7-year-old male with sudden scrotal pain reports to the Emergency department with his parent.
A Nurse is caring for a 7-year-old child with sudden onset of testicular pain. The nurse is aware that the pain may be a testicular torsion and assesses for what?
Negative Prehn's sign
Rebound abdominal tenderness
Kernigs sign
A round smooth non tender mass in the scrotum.
None
None
The Correct Answer is A
A. A negative Prehn's sign (where lifting the scrotum does not relieve pain) is a key sign of testicular torsion, indicating that the blood flow to the testicle is compromised.
B. Rebound abdominal tenderness suggests peritoneal irritation, not specifically testicular torsion.
C. Kernig's sign is a sign of meningitis, not related to testicular torsion.
D. A round, smooth, non-tender mass in the scrotum is more consistent with a hydrocele or hernia, not testicular torsion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Antibiotics are not indicated for coarctation of the aorta.
B. Monitoring is important, but the immediate action is to notify the cardiologist for further intervention.
C. Balloon angioplasty is a potential treatment for coarctation of the aorta but would be decided by the cardiologist after assessment.
D. Coarctation of the aorta causes a narrowing of the aorta, leading to differences in blood pressure and pulse strength between the upper and lower extremities. The nurse should notify the cardiologist for further evaluation and management.
Correct Answer is D
Explanation
A. Bradycardia is not a typical finding with PDA.
B. Cyanosis is more likely to occur with severe heart defects or in situations where there is a right-to-left shunt, which is not typical of PDA.
C. Weak pulses are not typical of PDA; instead, bounding pulses may be present.
D. A widened pulse pressure (a significant difference between systolic and diastolic blood pressure) is commonly seen in large PDA due to the continuous blood flow from the aorta to the pulmonary arteries.
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