The nurse is assessing for a left inguinal hernia in a male patient. Which technique should the nurse use?
1. Palpate for a structure that feels like a "bag of worms.".
2. Use the left forefinger to examine the inguinal ring.
3. Ask the patient to cough during the assessment.
4. Have the patient face a table and lean over it.
3
Rationale 1: The structure that feels like a "bag of worms" is a varicocele.
Rationale 2: The right forefinger is used to examine the left inguinal ring.
Rationale 3: The nurse asks the patient to cough which brings the bulging hernia down against the nurse's finger.
Rationale 4: This position is used for palpation of the prostate.
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