The nurse instructs the male client that the protocol for testicular self-examination is to:
1. Perform the examination annually after age 35
2. Use both hands to roll the testicles and feel the consistency
3. Perform the examination before bathing or showering
4. Contact the physician if a cordlike structure is felt on the top and back of the tes-ticle
ANS: 2
The nurse instructs the male client that the protocol for testicular self-examination is to use both hands to gently roll the testicle, feeling for lumps, thickening, or a change in consistency (hard-ening). All men 15 years and older should perform the testicular self-exam monthly. The exami-nation should be performed after a warm bath or shower when the scrotal sac is relaxed. A cord-like structure on the top and back of the testicle is a normal finding. It is the epididymis.
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