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 ?
