Ch. 26: Assessing Male Genitalia and Rectum
"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?
History of hypertension
A 68-year-old man comes to the clinic reporting that he is having difficulty obtaining an erection. When reviewing the client's history what might the nurse note that contributes to impotence?
Prepare the client for surgery.
A client comes to the Emergency Department complaining of sudden sharp testicular pain. Further examination reveals torsion of the spermatic cord. Which of the following would the nurse expect to do next?
Testicular torsion
A client presents at the clinic with severe scrotal pain. What is the presumptive diagnosis?
Gastrointestinal bleeding
A client presents to the health care clinic with reports of black stool. The client denies the ingestion of iron supplements or taking Pepto-Bismol. The nurse recognizes that the black stools could be an indication of what disease process?
Lack of bile pigment
A client presents to the health care clinic with reports of clay-colored stool. The nurse recognizes that this finding is most likely a result of which of the following?
Steatorrhea
A client reports the new onset of mucous in the stool. How should the nurse document this in the client's history?
hernia
A male client has a distinctive bulge in the right inguinal area when standing. What should the nurse suspect is occurring with this client?
External hemorrhoid
A nurse examines the anal area of a client and observes the presence of a varicose vein. How should the nurse document this finding?
Epididymitis
A nurse examines the external genitalia of a client and observes that the scrotum is enlarged, reddened, and swollen. On palpation, the epididymis is tender and the client complains of sudden pain. How should the nurse document this condition?
To assess for health risks relating to how it was performed
A nurse is assessing the genitalia of a male client. The nurse finds that the client has a piercing in his penis. Why is it important to investigate details of the piercing?
Turn the hand fully counterclockwise so that the pad of the index finger faces the client's umbilicus
A nurse is performing palpation of a client's prostate gland. Which of the following indicates proper procedure?
prolapse
A nurse observes that the mucosa of the rectum and the rectal wall of a female client protrudes out through the anal opening. It appears as a red, doughnut-like mass with radiating folds. How should the nurse document this condition of the rectum?
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?
Cryptorchidism
After teaching a group of student about structural abnormalities of the male reproductive system, the instructor determines that the teaching was successful when the students identify which of the following as an example?
Dull ache in the lower abdomen
All of the following symptoms are potential indicators of testicular disorders except:
To assess risk for erectile dysfunction
An adult male client comes to the clinic for his annual physical examination. During the nursing assessment, the nurse asks, "Do you have any current or chronic illnesses such as diabetes, hypertension, respiratory problems, or cardiovascular disease?" Why does the nurse ask this question?
BPH
During a prostate examination, the prostate is noted to have a rubbery or boggy glandular consistency. The nurse recognizes that this is what?
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
Palpable spermatic cord
During palpation of the male genitalia, which of the following is an expected finding?
Strenuous activity
During the assessment of a client, the nurse recognizes that which of the client's lifestyle practices may predispose to the development of an inguinal hernia?
Prostatitis
Mr. Jackson, 50 years old, has had discomfort between his scrotum and anus. He also has had some fevers and dysuria. Rectal examination is halted by tenderness anteriorly, but no frank mass is palpable. What is the most likely diagnosis?
Syphilitic chancre
On inspection of a client's penis, the nurse observes a small, silvery-white papule. Which of the following conditions should the nurse suspect in this client?
Side effects of medications
The client tells the nurse that he has little or no interest in sex. He says he is concerned and he knows his wife is unhappy with his lack of libido. What can the nurse tell the client often causes lack of libido?
Herpes
The nurse is assessing male genitalia and finds clusters of pimple-like clear vesicles. The nurse recognizes this as what?
Previous problems
The nurse is documenting current health concerns during the health history of an older adult male client. Identification of what may help most at this time?
High-fat diet
The nurse is preparing a presentation for a local community group about prostate cancer and possible dietary risk factors. Which of the following would the nurse most likely include?
primary syphilis
The nurse notes that a client has a small red papule that is clean, smooth, and glistening on the penis. What should the nurse suspect is causing this lesion?
bowel sounds at the bulge.
The nurse suspects that a male client may have a hernia. The nurse should further assess the client for
Scrotal
Upon inspection and palpation of the scrotum, the nurse discovers a mass. The nurse asks the client to lie down, and the bulge remains. On auscultation, the nurse finds bowel sounds. The nurse should document this finding as which type of hernia?
African American
What ethnic group has a significantly higher incidence rate of prostate cancer?
offers permanent birth control
What information should nurse include in the teaching plan for a client considering a vasectomy?
Beaded or thickened cord
When assessing a client during the physical examination of the genitalia, the nurse palpates the scrotal contents. Which finding should the nurse recognize as an indication that an infection or cysts are present?
Clockwise, then counterclockwise
When palpating the rectal mucosa, how does the nurse rotate the examining hand?
Pilonidal cyst
When performing the physical assessment of a client, the nurse notes the presence of a small cyst that contains hair, which is located midline in the sacrococcygeal area and has a palpable sinus tract. How should the nurse document this finding?
A 25-year-old man with a history of cryptorchidism.
Which client would the nurse identify as being at highest risk for the development of testicular cancer?
African American men
Which of the following groups has the highest incidence of prostate cancer?
A 15-year-old boy who has been brought in by his mother for assessment of his severely painful testes that are retracted upward
Which of the following male clients is most in need of immediate medical treatment?
How to perform a testicular self-examination.
Which of the following should nurses teach all men, especially those who have had cryptorchidism?
Ethnicity is a risk factor.
Which of the following statements is true of prostate cancer?
A positive transilluminator test
Which of the following would lead the nurse to suspect a hydrocele versus other causes of scrotal swelling?
herpes infection.
While assessing an adult male client, the nurse detects pimple-like lesions on the client's glans. The nurse explains the need for a referral to the client. The nurse determines that the client has understood the instructions when the client says he may have
A sign of early prostate cancer
You are caring for a 33 year old male who has come to the clinic for a physical examination. He states that he has not had a routine physical in five years. During the examination the physician finds that digital rectal examination (DRE) reveals extensive hardening in the posterior lobe of the prostate gland that is not mobile. The nurse recognizes that the observation typically indicates what
