NCLEX RN Practice Question 440

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  • 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.


  • Scrotal pain
  • Groin pain
  • Swelling in the scrotum and groin
  • Pus and bacteria in the urine
  • Fever and chills
  • Abscess development


  • 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.

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