During the examination of a male client, the nurse detects a ...

[tiffannnnyyyyyy]

During the examination of a male client, the nurse detects a bulge in the right inguinal area as the client is bearing down. Based on this data, which condition does the nurse suspect?
 
  1. Varicocele.
  2. Prostatitis.
  3. Orchitis.
  4. Inguinal Hernia.

Question 2

During the examination of an older adult male client the nurse notes thin, gray pubic hairs and a scrotal sac that hangs significantly lower than the penis. Which action by the nurse is the most appropriate?
 
  1. Document the findings as normal.
  2. Inform the client that he is no longer fertile.
  3. Notify the healthcare provider of the findings.
  4. Ask the client about his sexual practices.

[sailorcrescent]

Answer to Question 1

Correct Answer: 4
An inguinal hernia feels like a bulge or mass upon palpation of the inguinal canal, which indicates a protrusion of the intestine into the groin region. A varicocele is a distention of the spermatic cord and feels like a bag of worms rather than a mass. Examination of the prostate gland is performed via the rectum, rather than the inguinal area. Orchitis refers to an inflammation of the testicles.

Answer to Question 2

Correct Answer: 1
According to Tanner's Maturation Stages in the male, the findings in this situation are appropriate for the older adult male client. Although sperm production does decline during middle age, the presence of viable sperm in the older adult male contradicts infertility. No further subjective information is required by the nurse, and the healthcare provider does not need notification.