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.

Answer and Explanation

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

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Correct Answer is A

Explanation

Choice A rationale

Inspiratory stridor reflects airway obstruction, potentially life-threatening following bronchoscopy. Causes include vocal cord edema or laryngospasm. Prompt intervention ensures airway patency and oxygenation. Audible stridor indicates urgent escalation.

Choice B rationale

Sore throat is anticipated due to irritation from the bronchoscope. This resolves without treatment, differentiating it from alarming symptoms like respiratory difficulty.

Choice C rationale

Post-bronchoscopy fever is common due to airway manipulation. Low-grade fever under 38.6°C does not necessitate urgent evaluation unless persistent or accompanied by other symptoms.

Choice D rationale

Bloody sputum results from mucosal trauma during the procedure. Minimal streaking is benign and resolves spontaneously. It does not indicate complications. .

A. Assist the client to ambulate to promote bowel movement. B. Encourage oral intake to prevent dehydration. C. Administer prescribed anti-emetics. D. Notify the provider for further evaluation.

Correct Answer is D

Explanation

Choice A rationale

Ambulation can stimulate peristalsis and promote bowel movements. However, ambulation is not the priority when the client reports severe abdominal pain rated 7/10 and vomiting. These symptoms could indicate a potential obstruction or other complications, and further evaluation is essential before initiating physical activity to avoid exacerbating the condition.

Choice B rationale

Encouraging oral intake is important to prevent dehydration, particularly if the client has been vomiting. However, this is not the first intervention, as assessing the underlying cause of the symptoms takes precedence. Increasing oral intake without addressing potential gastrointestinal obstruction may worsen the client's condition.

Choice C rationale

Administering antiemetics can provide symptom relief for nausea and vomiting. However, this intervention addresses a symptom rather than identifying the underlying cause of the client's abdominal pain and vomiting. Further evaluation by a provider is necessary before symptomatic management.

Choice D rationale

Notifying the provider allows for further evaluation and timely diagnosis of the cause of the abdominal pain and vomiting, which could indicate serious conditions like bowel obstruction or ischemia. Prompt medical evaluation is essential to determine the appropriate intervention and ensure the client's safety.

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A nurse is reinforcing teaching about testicular self-examination with a young adult client.Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

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A nurse is reinforcing teaching about testicular self-examination with a young adult client.
Which of the following instructions should the nurse include?