When conducting an initial assessment on a 65-year-old male patient, the nurse assesses a mass in the left testicle that on transillumination glows red. The nurse notes the presence of:

1. phimosis.
2. a hydrocele.
3. smegma.
4. a hematocele.


2
A hydrocele will glow red on transillumination, but a hematocele will not. Phimosis is a foreskin that will not retract over the glans and smegma is a cheese-like substance found under the foreskin.

PTS: 1 DIF: Cognitive Level: Analysis REF: 1083
OBJ: 2 TOP: Health Assessment
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity

# 12. The mother of a newborn with cryptorchidism asks if this condition will be permanent. The nurse's best response would be:
1. "Yes, but your child can develop normally with hormone replacement therapy."
2. "No, there are several medical and surgical remedies that can be done after your baby's first birthday."
3. "Yes, but the undescended testicle is still able to function in a normal manner."
4. "No, the process of sexual maturity will cause it to descend at puberty."

2
Partial or incomplete descent of the testicles may be resolved by medical or surgical imple-mentation. Medical implementation starts between the first and second years of life.

PTS: 1 DIF: Cognitive Level: Analysis REF: 1079
OBJ: 6 TOP: Cryptorchidism
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity

Nursing

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The nurse is caring for a patient who is hospitalized with cognitive impairment. The following interventions will assist the patient in orientation: (Select all that apply.)

a. Keep a photo of the family in the room. b. Use a clock on the wall. c. Make sure the room is kept bright and well lit. d. Avoid moving the patient from room to room. e. Have the nurse introduce himself or herself to the patient.

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A patient with a small, well-defined breast nodule asks the nurse about her treatment options. Which treatments would be considered for this patient?

A) Lumpectomy and radiation B) Partial mastectomy and radiation C) Partial mastectomy and chemotherapy D) Total mastectomy and chemotherapy

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The preoperative assessment finding that the nurse would report to the surgeon for preoperative treatment is

a. hemoglobin concentration of 13.5 mg/dl. b. partial thromboplastin time of 25 seconds. c. potassium level of 3.0 mEq/L. d. sodium level of 140 mEq/L.

Nursing

A beginning nurse asks an experienced nurse, "When should I focus on data collection?" Which statement provides the best description for when a nurse should collect patient-centered data?

a. After report when coming on duty b. Within 1 hour of reporting off duty c. While assisting a patient with hygiene d. During each patient contact

Nursing