A nurse is teaching a male client about testicular self-examinations. Which of the following client responses indicates an understanding of the teaching?

"Self-examinations should be completed every 3 months."

"I should squeeze the testicles firmly to determine the presence of lumps."

"I should perform a self-examination after a warm shower."

"I should examine both of my testicles at the same time."

Answer and Explanation

The Correct Answer is C

A. "Self-examinations should be completed every 3 months." Self-examinations should be performed monthly, not every 3 months.
B. "I should squeeze the testicles firmly to determine the presence of lumps." Squeezing firmly can cause pain and is not necessary. The testicles should be examined gently.
C. "I should perform a self-examination after a warm shower." The warmth of the shower relaxes the scrotal skin, making it easier to feel any abnormalities.
D. "I should examine both of my testicles at the same time." Each testicle should be examined separately to ensure a thorough examination.

Nursing Test Bank

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Correct Answer is B

Explanation

A. Flush the port with heparin prior to administering the medication. Heparin is not typically used to flush the port before administering IV medications; saline is generally used for flushing.
B. Inject the medication into the port closest to the client. This ensures the medication is delivered quickly and effectively, minimizing dilution and maximizing its effect.
C. Pinch the tubing below the injection port prior to administration. Pinching the tubing can help ensure the medication goes into the client quickly but should be done only if specified by protocol.
D. Administer the medication over 10 seconds. Fentanyl should be administered slowly over 1-2 minutes to prevent rapid administration-related side effects like hypotension or respiratory depression.

A. Instruct the client to use the hallway grab bars when walking. B. Assist the client to the bathroom every 4 hr. C. Administer an antianxiety medication at bedtime. D. Monitor the client's activity every 2 hr.

Correct Answer is A

Explanation

A. Instruct the client to use the hallway grab bars when walking. This is correct. Using hallway grab bars provides support and stability, helping to prevent falls in clients with osteoporosis.
B. Assist the client to the bathroom every 4 hr. Assisting the client to the bathroom regularly is important, but every 4 hours might not be frequent enough and doesn't directly address fall prevention throughout all activities.
C. Administer an antianxiety medication at bedtime. Antianxiety medications can cause sedation and increase the risk of falls, especially in older adults.
D. Monitor the client's activity every 2 hr. Monitoring the client’s activity is important, but this does not provide specific fall prevention strategies or interventions.

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A nurse is teaching a male client about testicular self-examinations. Which of the following client responses indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

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