During an examination,the nurse notices that a male patient has a red,round,superficial ulcer with a yellowish serous discharge on his penis.On palpation,the nurse finds a nontender base that feels like a small button between the thumb and fingers.At this point the nurse suspects that this patient has:

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Direct inguinal hernias occur most often in men over the age of 40 years.It is an acquired weakness brought on by heavy lifting,obesity,chronic cough,or ascites.The direct inguinal hernia is usually a painless,round swelling close to the pubis in the area of the internal inguinal ring that is easily reduced when the individual is supine.(See Table 24-6 for a description of scrotal hernia.See Table 24-7 for the descriptions of femoral hernias and indirect inguinal hernias.)

During an Examination,the Nurse Notices That a Male Patient Has