A nurse is caring for a young adult patient who has testicular cancer and expresses concern about their sexual function following an orchiectomy of the involved testicle.
What responses should the nurse make?

There are other ways to express intimacy besides intercourse.

The removal of a single testicle will not prevent you from having an erection.

You should focus on recovering from your cancer right now.

I’m sure any partner will understand that you have no control over this.

Answer and Explanation

The Correct Answer is B

Choice A rationale

While it’s true that there are other ways to express intimacy besides intercourse, this response may not address the patient’s specific concern about sexual function following an orchiectomy.

Choice B rationale

This response directly addresses the patient’s concern. The removal of a single testicle does not typically prevent a man from having an erection or enjoying sexual activity.

Choice C rationale

While focusing on recovery is important, this response may not be helpful to the patient. It does not address his concern about sexual function and may make him feel that his concerns are being dismissed.

Choice D rationale

This response may not be helpful to the patient. It does not address his concern about sexual function and may make him feel that his feelings are being minimized.

Nursing Test Bank

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Correct Answer is B

Explanation

Choice A rationale

Fever is not typically a sign of fluid overload. It’s more commonly associated with a transfusion reaction, which could indicate an immune response to the transfused blood.

Choice B rationale

Dyspnea, or difficulty breathing, can be a sign of fluid overload. When the body has too much fluid, it can put pressure on the lungs, making it harder to breathe.

Choice C rationale

Pruritus, or itching, is not typically a sign of fluid overload. It may be a sign of an allergic reaction to the transfusion.

Choice D rationale

Bradycardia, or a slow heart rate, is not typically a sign of fluid overload. In fact, tachycardia, or a fast heart rate, is more common as the heart works harder to pump the excess fluid.

A. Discontinue the nasogastric tube. B. Provide the client with ice chips. C. Start the prescribed antibiotic. D. Reinforce preoperative teaching.

Correct Answer is C

Explanation

Choice A rationale

Discontinuing the nasogastric tube is not the best action to take at this time. The nasogastric tube may be necessary for decompression of the stomach or administration of medications and should not be removed without a specific order from the healthcare provider.

Choice B rationale

Providing the client with ice chips is not the most appropriate action. The client is kept NPO (nothing by mouth) before surgery to prevent aspiration during anesthesia. Therefore, giving the client ice chips could increase the risk of aspiration.

Choice C rationale

Starting the prescribed antibiotic is the correct action. Cefazolin is an antibiotic that is often given before surgery to prevent postoperative infections. Administering this medication as ordered can help to ensure that the client is adequately prepared for surgery.

Choice D rationale

While reinforcing preoperative teaching is an important part of nursing care, it is not the most immediate action that should be taken in this situation. The client’s physical preparation for surgery, including the administration of prescribed medications, should be prioritized.

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A nurse is caring for a young adult patient who has testicular cancer and expresses concern about their sexual function following an orchiectomy of the involved testicle.What responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring a client who is undergoing a blood transfusion of packed RBCs. The nurse should recognize that which of the following findings indicates fluid overload?

Correct Answer is B

Explanation

On Day 2 at 16:00, the client is kept NPO.An exploratory laparotomy is scheduled for tomorrow at 06:00. Metoclopramide 10 mg IV every 6 hours and Cefazolin 2g IV on call for surgery are ordered.Which of the following actions should the nurse assist with?

Correct Answer is C

Explanation

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A nurse is caring for a young adult patient who has testicular cancer and expresses concern about their sexual function following an orchiectomy of the involved testicle.
What responses should the nurse make?