Author Question: The nurse is performing a genitourinary assessment on a 50-year-old obese male laborer. On ... (Read 139 times)

evelyn o bentley · **on:** Jun 25, 2018

The nurse is performing a genitourinary assessment on a 50-year-old obese male laborer. On examination, the nurse notices a painless round swelling close to the pubis in the area of the internal inguinal ring that is easily reduced

when the individual is supine. These findings are most consistent with a(n) ______ hernia.
a.
Scrotal
b.
Femoral
c.
Direct inguinal
d.
Indirect inguinal

Question 2

A 55-year-old man is experiencing severe pain of sudden onset in the scrotal area. It is somewhat relieved by elevation. On examination the nurse notices an enlarged, red scrotum that is very tender to palpation.

Distinguishing the epididymis from the testis is difficult, and the scrotal skin is thick and edematous. This description is consistent with which of these?
a.
Varicocele
b.
Epididymitis
c.
Spermatocele
d.
Testicular torsion

randomguy133 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
Direct inguinal hernias occur most often in men over the age of 40 years. It is an acquired weakness brought on by heavy lifting, obesity, chronic cough, or ascites. The direct inguinal hernia is usually a painless, round swelling close to the pubis in the area of the internal inguinal ring that is easily reduced when the individual is supine.

Answer to Question 2

ANS: B
Epididymitis presents as severe pain of sudden onset in the scrotum that is somewhat relieved by elevation. On examination, the scrotum is enlarged, reddened, and exquisitely tender. The epididymis is enlarged and indurated and may be hard to distinguish from the testis. The overlying scrotal skin may be thick and edematous.