A nurse is educating a client who has had orchiopexy about routine testicular self
examination (TSE). What instruction should the nurse provide to the client?
A) Roll the testis gently in a vertical plane
B) Avoid touching the scrotum with cold hands
C) Perform the examination before taking a bath
D) Palpate the testicle between the thumb and middle finger
B
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Suicide is most likely to occur:
A. On admission to a psychiatric hospital. B. At the beginning of psychotherapy. C. As the depression begins lifting. D. When the depression deepens.
A client's belief that the existence of God cannot be proved or disproved is BEST described as:
a. agnosticism c. Darwinism b. atheism d. existentialism
People who have two copies of the same abnormal autosomal dominant gene will usually be:
a. more severely affected by the disorder than people with one copy of the gene. b. infertile and unable to transmit the gene. c. carriers of the trait but not affected with the disorder. d. mildly affected with the disorder.
What anal or rectal disorder is the most likely cause of her symptom?
A 26-year-old woman comes to your clinic, complaining of leakage of stool despite generally normal, pain-free bowel movements. She denies any blood in her stool or on the toilet paper. She has had no recent episodes of diarrhea. Her past medical history includes a spontaneous vaginal delivery 3 months ago. She had a fourth-degree tear of the perineal area (from the vagina through the rectum) that was surgically repaired after delivery. A few days later the patient developed an abscess in the anal area that had to be incised and drained. She denies using any tobacco, alcohol, or illegal drugs. Her mother and father are both in good health. She denies any weight gain, weight loss, fever, or night sweats. She is still breast-feeding without any problems. On examination you visualize a small opening anterior to the anus with some surrounding erythema. There is not a mass or other inflammation on inspection. Digital rectal examination reveals smooth rectal walls with no blood. She has no pain during the rectal examination. Bimanual vaginal examination is also normal. A) Anal fissure B) External hemorrhoids C) Internal hemorrhoids D) Anorectal fistula