Which precautions should the nurse conducting an assessment of the reproductive system take to avoid the cremasteric reflex?
1. Ask the patient to cough during the exam for inguinal hernia.
2. Ask the patient to breathe in slowly through the nose and out through the mouth.
3. Conduct the examination in a warm room.
4. Lubricate the finger used for the prostate exam.
3
Rationale 1: Coughing during the exam for inguinal hernia intensifies the bulging. This is not the cremasteric reflex.
Rationale 2: Slow breathing does not eliminate the cremasteric reflex.
Rationale 3: The cremasteric reflex, in which the testicles rise in the scrotum to the abdominal cavity, can be reduced by conducting the exam in a warm room.
Rationale 4: The cremasteric reflex is not related to the prostate exam.
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