A client comes to the clinic with a history of pain in his testicle. During the interview assessment, which of the following should be of concern to the nurse?
1. The client works as an auto-detailer.
2. He smokes half a pack of cigarettes per week.
3. He has not had a yearly exam for 5 years.
4. He does not perform testicular self-exam.
Correct Answer: 3
Rationale 1: There is no current evidence to support such work as a risk factor for such symptoms.
Rationale 2: There is no current evidence to support smoking as a risk factor for such symptoms.
Rationale 3: Testicular cancer is the most common neoplasm in men between the ages of 20 and 34. Monthly testicular self-examination, a means of early identification of malignancy, used to be recommended for all men. More recent recommendations from the American Cancer Society (ACS) are that men should have a testicular exam as part of a yearly physical exam.
Rationale 4: While monthly testicular self-examination, a means of early identification of malignancy, used to be recommended for all men that recommendation has recently been updated.
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