ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 55 : Caring for Clients With Disorders of the Male Reproductive System Questions
Question 1 of 5
The nurse is caring for client who has had a vasectomy. Which would be most important to include in a teaching plan for this client?
Correct Answer: A
Rationale: It may take several weeks or more after surgery before the ejaculatory fluid is free of sperm, and the client is informed is use a reliable method of contraception until sperm no longer are present. The client should apply ice packs to the scrotum to reduce swelling and use a mild analgesic such as aspirin or acetaminophen for pain relief. The client typically can resume sexual activity when comfortable, usually in 1 week.
Question 2 of 5
A clinic nurse is scheduled to see four male clients. Which assessment finding is most important in determining which client has a higher risk for developing testicular cancer?
Correct Answer: C
Rationale: Caucasian men who have had cryptorchidism as an infant, regardless of whether an orchiopexy was performed, are at higher risk, for incidence of testicular cancer. STIs, low sperm count, and family history of general cancer are not indicative of testicular cancer risk.
Question 3 of 5
A young client is admitted with torsion of the spermatic cord. Which is the appropriate action to be taken by the nurse?
Correct Answer: B
Rationale: With torsion of the spermatic cord, immediate surgery is necessary to prevent atrophy of the cord and preserve fertility. The client should be placed on NPO state in preparation for surgery. Elevating the scrotum intensifies the pain by increasing the degree of twist. Analgesics are prescribed preoperatively to control pain. Cardiac changes are not indicated unless client history warrants assessment.
Question 4 of 5
Following morning hygiene of an older adult client, the nurse is unable to replace the retracted foreskin of the penis. Which is the most likely outcome?
Correct Answer: C
Rationale: Paraphimosis results in strangulation of the glans penis from inability to replace the retracted foreskin. The strangulation results in painful swelling of the glans. Erection of the penis in the presence of phimosis can cause pain but is not a result of retracted foreskin. Nausea and vomiting are not indicated with retraction of foreskin.
Question 5 of 5
A hydrocele is suspected in a client with scrotal edema. Which assessment technique would the nurse anticipate to be done first?
Correct Answer: A
Rationale: Transillumination, shining a light through the scrotum, will determine if the swelling in the scrotum is caused by serous fluid versus a solid mass. Palpation for testicle is not indicated with a hydrocele. Soft-tissue swelling and/or collection of blood in the scrotum is not indicated with hydrocele.