A male adolescent comes to the clinic reporting severe testicular pain that started during a high school football practice. The nurse notes significant redness and swelling of the scrotum. What should the nurse do next?

Provide the adolescent with a urinal for urinary hesitancy

Immediately report the findings to the healthcare provider

Collect a sterile urine sample for culture and sensitivity

Obtain a swab of secretions from the penis and urethra

Answer and Explanation

The Correct Answer is B

Choice A rationale
Providing a urinal for urinary hesitancy may be helpful in some cases, but it does not address the immediate concern of severe testicular pain, redness, and swelling. These symptoms could indicate a serious condition such as testicular torsion, which requires immediate medical attention.
Choice B rationale
Severe testicular pain accompanied by redness and swelling of the scrotum could indicate a serious condition such as testicular torsion. Testicular torsion is a medical emergency that requires immediate intervention to restore blood flow and prevent loss of the testicle.
Therefore, the nurse should immediately report these findings to the healthcare provider.
Choice C rationale
While collecting a sterile urine sample for culture and sensitivity could be useful in diagnosing a urinary tract infection, it does not address the immediate concern of severe testicular pain.
These symptoms could indicate a serious condition such as testicular torsion, which requires immediate medical attention.
Choice D rationale
Obtaining a swab of secretions from the penis and urethra could be useful in diagnosing a sexually transmitted infection, but it does not address the immediate concern of severe testicular pain. These symptoms could indicate a serious condition such as testicular torsion, which requires immediate medical attention.

Nursing Test Bank

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Correct Answer is B

Explanation

Choice A rationale
Chocolate is known to trigger GERD symptoms as it contains caffeine and other stimulants which can cause acid reflux.
Choice B rationale
Sugar cookies are a safe snack choice for individuals with gastroesophageal reflux disease as they are not known to trigger GERD symptoms.
Choice C rationale
Tacos often contain spicy ingredients and high-fat meats, both of which can trigger GERD symptoms.
Choice D rationale
Pizza is typically high in fat and can contain acidic tomato sauce, both of which can trigger GERD symptoms.

A. Place a toy in the child’s hands while listening to the breath sounds. B. Allow the child to use a stethoscope on a stuffed animal. C. Offer the child bubbles before the stethoscope is placed. D. Have the child blow a cotton ball and have the parent catch it.

Correct Answer is B

Explanation

Choice A rationale
While placing a toy in the child’s hands might distract the child during the assessment, it does not actively involve the child in the process or help them understand what is happening.
Choice B rationale
Allowing the child to use a stethoscope on a stuffed animal can help the child understand what is happening and feel more comfortable with the procedure. This technique is often used to ensure the cooperation of a preschooler during an assessment of lung sounds.
Choice C rationale
Offering the child bubbles before the stethoscope is placed might distract the child, but it does not directly involve them in the procedure or help them understand what is happening.
Choice D rationale
Having the child blow a cotton ball and having the parent catch it might distract the child, but it does not directly involve them in the procedure or help them understand what is happening.

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A male adolescent comes to the clinic reporting severe testicular pain that started during a high school football practice. The nurse notes significant redness and swelling of the scrotum. What should the nurse do next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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