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. Pain management is important, but the priority after surgery is to monitor vital signs and assess for complications like shunt malfunction.
B. Teaching is important but not the priority immediately post-surgery. The priority is to monitor for complications in the immediate postoperative period.
C. Fluid intake is important but not the primary concern immediately after surgery. The focus should be on monitoring for complications and managing pain.
D. After a VP shunt procedure, monitoring for complications such as infection or shunt malfunction is critical. Vital signs should be assessed regularly to detect signs of these complications.
Correct Answer is ["A","C","D"]
Explanation
A. Right atrial enlargement occurs due to the increased blood flow from left to right shunting, which can cause volume overload in the right atrium.
B. Left atrial enlargement is typically seen in conditions that cause increased left atrial pressure, such as mitral valve disease or left-sided heart failure, not in ASD.
C. Shortness of breath is a common symptom due to increased blood flow to the lungs, which can lead to pulmonary congestion.
D. Pulmonary hypertension may develop over time due to increased blood flow and pressure in the pulmonary circulation from the left-to-right shunting of blood.
E. Pulmonary hypotension is not associated with ASD. The condition typically leads to increased pressure in the pulmonary arteries, not decreased pressure
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