— 健康促進與維護 · MEDIUM · MCQ —
護理師教導個案進行睪丸自我檢查。哪項指導是正確的？
A nurse is teaching a client about testicular self-examination. Which instruction is correct?
- APerform the exam once a year每年進行一次檢查
- BCheck only the right testicle for abnormalities僅檢查右側睪丸是否有異常
- CIf a small, hard lump is found, wait a month to see if it disappears若發現小而硬的腫塊，等待一個月看是否消失
- DExamine the testes while taking a warm shower✓ 正解在洗熱水澡時檢查睪丸
— Explanation · 中文詳解 —
睪丸自我檢查（Testicular Self-Examination, TSE）是早期發現睪丸癌的重要篩檢手段。選擇溫水淋浴時進行是正確的，因為熱水會使陰囊皮膚鬆弛並放鬆提睪肌（cremaster muscle），使睪丸下降，更容易觸摸到睪丸表面是否有腫塊、硬結或異常。臨床上應強調每月定期檢查的重要性，若發現任何硬塊、腫脹或觸痛，應立即就醫評估，切勿等待觀察。
Performing testicular self-examination during a warm shower is recommended because heat relaxes the scrotal skin and cremaster muscle, facilitating easier palpation. Clients should examine both testes monthly rather than annually and report any lumps immediately, as early detection is vital for treating testicular cancer effectively.