A 13-year-old uncircumcised male patient has been treated for phimosis and returns to the nurse practitioner for follow-up. A referral should be made to the urologist if the adolescent
is unable to retract a previously retractable prepuce.
complains of difficulty keeping the glans penis clean.
desires to be circumcised.
states that he began experiencing nocturnal erections.
The Correct Answer is A
Rationale:
A. Inability to retract a previously retractable prepuce (paraphimosis or recurrent phimosis) after treatment may indicate an underlying structural problem and warrants referral to a urologist.
B. Difficulty maintaining hygiene is common in uncircumcised adolescents and can often be managed with education on proper cleaning techniques.
C. Desire for circumcision alone is not an urgent indication for urology referral; it can be elective.
D. Nocturnal erections are a normal physiological process in adolescent males and do not necessitate referral.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Increased weight gain is not typical of type 1 diabetes; lethargy and nocturia alone are nonspecific.
B. A persistent vaginal yeast infection, weight loss, and urinary frequency are classic signs of type 1 diabetes mellitus in young children. Hyperglycemia provides a favorable environment for yeast infections, causes osmotic diuresis (frequent urination), and leads to unintentional weight loss despite normal or increased appetite.
C. Increased activity and frequent stools are not typical presenting features of type 1 diabetes.
D. Weight gain is not consistent with type 1 diabetes; increased thirst and nocturia may occur, but the weight loss seen in option B is more indicative.
Correct Answer is C
Explanation
Rationale:
A. Poisoning is a common unintentional injury in preschool-aged children and a significant cause of morbidity and mortality.
B. Drowning is a leading cause of death in this age group and considered an unintentional injury.
C. Physical abuse is not classified as an unintentional injury; it is intentional and a form of child maltreatment.
D. Motor vehicle crashes, including pedestrian and passenger injuries, are among the leading causes of death in preschool-aged children.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.