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The nurse is providing preoperative education to a client prior to having an orchiectomy for testicular cancer. What statement by the client indicates the need to review the information?

"Testicular self-exam will be important on the remaining testis."

"I will investigate sperm banking before the operation."

"I can still function sexually without one of my testes."

"There should be no effect on my ability to reproduce."

Answer and Explanation

The Correct Answer is D

A. Testicular self-exam remains important for the remaining testis.

B. Sperm banking is a reasonable consideration.

C. Sexual function is usually maintained with one testis.

D. This statement is incorrect; fertility may be affected, hence sperm banking consideration.

Nursing Test Bank

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Correct Answer is D

Explanation

A. Testing the equipment with a smaller shock is unnecessary when preparing to defibrillate in an emergency.

B. Epinephrine is used in cases of cardiac arrest with no pulse, particularly in asystole or pulseless electrical activity (PEA), not immediately before defibrillation in ventricular fibrillation.

C. Synchronous mode is used for cardioversion, not for defibrillation. Defibrillation should be delivered in unsynchronized mode.

D. Before delivering a shock, it is essential to ensure that everyone, including the nurse, is clear of the client and any conductive surfaces like the bed. This prevents injury from the electrical shock.

A. Urine output over 8 hours is 250 mL less than the fluid intake. B. The client complains of a headache with a pain level 5 of 10 (0-10 scale). C. The client cannot move there left arm or leg when asked to do so. D. Tremors are noted when the client extends the arms.

Correct Answer is C

Explanation

A. A urine output lower than fluid intake over 8 hours is important to monitor but does not require immediate intervention compared to neurological deficits.

B. A headache rated 5/10 is a symptom of hypertensive emergency but not as critical as a loss of motor function, which indicates possible stroke.

C. Inability to move the left arm or leg is a neurological deficit suggestive of a stroke, which is a medical emergency requiring immediate reporting and intervention.

D. Tremors when extending the arms may indicate a less acute neurological or metabolic issue and are not as urgent as paralysis.

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The nurse is providing preoperative education to a client prior to having an orchiectomy for testicular cancer. What statement by the client indicates the need to review the information?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse prepares to defibrillate a client who is in ventricular fibrillation. Which intervention is appropriate for the nurse to perform prior to defibrillating this client?

Correct Answer is D

Explanation

The nurse is assessing a client who has been admitted to the intensive care unit (ICU) with hypertensive emergency. Which of the following is most important to report to the healthcare provider?

Correct Answer is C

Explanation

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