accumulated secretions already causing crackles and respiratory distress.
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