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.)

Close male relatives are at increased risk for the disease.

Impotence usually occurs after an orchiectomy.

It occurs in both testicles equally.

It typically occurs between ages 15 to 40.

An early sign is scrotal warmth and redness.