exam 3 ch 26 assessing male genitalia and rectum pt 2

The normal testicle contains internal structures that cause lumps on the surface."

A 17-year-old male client expresses concern about feeling lumps on his testicles. What response by the nurse would best address the client's concerns?

send them to the emergency room

A male client tells the nurse that he has received a diagnosis of hernia. He visits the clinic because he is nauseated and has extreme tenderness on the left side. The nurse should

risk for urge incontinence

An adult male client comes to the clinic complaining of awakening at night to void and voiding more than once in a 2-hour time period. The client has a history of bladder irritation. What would be an appropriate nursing diagnosis for this client?

bear down

During assessment of the inguinal regions for herniating masses, the nurse instructs the standing male client do which of the following?

testicular tumor

Initially a small, firm, nontender nodule on the testis. As the tumor grows, the scrotum appears enlarged and the client complains of a heavy feeling. When palpated, the testis feels enlarged and smooth—tumor replaces testis. Will not transilluminate.

prehn sign

Pain relieved upon elevation of testicle when patient is supine (Positive test)

suspended by the spermatic cord

The testes in the male scrotum are

femoral

Upon inspection and palpation of the front of the client's thigh, the nurse discovers a bulge that appears when the client coughs. The nurse should document this finding as which type of hernia?

spermatic cord

a cyst suggests hydrocele of the

Paraphimosis

a foreskin that is left in a retracted position leads to venous congestion and edema

cryptorchidism(an undescended testicle)

absence of a testis is

cirrhosis hyperpituarism estrogen administration extended illness

atrophy in the testes may result from

no

can bowel sounds be heard over a hydrocele?

scrotal contents that do not transilluminate

during the assessment too look for the scrotal mass during examination, normally you would find

scrotal hernia

if bowel sounds are auscultated over the mass in the scrotum , it is

you ask the client to Lie down , to see if the mass disappears . if it remains , auscultate it for bowel sounds. and gently palpate the mass and try to push it upward into the abdomen

if during inspection and palpation of the scrotal contents , you palpated a scrotal mass, what do you ask the client to do ?

may relieve scrotal pain , this is prehn sign

if the patient has epididymitis , passive elevation of the testes

incarcerated hernia

if you cannot push the mass into the abdomen, suspect an

transillumination test: darken the room and shine a light from the back of the scrotum through the mass . look for a red glow

in assessment of scrotal mass found during examination, if an abnormal mass or swelling was noted during inspection and palpation of the scrotum what is supposed to be performed?

they are ovoid , 3.5 to 5 cm long 2.5cm wife and 2.5 cm deep , and equal bilaterally in size shape. they are smooth, firm, rubbery, mobile , free of nodules, and rather tender to pressure

in normal findings , of the testes ..

non-tender , smooth, and softer than the testes

in normal findings, the epididymis is

palpate each testis and epididymis between your thumb and first twi fingers

in palpating the scrotum , the nurse is required to

infection or cyst

in palpating the scrotum, if the nurse finds a beaded or thickened cord it may indicate an

varicocele

in palpating the scrotum, if the nurse finds palpable torturous veins what does this suggest

orchitis

inflammation of the testes associated frequently with mumps client complains of pain , heaviness , and fever scrotum appears enlarged and reddened when palpating , the examiner may have difficulty differentiating between testis and epididymis

Cancer

painless nodules may indicate

a loop of bowel protrudes into the scrotum to create what is known as indirect inguinal hernia hernia appears as swelling in the scrotum

scrotal hernia

small testes

small , less than 3.5 cm , indicates atrophy

Klinefelter syndrome

small less than 2 cm long , firm testes may indicate

phimosis

stenosis or narrowing of foreskin so that it cannot be retracted over the glans penis

hernia's , tumor, varicocele and they do not light up with a red glow

swellings or masses that are solid or filled with blood are

hydrocele ,speratocele and they light up with a red glow during the transillumination test

swellings or masses that contain serous fluid are

acute orchitis torsion of spermatic cord strangulated hernia epididymitis

tenderness and swelling of the scrotum may indicate

cryptorchidism

what causes an increased risk of testicular cancer ?

that means its blood supply is cut off the client starts to complain of extreme tenderness and nausea call the physician immediately and prepare him for surgery

what happens when the hernia is strangulated ?