A nurse is teaching a male client about testicular self-examinations. Which of the following client responses indicates an understanding of the teaching?

"Self-examinations should be completed every 3 months."

"I should squeeze the testicles firmly to determine the presence of lumps."

"I should perform a self-examination after a warm shower."

"I should examine both of my testicles at the same time."

Answer and Explanation

The Correct Answer is C

A. "Self-examinations should be completed every 3 months." Self-examinations should be performed monthly, not every 3 months.
B. "I should squeeze the testicles firmly to determine the presence of lumps." Squeezing firmly can cause pain and is not necessary. The testicles should be examined gently.
C. "I should perform a self-examination after a warm shower." The warmth of the shower relaxes the scrotal skin, making it easier to feel any abnormalities.
D. "I should examine both of my testicles at the same time." Each testicle should be examined separately to ensure a thorough examination.

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Correct Answer is B

Explanation

A. Teach the client to strain when having a bowel movement. Straining can cause harm and is not recommended.
B. Encourage the client to drink a hot beverage just before she needs to defecate. A hot beverage can stimulate bowel movements and help establish a routine.
C. Allow the client to sit on the toilet for 1 hr to defecate. Prolonged sitting can cause discomfort and is not practical.
D. Limit exercise for the client while she is on the bowel training program. Exercise is beneficial for overall health and can promote regular bowel movements.

A. Decrease in heart rate B. Increase in vagal nerve tone C. Decrease in respiratory rate D. Increase in muscle tone

Correct Answer is D

Explanation

A. Decrease in heart rate: Acute pain typically causes an increase in heart rate, not a decrease.
B. Increase in vagal nerve tone: An increase in vagal nerve tone can actually result in a decreased heart rate and is not a direct indicator of acute pain.
C. Decrease in respiratory rate: Acute pain usually causes an increase in respiratory rate, not a decrease.
D. Increase in muscle tone: This is correct. An increase in muscle tone can indicate acute pain as the body tenses in response to pain.

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A nurse is teaching a male client about testicular self-examinations. Which of the following client responses indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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