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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A palpable thrill over the graft site indicates adequate blood flow through the graft.
B. The presence of a bruit (a humming sound) over the graft site is expected and indicates blood flow.
C. Normotensive blood pressure is not specifically indicative of the circulation of the graft.
D. A dilated appearance of the graft may indicate an issue with the graft, such as an aneurysm, rather than adequate circulation.
Correct Answer is []
Explanation
Nurses' Notes
1000:
Client reports tightness in chest that radiates to left arm. States pain as 7 on a scale of
0 to 10. Started to feel nauseous after breakfast. Client states, "I had scrambled eggs
and bacon like I do every morning." Client is diaphoretic and short of breath. Heart
rate irregular and tachycardic. Alert and oriented to person, place, and time. Lungs
clear to auscultation in all lobes. Bowel sounds are present in all 4 quadrants. +1 pedal pulses. Skin is cool to touch. Capillary refill less than 2 seconds.
Rationale:
The symptoms of chest tightness radiating to the left arm, along with nausea, diaphoresis (sweating), shortness of breath, and an irregular, tachycardic (fast) heart rate are classic signs of a myocardial infarction. The faint pulses in myocardial infarction, can be caused by a reduced blood flow to the heart muscle due to a blockage of a coronary artery. The reduced blood flow result in a cool skin.
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