What is the usual presenting symptom for testicular cancer? a. ...

[sammy]

What is the usual presenting symptom for testicular cancer?
 
  a. Solid, painful mass
  b. Hard, painless mass
  c. Scrotal swelling and pain
  d. Epididymis easily palpated

Question 2

A 13-year-old boy comes to the school nurse complaining of sudden and severe scrotal pain. He denies any trauma to the scrotum. What is the most appropriate nursing action?
 
  a. Refer him for immediate medical evaluation.
  b. Administer analgesics and recommend scrotal support.
  c. Apply an ice bag and observe for increasing pain.
  d. Reassure the adolescent that occasional pain is common with the changes of puberty.

[tsternbergh47]

Answer to Question 1

ANS: B
The usual presenting symptom for testicular cancer is a heavy, hard, painless mass that is either smooth or nodular and palpated on the testes. Pain is not usually associated with a testicular tumor. Scrotal swelling needs to be evaluated. The epididymis is easily palpated in a normal scrotum.

Answer to Question 2

ANS: A
Any adolescent boy with redness, swelling, or pain in the scrotum is referred for immediate evaluation. These are signs of testicular torsion, which is a medical emergency. If the possibility of testicular torsion is eliminated, appropriate interventions include administering analgesics and recommending scrotal support. applying an ice bag and observing for increasing pain. and reassuring the adolescent that occasional pain is common with the changes of puberty.