7-year-old male with sudden scrotal pain reports to the Emergency department with his parent.

Exhibits

A Nurse is caring for a 7-year-old child with sudden onset of testicular pain. The nurse is aware that the pain may be a testicular torsion and assesses for what?

Negative Prehn's sign

Rebound abdominal tenderness

Kernigs sign

A round smooth non tender mass in the scrotum.

None

Answer and Explanation

The Correct Answer is A

A.   A negative Prehn's sign (where lifting the scrotum does not relieve pain) is a key sign of testicular torsion, indicating that the blood flow to the testicle is compromised.
B.   Rebound abdominal tenderness suggests peritoneal irritation, not specifically testicular torsion.
C.   Kernig's sign is a sign of meningitis, not related to testicular torsion.
D.   A round, smooth, non-tender mass in the scrotum is more consistent with a hydrocele or hernia, not testicular torsion.

Nursing Test Bank

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Correct Answer is C

Explanation

A. A CT scan is typically used to evaluate structural issues in the brain, such as tumors or bleeding, rather than infections like meningitis.
B. An EEG is used to diagnose epilepsy or other seizure disorders, but it would not help in diagnosing the cause of a febrile seizure related to a possible infection.
C. In a 5-month-old with a seizure and high fever, meningitis is a critical consideration. The analysis of CSF through a lumbar puncture is required to confirm or rule out meningitis. Fever with a seizure in infants may indicate an infection such as bacterial or viral meningitis, making CSF analysis essential.
D. While blood cultures can help identify an infection, CSF analysis is more specific in cases of suspected meningitis, as it directly tests for infection in the central nervous system.

A. Call for a code blue and initiate cardiopulmonary resuscitation (CPR) B. Restrain the child to prevent injury C. Administer a dose of lorazepam to stop the seizure D. Ensure the child's safety by removing nearby objects and padding the area

Correct Answer is D

Explanation

A. CPR is not typically necessary unless the child stops breathing or the heart stops during the seizure, which is rare.
B. Restraining a child during a seizure can cause injury. The focus should be on safety and protection, not restraint.
C. Lorazepam may be given if the seizure lasts too long, but ensuring safety is the priority action.
D. The nurse’s priority during a seizure is to ensure the child’s safety by removing hazardous items from the area and ensuring the child does not get injured.

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7-year-old male with sudden scrotal pain reports to the Emergency department with his parent. Exhibits A Nurse is caring for a 7-year-old child with sudden onset of testicular pain. The nurse is aware that the pain may be a testicular torsion and assesses for what?

Nursing Test Bank

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7-year-old male with sudden scrotal pain reports to the Emergency department with his parent.

Exhibits

A Nurse is caring for a 7-year-old child with sudden onset of testicular pain. The nurse is aware that the pain may be a testicular torsion and assesses for what?