Case Study, Chapter 23, Male Genitalia and Rectal Assessment
Antwan Stewart, an 18-year-old physics-major student, presents at the university clinic, where you practice nursing, with severe scrotal pain following a brief workout at the gym. Assessment reveals the following: temperature, 38.2°C; pulse, 28 beats/min; and BP, 156/78 mm Hg. Mr. Stewart’s scrotum is swollen and extremely tender—too painful for palpation. Nothing else is evident on examination. Mr. Stewart reports that his pain is 9 on a 0-to-10 scale. (Learning Objectives 3, 4, and 8)
- List significant assessment data.
- What assessment data would differentiate between epididymitis and testicular torsion?
- Based on the medically diagnosed condition, what treatments would you expect the physician to order?
Case Study, Chapter 24, Female Genitalia and Rectal Assessment
Jean Adano, a 53-year-old married executive, is undergoing a comprehensive health assessment at the clinic where you practice nursing. She has not seen a health care provider for many years and exclaims, “I’ve not been myself, lately!” She reports moodiness, having hot flashes, and significantly decreased sexual desire in the last few months. Today, her vital signs are temperature, 36.8°C; pulse, 88 beats/min; respirations, 16 breaths/min; and blood pressure, 130/82 mm Hg. Results of her head-to-toe physical assessment are all within normal limits. (Learning Objectives 2, 5, and 6)
- Given Mrs. Adano’s age and current reports, what is the most likely cause of her symptoms?
- What are some important topics to consider during Mrs. Adano’s health history interview?
- What health promotion opportunities exist for Mrs. Adano?