A nurse is providing discharge teaching to a client who had a bilateral orchiectomy.
The nurse should instruct the client to expect which of the following symptoms?

Increased libido

Hypoglycemia

Hot flashes

Increased muscle mass

Answer and Explanation

The Correct Answer is C

A. Increased libido is unlikely due to the loss of testosterone production.

B. Hypoglycemia is not directly related to the surgical procedure.

C. Bilateral orchiectomy, the surgical removal of both testicles, results in a sudden decrease in testosterone levels, which can lead to symptoms such as hot flashes, similar to those experienced during menopause.
D. Increased muscle mass is associated with testosterone production, which would decrease following bilateral orchiectomy.

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Correct Answer is A

Explanation

A. The client's dyspnea and elevated blood pressure may indicate fluid volume overload. Slowing the infusion rate and notifying the provider are appropriate actions.
B. Lowering the head of the bed may help with dyspnea but does not address the underlying cause of fluid overload.
C. Administering corticosteroids is not indicated based on the client's symptoms and situation.
D. Changing the infusion to lactated Ringer's may be appropriate, but slowing the infusion rate and assessing the client further are the priority actions.

A. "You will need to take an antiviral medication for 6 months." B. "You will need cryotherapy for 1 to 2 weeks," C. "You will need three follow-up blood tests within a 24-month period." D. "You will need to be monitored for 15 minutes after receiving each medication dose."

Correct Answer is C

Explanation

A. Syphilis is a bacterial infection, so antiviral medication is not appropriate.

Treatment typically involves antibiotics, such as penicillin.

B. Cryotherapy is not a standard treatment for primary syphilis. Antibiotics are the primary treatment.

C. This is in line with the treatment guidelines for syphilis, which involve antibiotic therapy and follow-up testing to ensure the infection is fully resolved. The tests are done at 3, 6, and 12 months after completion of treatment.
D. Monitoring after medication doses may be necessary for certain medications but is not specifically indicated for primary syphilis.

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A nurse is providing discharge teaching to a client who had a bilateral orchiectomy. The nurse should instruct the client to expect which of the following symptoms?

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Correct Answer is A

Explanation

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A nurse is providing discharge teaching to a client who had a bilateral orchiectomy.
The nurse should instruct the client to expect which of the following symptoms?