Steve, a 40-year-old man, comes to the clinic for a routine check-up. During the examination of his male genitalia, it is noted that his left testicle hangs significantly lower than the right. What should be the healthcare provider's Initial action?
Perform additional tests for testicular cancer
Ask Steve to bear down to check for hernias
Inform Steve that this is a normal variation
Immediately refer for a scrotal ultrasound
The Correct Answer is C
A. The position of the testicles is not typically indicative of testicular cancer, and further testing is not warranted based solely on this finding.
B. The difference in testicular position is not likely related to a hernia, and Steve's history and symptoms do not suggest hernia.
C. Testicular asymmetry, where one testicle hangs lower than the other, is a common and normal variation in many men.
D. Testicular asymmetry alone is not an indication for a scrotal ultrasound, and Steve's presentation does not raise suspicion for underlying pathology.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While impaired mucociliary clearance can contribute to respiratory symptoms in COPD, it is not directly reflected in the PaCO2 level.
B. In COPD, the respiratory drive can be blunted, leading to inadequate response to elevated PaCO2 levels by the chemoreceptors.
C. Reflex bronchoconstriction may occur in response to various stimuli but is not directly related to the PaCO2 level.
D. Filtration of air primarily refers to the removal of particulate matter and pathogens by the respiratory system and is not directly related to PaCO2 levels.
Correct Answer is D
Explanation
A. While assessing sternal tenderness is relevant, skin abrasions may not directly indicate complications from the chest contusion.
B. Sternal tenderness can indicate underlying injuries but is not the priority compared to auscultation of the lung zones, and measuring oxygen saturation levels is crucial for assessing respiratory function and detecting potential complications such as respiratory distress or hypoxemia.
C. Blood pressure measurement and observation for signs of localized infection are important assessments but may not be directly related to complications from a chest contusion.
D. This is because a contusion across the chest from the seatbelt can cause rib fractures, pneumothorax, hemothorax, or pulmonary contusion, which can impair gas exchange and oxygenation. Measuring oxygen saturation levels and auscultating lung sounds can help detect these complications and guide appropriate interventions.
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