A nurse is reinforcing teaching with a group of adolescent male clients about testicular examinations. Which of the following statements by a client indicates an understanding of the teaching?

"I should perform a self-examination of my testicles weekly."

"I should bear down when cupping my testes while I'm checking for abnormalities."

"I should apply gentle pressure with my thumb and forefinger when examining my testes."

"I should expect one testicle to be larger than the other."

Answer and Explanation

The Correct Answer is C

A. "I should perform a self-examination of my testicles weekly" is not recommended. Testicular self-exams should be done monthly, not weekly, as this frequency is enough to notice any changes or abnormalities.

B. "I should bear down when cupping my testes while I'm checking for abnormalities" is incorrect. There is no need to bear down during the self-examination. The testicles should be examined gently and without exerting pressure, as bearing down can make the examination uncomfortable.

C. "I should apply gentle pressure with my thumb and forefinger when examining my testes" is the correct statement. The testicular self-exam should be done gently, with light pressure to feel for any lumps or abnormalities.

D. "I should expect one testicle to be larger than the other" is a common misconception. It is normal for one testicle to be slightly larger than the other, but this should be checked regularly to ensure there are no significant changes or signs of concern.

Nursing Test Bank

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Correct Answer is D

Explanation

A. "If I were you, I would contact your spiritual director.": While this may be a helpful suggestion for the client, it can come across as dismissive of the client’s personal beliefs and decision-making. The nurse should respect the client’s autonomy in making healthcare decisions.

B. "I'm sure that everything will be all right, regardless of your decision.": This statement may be dismissive of the client's concerns and the seriousness of their medical decision. It also minimizes the importance of the client’s decision, which should be respected.

C. "Making this decision is wrong.": This response is judgmental and violates the client’s autonomy. The nurse should avoid imposing personal beliefs and instead support the client’s choices.

D. "You have a right to change your mind.": This is the best response, as it acknowledges the client’s autonomy and the possibility that the client may reconsider their decision in the future. It provides a nonjudgmental and supportive statement that empowers the client.

A. "We will frequently check the top of his ears for sores." B. "We can turn the oxygen up to 10 when he has trouble breathing." C. "We can use petroleum jelly to keep his nares moist." D. "We will need to remove the nasal cannula when he is eating."

Correct Answer is A

Explanation

A. Frequently checking the top of the ears for sores is correct. The nasal cannula tubing can cause pressure injuries behind the ears over time. The family should check for redness or sores and use protective padding or adjust the tubing as needed.

B. Turning the oxygen up to 10 when the client has trouble breathing is incorrect. Oxygen flow rates should be adjusted only as prescribed by the provider. Increasing the flow rate without guidance can lead to complications, such as oxygen toxicity in clients with chronic respiratory conditions.

C. Using petroleum jelly to keep the nares moist is incorrect. Petroleum-based products are flammable and should not be used with oxygen therapy. Instead, a water-based lubricant should be used to prevent nasal dryness.

D. Removing the nasal cannula when eating is incorrect. Clients using a nasal cannula can continue wearing it while eating, as it allows them to receive oxygen continuously. If needed, a healthcare provider can recommend adjustments to oxygen flow during meals.

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A nurse is reinforcing teaching with a group of adolescent male clients about testicular examinations. Which of the following statements by a client indicates an understanding of the teaching?

Nursing Test Bank

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