The nurse is inspecting the scrotum and testes of a 43-year-old man. Which finding would require additional follow-up and evaluation?

a. Skin on the scrotum is taut.
b. Left testicle hangs lower than the right testicle.
c. Scrotal skin has yellowish 1-cm nodules that are firm and nontender.
d. Testes move closer to the body in response to cold temperatures.


ANS: A
Scrotal swelling may cause the skin to be taut and to display pitting edema. Normal scrotal skin is rugae, and asymmetry is normal with the left scrotal half usually lower than the right. The testes may move closer to the body in response to cold temperatures.

Nursing

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The nurse instructs a client with chronic renal disease on the prescribed medication furosemide (Lasix). Which client statement indicates that teaching has been effective?

A) "I will take this medication to keep my calcium balance normal." B) "This medication will make sure I have enough red blood cells in my body." C) "I will take this pill to keep my protein level in my body stable." D) "This pill will reduce the swelling in my body and get rid of the extra potassium."

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The nurse is caring for a patient in droplet precautions. What protective gear should the nurse wear when providing care to this patient?

1. Head covering and gown 2. Shoe covering and gown 3. Gloves only 4. Mask and eye protection or face shield

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Factors that affect gastric drug absorption include:

1. Liver enzyme activity 2. Protein-binding properties of the drug molecule 3. Lipid solubility of the drug 4. Ability to chew and swallow

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Maria, a 30-year-old woman, visits Dr. Knowles with complaints of fatigue and sleeplessness. Dr. Knowles prescribes a drug to Maria to help her sleep better, which would also help reduce the fatigue. After discontinuation of the drug, Maria is unable to sleep properly at night because of nightmares and anxiety. Identify the most probable cause for this effect.

A. GABAA inhibition B. Automatism C. REM rebound D. GABAA receptor-mediated sodium influx

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