A male adolescent arrives at the clinic and reports intense pain in the testicular area that occurred during football practice at high school. The nurse observes the scrotum and identifies significant erythema and swelling.

Which action should the nurse take?

Report the findings immediately to the healthcare provider.

Obtain a swab of secretions from the penis and urethra.

Collect a sterile urine sample for culture and sensitivity.

Provide the adolescent with a urinal for urinary hesitancy.

Answer and Explanation

The Correct Answer is A

The nurse should report the findings of significant erythema and swelling in the scrotum immediately to the healthcare provider. The adolescent's symptoms may be indicative of testicular torsion, which is a medical emergency and requires prompt treatment to prevent loss of the testicle. Obtaining a swab of secretions from the penis and urethra or collecting a sterile urine sample for culture and sensitivity are not appropriate actions for this presentation. Providing a urinal for urinary hesitancy may be appropriate if the adolescent is experiencing difficulty urinating, but this should not take precedence over reporting the findings to the healthcare provider.

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Correct Answer is B

Explanation

The client should be instructed to eat a source of sugar if he experiences profuse perspiration, which may indicate hypoglycemia or low blood sugar. Other symptoms of hypoglycemia include shakiness, confusion, dizziness, and weakness.

Eating a source of sugar, such as a glucose tablet, fruit juice, or candy, can quickly raise blood sugar levels and alleviate symptoms of hypoglycemia.

A racing pulse, excessive thirst, and seeing spots are not typically associated with hypoglycemia.

A. List of achievement timeline for developmental milestones. B. Reactions to any previous hospitalizations. C. A history of rubella, rubeola, or chicken pox. D. Mother's use of alcohol, drugs, or cigaretes during pregnancy.

Correct Answer is B

Explanation

Information about the child's reactions to any previous hospitalizations would be particularly helpful in planning care for this six-year-old girl who is being admited for repair of an umbilical hernia. This information can help the nurse anticipate and address any fears or concerns the child may have about the hospitalization and procedure.

A list of achievement timeline for developmental milestones is not particularly relevant in this situation.

A history of rubella, rubeola, or chicken pox is not particularly relevant in this situation.

Information about the mother's use of alcohol, drugs, or cigaretes during pregnancy is not particularly relevant in this situation.

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A male adolescent arrives at the clinic and reports intense pain in the testicular area that occurred during football practice at high school. The nurse observes the scrotum and identifies significant erythema and swelling. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When developing a teaching plan for an adolescent male who was recently diagnosed with Type 1 diabetes mellitus, the nurse should instruct the client to eat a source of sugar if which symptom occurs?

Correct Answer is B

Explanation

A six-year-old girl is being admited to the hospital for repair of an umbilical hernia. Which information, collected by the admitting nurse, is particularly helpful in planning care for this child?

Correct Answer is B

Explanation

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The nurse is caring for a child with hypoparathyroidism who demonstrates a carpal spasm when pressure is applied to the upper arm. Which laboratory value should the nurse review?

A male adolescent arrives at the clinic and reports intense pain in the testicular area that occurred during football practice at high school. The nurse observes the scrotum and identifies significant erythema and swelling.

Which action should the nurse take?