An adolescent with a past surgical history of orchiopexy for cryptorchidism is evaluated in a primary care setting. Which anticipatory guidance should the nurse provide?

Teach how to perform testicular self-examinations.

Advise to avoid athletics to prevent injury.

Assess knowledge of pubertal signs.

Educate about erectile dysfunction.

Answer and Explanation

The Correct Answer is A

A. Teaching how to perform testicular self-examinations is appropriate. Cryptorchidism refers to the condition in which one or both testicles do not descend into the scrotum. Orchiopexy is a surgical procedure used to correct cryptorchidism by placing the testicle(s) into the scrotum. While the primary purpose of orchiopexy is to ensure proper testicular development and function, it's important for individuals with a history of cryptorchidism and orchiopexy to be aware of their testicular health.
Teaching how to perform testicular self-examinations is an important aspect of anticipatory guidance. This education empowers the adolescent to monitor for any changes or abnormalities in the testicles, which may include signs of testicular cancer or other issues. Early detection and prompt medical attention can lead to better outcomes.

B. Advising to avoid athletics to prevent injury is inappropriate. While avoiding injury is important, participation in athletics is generally safe after orchiopexy. This option does not directly address the specific concern related to testicular health.

C. Assessing knowledge of pubertal signs inappropriate. While assessing knowledge of pubertal signs is important, it does not directly address the adolescent's history of orchiopexy.

D. Educating about erectile dysfunction is inappropriate. Erectile dysfunction is not typically a primary concern in adolescents with a history of orchiopexy. This option does not provide relevant anticipatory guidance for this specific situation.

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Correct Answer is C

Explanation

A.While non-pharmacologic strategies are important for pain management, they are typically introduced after initial assessment and understanding of the client's pain experience. In this case, the priority is to clarify the apparent discrepancy between the reported pain level and observed behavior.

B.Respecting the client's privacy and providing time for personal activities like phone calls is important but does not directly address the concern of incongruent pain assessment and behavior.

C.Incongruence between reported pain intensity (10/10) and observed behavior (laughing on the phone) suggests a potential discrepancy that needs to be documented and further investigated. This documentation is crucial for accurate assessment and communication among the healthcare team.

D.Administering pain medication immediately without further assessment may not be appropriate if there is uncertainty about the accuracy of the pain report. It's important to first clarify and validate the client's pain experience before proceeding with medication administration.

A. Assist in preventing further disability. B. Ensure her participation in group activities. C. Teach her social skills. D. Help her achieve her maximum potential.

Correct Answer is D

No explanation

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An adolescent with a past surgical history of orchiopexy for cryptorchidism is evaluated in a primary care setting. Which anticipatory guidance should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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