Ch 26-Male Genitalia and Rectum
testes
-oviod, somewhat rubbery structures -4.5 cm -left is lower -produce sperm and testosterone
Cryptorchidism
A nurse examines the external genitalia of a client and observes that the scrotum is underdeveloped and the testis can not be palpated. How should the nurse document this condition?
african american
What ethnic group has a significantly higher incidence rate of prostate cancer?
ethnicity is a risk factor
Which of the following statements is true of prostate cancer?
spermatic cord
smooth, nontender and ropelike
epididymis
-coma shaped -on posteriolateral surface of testis -reservoir for storage, maturation, and transport of sperm
tunica vaginalis
-cover the testis, but not posteriorly -double layered and lubricated -separates testes from scrotal wall
testicular self exam
-highest cancer rate among men 15-34 -when caught early, almost a 100% cure rate -good to do in shower because scrotum is warm -palpate testicle, epidiymis, and spermatic cord for any lumps between thumb and 2 forefingers
prepuce
-in uncircumsised men -covered by a loose fold -where smegma or secretions of glans -urethra opens into vertical slit urethral meatus
scrotum
-loose wrinkled pouch with 2 compartments, each containing testis -protective covering for testis, epididymis, and vas defers -has cremaster muscle -cold- they contract and move close to body
penis
-shaft is formed by 3 columns -1 corpus spongiosum (with urethra, forms bulb of penis) -2 corpora cavernosa -ends in cone-shaped glans with an expanded base of corona
aging male
-thinner hair -testicles are smaller and less firm -scrotum is more pendulous -testicles may sit on scrotum and cause lesions
Steatorrhea
A client reports the new onset of mucous in the stool. How should the nurse document this in the client's history?
left testicular torsion
A teenage male client comes to the ED with severe left testicular pain and vomiting. Elevation of his left testicle does not lessen the pain. What could these symptoms indicate for this patient?
torsion of the spermatic cord
A teenager presents at the ER with severe scrotal and abdominal pain, vomiting, and nausea. He tells the nurse that he participated in a polar bear plunge in his community (jumping into cold water off-season). What conditions would the nurse suspect?
prostate enlargement
During assessment of an elderly male client, the client tells the nurse that he has had difficulty urinating for the past few weeks. The nurse should refer the client to the physician for possible
hemorrhoids
The rectum is lined with folds of mucosa, and each fold contains a network of arteries, veins, and visceral nerves. When these veins undergo chronic pressure, the result may be
transillumination
if there is swelling or masses present - if there is a red glow with hydrocele and spermatocele
auscultate
if you suspect a herniated bowel
Digital rectal examination
Which of the following would the nurse expect to be done to assess the size of the prostate?