7-year-old male with sudden scrotal pain reports to the Emergency department with his parent.

Exhibits

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

Answer and Explanation

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

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Correct Answer is A

Explanation

A. The nurse should encourage open communication and allow the adolescent to express their emotions about the amputation. This provides emotional support and helps the child process the upcoming surgery.
B. Encouraging immediate return to physical activities may not be realistic or helpful right after surgery.
C. Assisting the adolescent in accepting the procedure as a better alternative to chemotherapy may minimize the emotional aspects of the situation and is not an ideal approach.
D. Avoiding the topic of the procedure can increase anxiety and delay the emotional preparation needed for the surgery.

A. "I will encourage my child to participate in non-contact sports like swimming." B. "I will make sure my child wears helmets and protective gear when riding a bike or engaging in physical activities." C. "I will teach my child to avoid activities that may result in cuts or injuries." D. "I will give my child a non-steroid anti-inflammatory drug (NSAID) for pain relief if needed."

Correct Answer is D

Explanation

A. Non-contact sports like swimming are generally safe for children with hemophilia as they carry a lower risk of injury.
B. Wearing helmets and protective gear is an important safety measure for children with hemophilia to prevent trauma.
C. While it is important to avoid excessive risk of injury, children with hemophilia can still participate in many activities with precautions.
D. NSAIDs should not be used in children with hemophilia as they can increase the risk of bleeding. Acetaminophen (Tylenol) is a safer option for pain relief.

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7-year-old male with sudden scrotal pain reports to the Emergency department with his parent. Exhibits 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?

Nursing Test Bank

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7-year-old male with sudden scrotal pain reports to the Emergency department with his parent.

Exhibits

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?