When performing a genitourinary assessment on a 16-year-old male ...

[sjones]

When performing a genitourinary assessment on a 16-year-old male adolescent, the nurse notices a swelling in the scrotum that increases with increased intra-abdominal pressure and decreases when he is lying down.
 
  The patient complains of pain when straining. The nurse knows that this description is most consistent with a(n) ______ hernia.
  a.
  Femoral
  b.
  Incisional
  c.
  Direct inguinal
  d.
  Indirect inguinal

Question 2

A 15-year-old boy is seen in the clinic for complaints of dull pain and pulling in the scrotal area. On examination, the nurse palpates a soft, irregular mass posterior to and above the testis on the left.
 
  This mass collapses when the patient is supine and refills when he is upright. This description is consistent with:
  a.
  Epididymitis.
  b.
  Spermatocele.
  c.
  Testicular torsion.
  d.
  Varicocele.

[Jadwiga9]

Answer to Question 1

ANS: D
With indirect inguinal hernias, pain occurs with straining and a soft swelling increases with increased intra-abdominal pressure, which may decrease when the patient lies down. These findings do not describe the other hernias.

Answer to Question 2

ANS: D
A varicocele consists of dilated, tortuous varicose veins in the spermatic cord caused by incompetent valves within the vein. Symptoms include dull pain or a constant pulling or dragging feeling, or the individual may be asymptomatic. When palpating the mass, the examiner will feel a soft, irregular mass posterior to and above the testis that collapses when the individual is supine and refills when the individual is upright.

[sjones]

Thank you

[Jadwiga9]

Happy to help you