A male patient who presents with the complaint of a "swollen" scrotum is found to have fluid within the scrotum. The nurse understands that this finding is consistent with which condition?
1. A hydrocele
2. A spermatocele
3. A variocele
4. Scrotal cancer
1
Rationale 1: A hydrocele, which is the most common cause of scrotal swelling, is a collection of fluid within the tunica vaginalis. A hydrocele may be differentiated from a solid mass by transillumination or ultrasound of the scrotum.
Rationale 2: A spermatocele is a mobile, usually painless mass that forms when efferent ducts in the epididymis dilate and form a cyst.
Rationale 3: A varicocele is an abnormal dilation of a vein within the spermatic cord. The dilated vein forms a soft mass that may be painful.
Rationale 4: Scrotal cancer would be manifested by a solid mass rather than a fluid-filled area.
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A nurse has begun the assessment process with an obese patient who states that he is highly motivated to lose weight. How can the nurse most accurately gauge the patient's normal eating and drinking patterns?
A) Have the patient keep a detailed food diary for 2 or 3 days. B) Ask the patient to describe a typical meal and snack. C) Check laboratory reports of total and LDL cholesterol, triglycerides, and blood sugar. D) Have the patient describe the differences between a healthy meal and an unhealthy meal.
The nurse is caring for an individual who has a tension headache. Which of the following would be included in the patient's plan of care? (Select all that apply.)
a. Dark glasses b. Massage c. Moist heat d. Aerobic exercise e. Cold compresses f. Ergotomine
The nurse manager is reviewing the current staff to determine who should precept a newly licensed nurse. Which nurse is the most logical choice?
1. A nurse who needs the temporary pay increase that accompanies precepting 2. A nurse who is clinically competent and has the desire to assume the responsibility to train new staff 3. A nurse who has expressed the desire for additional training and unit responsibilities 4. The nurse who needs to work an 8-hour schedule for a few weeks while recovering from a work-related accident
An example of rationalizing is
a. restricting food intake by rationing food. b. coping with stress using biofeedback techniques. c. identifying emotional triggers for eating. d. using a busy schedule to justify poor food choices.