During the examination of a male client's scrotum the nurse ...

[jeatrice]

During the examination of a male client's scrotum the nurse detects a hardened area in the right side of the scrotal sac. Which is the priority nursing action based on this finding?
 
  1. Ask the client about voiding patterns.
  2. Notify the healthcare provider of this finding.
  3. Use a light to perform transillumination.
  4. Ask the client about sexual practices.

Question 2

The nurse is preparing to examine a male client's reproductive organs. Which actions by the nurse are appropriate to prepare for this examination? Select all that apply.
 
  1. Secure a private examination room.
  2. Use clean hands for the examination.
  3. Ask the client to lie down on the exam table.
  4. Ask the client to empty his bladder.
  5. Make sure the room's temperature is comfortable.

[fromAlphatoOmega22]

Answer to Question 1

Correct Answer: 3
The scrotum contains the testes and the epididymis, which should not feel hard upon palpation. Areas suggesting abnormalities may be detected using transillumination, or the use of light to examine the scrotum. Upon transillumination, light should shine through the scrotum with a red glow, with the testes showing up as oval structures. Abnormal areas, such as masses, will not show penetration of the light. The client's voiding patterns or sexual practices are not relevant to this situation, and the nurse requires additional information prior to notification of the healthcare provider.

Answer to Question 2

Correct Answer: 1, 2, 4, 5
Ensure that the examining room is warm and private. The examiner will need to wash hands and put on gloves before beginning the examination. The gloves will need to be worn during the examination. Ask the client to empty his bladder, remove his clothing, and put on a gown or drape. The assessment may be done with the client sitting or standing. There is no need for the client to lie flat. Expose only those body parts being examined to preserve modesty. It is necessary for the client to be comfortable. The temperature should be regulated accordingly.

[jeatrice]

Thank you

[fromAlphatoOmega22]

Happy to help you