A nurse is reinforcing teaching with a client who has a new diagnosis of testicular cancer. Which of the following statements should the nurse include in in the teaching? (Select all that apply.)

A. Close male relatives are at increased risk for the disease: A family history of testicular cancer increases a male’s risk of developing the disease. First-degree relatives, such as fathers or brothers, have a higher likelihood, so awareness and early screening are important for at-risk individuals. B. Impotence usually occurs after an orchiectomy: Unilateral orchiectomy rarely causes impotence because the remaining testicle continues to produce testosterone and sperm. Fertility and sexual function are usually preserved. C. It occurs in both testicles equally: Testicular cancer more commonly affects one testicle rather than both simultaneously. Bilateral occurrence is rare. D. It typically occurs between ages 15 to 40: Testicular cancer most frequently affects younger and middle-aged men, with peak incidence between 15 and 40 years. Early recognition and self-examination in this age group are key for timely diagnosis. E. An early sign is scrotal warmth and redness: Early testicular cancer usually presents as a painless lump or swelling in the testicle rather than redness or warmth. These symptoms are more commonly associated with infection, such as epididymitis or orchitis.