The nurse instructs the male patient that which one of the ...

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The nurse instructs the male patient that which one of the following is the protocol for testicular self-examination?
 
  a. Perform the examination annually after age 35 years.
  b. Using both hands, roll the testicles and feel the consistency.
  c. Perform the examination before bathing or showering.
  d. Contact the physician if a cordlike structure is felt on the top and back of the testicle.

Question 2

The nurse obtains the following results after measuring the client's vital signs: Blood pressure, 180/100; pulse, 82 beats per minute; respiratory rate, 16 breaths per minute; and rectal tempera-ture, 37.5C.
 
  Which of the following actions should the nurse take? a. Retake the blood pressure.
  b. Retake the temperature.
  c. Report all of the findings immediately.
  d. Record the findings as within normal limits.

[Brummell1998]

Answer to Question 1

B

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A All men 15 years and older should perform the testicular self-examination.
B The nurse should instruct the male patient that the protocol for testicular self-examination is to use both hands to roll the testicle gently, between index and middle fingers, feeling for lumps, thickening, or a change in consistency (hardening).
C The examination should be performed after a warm bath or shower when the scrotal sac is relaxed.
D A cordlike structure on the top and back of the testicle is a normal finding; this is the epididymis.

Answer to Question 2

A
A normal blood pressure reading is 120/80 or less. This client's blood pressure is significantly higher at 180/100 and may be an indication of hypertension. (One elevated blood pressure meas-urement does not qualify as a diagnosis of hypertension; it would have to be elevated on at least two separate occasions.) The nurse should retake the blood pressure.
The client's temperature is within normal limits for a rectal temperature. The average rectal temperature is 37.5C.
The nurse should retake the blood pressure to confirm the reading before reporting the findings.
The blood pressure reading is not within normal limits. The pulse, respiratory rate, and tempera-ture are within normal limits.

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TYSM

[frankwu0507]

Excellent