An adolescent male is brought to the emergency department with complaints of excruciating pain in his left testicle. Which of the following should be the priority action by the nurse?

Tell the adolescent everything will be fine and there's nothing to worry about.

Complete an assessment and notify the emergency department physician immediately.

Perform a focused assessment and document.

Document pain assessment as normal.

Answer and Explanation

The Correct Answer is B

A.   Reassurance is important, but it should be given after a thorough assessment and appropriate actions have been taken.
B.   Completing an assessment and promptly informing the physician allows for timely intervention in case of testicular torsion or other serious conditions causing severe testicular pain.
C.   Performing a focused assessment is crucial but shouldn't delay immediate notification of the physician in such a critical situation.
D.   Documenting pain assessment is important but not the priority when a client presents with severe, acute pain in a sensitive area like the testicles.

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Correct Answer is D

Explanation

A. Ability to swallow pureed foods suggests some functional capacity and is not an immediate concern requiring immediate reporting.
B. A mild headache reported by the client might not indicate a critical issue requiring immediate reporting.
C. Weakness can be a concerning symptom, but the severity or extent of weakness needs further clarification before urgent reporting.
D. A Glasgow Coma Scale (GCS) score of 5 is indicative of severe impairment of consciousness, requiring immediate attention and further evaluation by the healthcare provider.

A. Bone spur B. Crepitation C. Tendonitis D. Fluid in the knee joint

Correct Answer is B

Explanation

A. A bone spur is a bony projection often caused by joint damage, but it does not typically produce audible crunching or grating sounds.
B. Crepitation refers to a crunching, grating, or popping sound or sensation that occurs with movement of a joint. It's often associated with conditions like osteoarthritis.
C. Tendonitis involves inflammation of a tendon and may cause pain or tenderness, but it does not typically produce audible sounds like crepitation.
D. Fluid in the knee joint might cause swelling and limited movement, but it does not usually produce audible crunching or grating sounds.

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An adolescent male is brought to the emergency department with complaints of excruciating pain in his left testicle. Which of the following should be the priority action by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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