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

No explanation

A. Close blinds room so is darkened. B. Ask the mother to release the child. C. Monitor the child's airway and tongue. D. Administer an anticonvulsant medication. E. Place pillows inside the side rails.

Correct Answer is ["B","C","E"]

Explanation

A. Closing the blinds room so is darkened is inappropriate. The lighting in the room is unlikely to have an impact on the seizure or its management. Ensuring safety and maintaining the airway is the priority.

B.Asking the mother to release the child is appropriate. It’s important to ensure the safety of both the child and the mother. The mother should be asked to release the child to prevent any potential harm to the child during the seizure

C. Monitoring the child's airway and tongue is appropriate. During a seizure, there is a risk of the child's airway being compromised. The nurse should closely monitor the child's airway to ensure that it remains open and that the tongue does not obstruct the airway. Positioning the child on their side can also help prevent choking.

D. Administering an anticonvulsant medication is inappropriate. The nurse should not administer medication without a healthcare provider's order. In a seizure emergency, the focus is on maintaining safety and managing the seizure itself.

E. Place pillows inside the side rails: This is a correct action to prevent injury during the seizure. Padding the side rails helps protect the child from hitting their head or limbs on the hard surfaces.

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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?

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