When performing a TSE, a 19-year-old client detects a firm, painless lump on his right testis and notes his scrotum is enlarged. The client's alkaline phosphatase is elevated, and an ultrasound confirms a lesion that is thought to be malignant
What is the usual treatment for testicular cancer? a. biopsy of the testis
b. removal of the lesion only
c. removal of both testes with examination of the nodes
d. radical inguinal orchiectomy
D
The surgical removal of the testis, spermatic cord, and inguinal canal contents (radical inguinal orchiectomy), is indicated for testicular cancers.
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A client tells the nurse that he is planning to hire a private detective to follow his wife, who he
believes is having an extramarital affair. The nurse assesses him to be suspicious; the client looks behind the door to be sure no one is eavesdropping and asks the nurse what she did with his medical record after he left. The behaviors manifested by the client can be assessed as being most consistent with the clinical picture of a. antisocial personality disorder. b. schizoid personality disorder. c. paranoid personality disorder. d. obsessive-compulsive personality disorder.
When instructing the woman in early labor, the nurse teaches her that an important aspect of proper breathing technique is
a. Breathing no more than three times the normal rate b. Beginning and ending with a cleansing breath c. Holding the breath no longer than 10 seconds d. Adhering exactly to the techniques as they were taught
An instructor is teaching students about providing oral care on an unconscious patient. The teacher realizes that additional instruction is required when a student says:
1. "I should assess the mouth for lesions and dried mouth secretions known as sordes." 2. "I must position the patient to minimize any chance of aspiration of fluids." 3. "I should use lemon-glycerin swabs to clean the lips and inside of the mouth." 4. "I should apply a water-soluble lip balm to keep the lips moist."
A clinic nurse is preparing diagrams of pelvic shapes. Which pelvic shapes should the nurse describe as considered favorable for childbirth? (Select all that apply.)
A. Android B. Anthropoid C. Gynecoid D. Platypelloid