A nurse is reinforcing teaching with a group of adolescent male clients about testicular examinations. Which of the following statements by a client indicates an understanding of the teaching?

"I should perform a self-examination of my testicles weekly."

"I should bear down when cupping my testes while I'm checking for abnormalities."

"I should apply gentle pressure with my thumb and forefinger when examining my testes."

"I should expect one testicle to be larger than the other."

Answer and Explanation

The Correct Answer is C

A. "I should perform a self-examination of my testicles weekly" is not recommended. Testicular self-exams should be done monthly, not weekly, as this frequency is enough to notice any changes or abnormalities.

B. "I should bear down when cupping my testes while I'm checking for abnormalities" is incorrect. There is no need to bear down during the self-examination. The testicles should be examined gently and without exerting pressure, as bearing down can make the examination uncomfortable.

C. "I should apply gentle pressure with my thumb and forefinger when examining my testes" is the correct statement. The testicular self-exam should be done gently, with light pressure to feel for any lumps or abnormalities.

D. "I should expect one testicle to be larger than the other" is a common misconception. It is normal for one testicle to be slightly larger than the other, but this should be checked regularly to ensure there are no significant changes or signs of concern.

Nursing Test Bank

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Correct Answer is A

Explanation

A. "I am thankful I am done having children" is correct. This statement demonstrates the client's understanding of the procedure’s purpose, which is typically done to end the ability to conceive. The client is reflecting on a key aspect of the procedure, showing an informed decision about the surgery.

B. "I should expect my periods to resume in 1 month" is incorrect. A vaginal hysterectomy typically results in the permanent cessation of periods, so this statement indicates a lack of understanding of the procedure's effects.

C. "I will have a large scar on my stomach after this procedure" is incorrect. A vaginal hysterectomy is performed through the vaginal canal, and the client typically should not have a large abdominal scar. This statement may indicate a misunderstanding of the surgery's approach.

D. "I will no longer need a regular gynecological examination" is incorrect. While a vaginal hysterectomy removes the uterus, clients still need regular gynecological examinations, including Pap smears and other assessments, depending on their individual health needs. This statement reflects a misunderstanding of ongoing care requirements.

A. Decreased body temperature B. Increased incisional drainage C. Hypertension D. Bradycardia

Correct Answer is C

Explanation

A. Decreased body temperature is incorrect. A thyroid storm is characterized by a hypermetabolic state, so a decreased body temperature would be inconsistent with the condition. In fact, patients with thyroid storm typically have increased body temperature (fever).

B. Increased incisional drainage is incorrect. While increased drainage could indicate a wound infection or other surgical complications, it is not a primary indicator of thyroid storm, which involves a hyperactive thyroid response.

C. Hypertension is correct. Thyroid storm is a severe, acute exacerbation of hyperthyroidism, and it is associated with hypertension, tachycardia, fever, and other symptoms of sympathetic nervous system overactivity.

D. Bradycardia is incorrect. Bradycardia would be expected in conditions like hypothyroidism, not thyroid storm. Thyroid storm typically presents with tachycardia, which is a hallmark sign.

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A nurse is reinforcing teaching with a group of adolescent male clients about testicular examinations. Which of the following statements by a client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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