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1. Question
The nurse is assessing a client with epididymitis. The nurse anticipates which findings on physical examination?
Correct
Option C is the correct answer:
Rationale: Typical signs and symptoms of epididymitis include scrotal pain and edema, which often are accompanied by fever, nausea and vomiting, and chills. Epididymitis most often is caused by infection, although sometimes it can be caused by trauma. The remaining options do not present all of the accurate manifestations.
Incorrect
Option C is the correct answer:
Rationale: Typical signs and symptoms of epididymitis include scrotal pain and edema, which often are accompanied by fever, nausea and vomiting, and chills. Epididymitis most often is caused by infection, although sometimes it can be caused by trauma. The remaining options do not present all of the accurate manifestations.
Epididymitis is an infection of the epididymis that usually descends from an infected prostate or urinary tract. It may also develop as a complication of gonorrhea. In men younger than age 35, the major cause of epididymitis is Chlamydia trachomatis. The infection passes upward through the urethra and the ejaculatory duct and then along the vas deferens to the epididymis.
The patient complains of unilateral pain and soreness in the inguinal canal along the course of the vas deferens and then develops pain and swelling in the scrotum and the groin. The epididymis becomes swollen and extremely painful; the patient’s temperature is elevated. The urine may contain pus (pyuria) and bacteria (bacteriuria), and the patient may experience chills and fever.
