When the nurse is performing a genital examination on a male patient, which action is correct?
a. Auscultating for the presence of a bruit over the scrotum
b. Palpating for the vertical chain of lymph nodes along the groin, inferior to the inguinal ligament
c. Palpating the inguinal canal only if a bulge is present in the inguinal region during inspection
d. Having the patient shift his weight onto the left (unexamined) leg when palpating for a hernia on the right side
ANS: D
When palpating for the presence of a hernia on the right side, the male patient is asked to shift his weight onto the left (unexamined) leg. Auscultating for a bruit over the scrotum is not appropriate. When palpating for lymph nodes, the horizontal chain is palpated. The inguinal canal should be palpated whether a bulge is present or not.
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