If a scrotal nodule is noted during examination, the nurse should:

• A. Notify the physician
• B. Document and observe for changes
• C. Apply topical therapy
• D. Refer to radiology

Answer: (A)

A new scrotal nodule should trigger urgent escalation to the healthcare provider because it may signify conditions that require prompt diagnostic workup, such as a testicular tumor or other scrotal pathology. The nurse’s priority is to notify the physician so appropriate assessment can begin— history, physical exam, and likely imaging (often an ultrasound) and possibly tumor markers. Treating with topical therapy isn’t appropriate for a lump in the scrotum, and relying only on documentation and watching for changes could delay crucial evaluation. While documenting and continuing to monitor is part of nursing care, it should accompany, not replace, reporting the finding to the physician. Imaging and specialist assessment are typically ordered by the clinician after this escalation, not by the nurse directly.