A male adolescent comes to the clinic reporting severe testicular pain that started during a high school football practice. The nurse notes significant redness and swelling of the scrotum. What should the nurse do next?

Provide the adolescent with a urinal for urinary hesitancy

Immediately report the findings to the healthcare provider

Collect a sterile urine sample for culture and sensitivity

Obtain a swab of secretions from the penis and urethra

Answer and Explanation

The Correct Answer is B

Choice A rationale
Providing a urinal for urinary hesitancy may be helpful in some cases, but it does not address the immediate concern of severe testicular pain, redness, and swelling. These symptoms could indicate a serious condition such as testicular torsion, which requires immediate medical attention.
Choice B rationale
Severe testicular pain accompanied by redness and swelling of the scrotum could indicate a serious condition such as testicular torsion. Testicular torsion is a medical emergency that requires immediate intervention to restore blood flow and prevent loss of the testicle.
Therefore, the nurse should immediately report these findings to the healthcare provider.
Choice C rationale
While collecting a sterile urine sample for culture and sensitivity could be useful in diagnosing a urinary tract infection, it does not address the immediate concern of severe testicular pain.
These symptoms could indicate a serious condition such as testicular torsion, which requires immediate medical attention.
Choice D rationale
Obtaining a swab of secretions from the penis and urethra could be useful in diagnosing a sexually transmitted infection, but it does not address the immediate concern of severe testicular pain. These symptoms could indicate a serious condition such as testicular torsion, which requires immediate medical attention.

Nursing Test Bank

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Correct Answer is B

Explanation

Choice A rationale
While it’s true that overstimulation can sometimes trigger seizures in children with certain neurological conditions, it’s not typically a trigger for febrile seizures. Febrile seizures are caused by a rapid increase in body temperature, often due to an infection.
Choice B rationale
Febrile seizures are most common in young children between the ages of 6 months and 5 years. As children grow older, they are less likely to have febrile seizures. Most children outgrow febrile seizures by the time they are 5 years old.
Choice C rationale
While it’s important to try to reduce a child’s fever, a sponge bath is not likely to prevent a febrile seizure. Febrile seizures are triggered by a rapid increase in body temperature, not the absolute value of the temperature.
Choice D rationale
The use of ibuprofen or other fever-reducing medications is not typically recommended as a way to prevent febrile seizures. These medications can help make the child more comfortable by reducing fever, but they do not prevent febrile seizures.

Correct Answer is ["1"]

Explanation

Step 1 is: Identify the prescribed dose, which is 5 mg.

Step 2 is: Identify the concentration of the medication, which is 5 mg per 5 mL.

Step 3 is: Calculate the volume to administer using the formula: (Prescribed dose ÷ Concentration) × Volume. So, (5 mg ÷ 5 mg/5 mL) = 5 mL. Since 1 teaspoon is approximately 5 mL, the nurse should instruct the parent to give 1 teaspoon with each dose.

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A male adolescent comes to the clinic reporting severe testicular pain that started during a high school football practice. The nurse notes significant redness and swelling of the scrotum. What should the nurse do next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The parents of a 14-month-old child, hospitalized due to febrile seizures, express their concern to the nurse about their child having seizures for life. What information should the nurse share with these parents?

Correct Answer is B

Explanation

A child has been prescribed loratadine 5 mg to be taken orally once a day. The bottle is labeled “Loratadine for Oral Suspension, USP 5 mg per 5 mL.”. How many teaspoons should the nurse instruct the parent to give with each dose?

Correct Answer is ["1"]

Explanation

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