NCLEX RN Practice Question 440
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EPIDIDYMITIS
Description
- Acute or chronic inflammation of the epididymis that occurs as a result of a UTI, STI, prostatitis, or long-term use of a bladder catheter
- The infective organism travels upward through the urethra and ejaculatory duct and along the vas deferens to the epididymis.
Assessment
- Scrotal pain
- Groin pain
- Swelling in the scrotum and groin
- Pus and bacteria in the urine
- Fever and chills
- Abscess development
Interventions
- Encourage fluid intake.
- Encourage bed rest with the scrotum elevated to prevent traction on the spermatic cord, facilitate drainage, and relieve pain.
- Instruct the client in the intermittent application of cold compresses to the scrotum.
- Instruct the client in the use of tub or sitz baths.
- Instruct the client in the administration of antibiotics for self and sexual partner if the cause is chlamydial or gonorrheal infection.
- Instruct the client to avoid lifting, straining, and sexual contact until the infection subsides.
- Instruct the client to limit the force of the stream because organisms can be forced into the vas deferens and epididymis from strain or pressure during voiding.
- Teach the client that condom use can help prevent urethritis and epididymitis.
- Teach the client measures to prevent UTI or STI recurrence.