A male student comes to the college health clinic. He hesitantly ...

[ENagel]

A male student comes to the college health clinic. He hesitantly describes that he found something wrong with his testis when taking a shower. Which assessment finding will alert the nurse to possible testicular cancer?
 
  a. Hard, pea-sized testicular lump
  b. Rubbery texture of testes
  c. Painful enlarged testis
  d. Prolonged diuretic use

Question 2

The nurse is examining a female with vaginal discharge. Which position will the nurse place the patient for proper examination?
 
  a. Sitting
  b. Lithotomy
  c. Knee-chest
  d. Dorsal recumbent

[Smiles0805]

Answer to Question 1

ANS: A
The most common symptoms of testicular cancer are a painless enlargement of one testis and the appearance of a palpable, small, hard lump, about the size of a pea, on the front or side of the testicle. Normally, the testes feel smooth, rubbery, and free of nodules. Use of diuretics, sedatives, or antihypertensives can lead to erection or ejaculation problems.

Answer to Question 2

ANS: B
Lithotomy is the position for examination of female genitalia. The lithotomy position provides for the maximum exposure of genitalia and allows the insertion of a vaginal speculum. Sitting does not allow adequate access for speculum insertion and is better used to visualize upper body parts. Dorsal recumbent is used to examine the head and neck, anterior thorax and lungs, breasts, axillae, heart, and abdomen. Knee-chest provides maximal exposure of the rectal area but is embarrassing and uncomfortable.

[ENagel]

TYSM

[kishoreddi]

Excellent