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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

= Answer is... Choice B. Offer a pacifier for non-nutritive sucking.

Choice A rationale:

In the context of a newborn with a repaired gastroschisis receiving parenteral nutrition and continuous enteral feedings, instituting physical therapy may not directly contribute to the maintenance of normal growth and development concerning nutrition. While physical therapy plays a vital role in promoting motor development and rehabilitation in infants with various medical conditions, its immediate relevance to nutritional support in this scenario may be limited. Instead, the focus of care for this infant revolves around optimizing nutritional intake and supporting oral feeding skills, making physical therapy a less prioritized intervention at this stage.

Choice B rationale:

Offering a pacifier for non-nutritive sucking is a crucial action to include in the plan of care for a newborn receiving enteral nutrition, especially in the context of gastroschisis repair. Non-nutritive sucking serves several purposes beneficial for the infant's development and well-being. Firstly, it promotes the development of oral feeding skills, including suck-swallow coordination and oral motor strength, which are essential for transitioning to oral feeding and achieving nutritional milestones. Secondly, non-nutritive sucking provides comfort and helps infants self-regulate, contributing to their overall physiological and emotional stability. By offering a pacifier for non-nutritive sucking, the nurse supports the infant's oral motor development and enhances their ability to transition from enteral to oral feeding, ultimately promoting normal growth and development.

Choice C rationale:

Ensuring the placement of the enteral tube with an abdominal x-ray is an essential aspect of enteral nutrition administration; however, it may not directly contribute to the maintenance of normal growth and development in the same way as offering a pacifier for non-nutritive sucking does. While verifying enteral tube placement is crucial for preventing complications such as aspiration or malabsorption, continuous reliance on abdominal x-rays for tube placement confirmation poses risks associated with radiation exposure, especially in neonates. Therefore, while verifying tube placement is necessary, it should be balanced with the consideration of minimizing radiation exposure and utilizing alternative methods such as auscultation or pH testing when appropriate.

Choice D rationale:

Using sterile technique during feedings is a fundamental aspect of enteral nutrition administration to minimize the risk of infection and ensure patient safety. However, while maintaining sterility is essential, it may not directly address the specific goal of maintaining normal growth and development in the context of enteral nutrition. The question specifically emphasizes actions to support normal growth and development, which are more directly facilitated by interventions such as non-nutritive sucking to enhance oral feeding skills and self-regulation.

A. Obtain point-of-care glucose. B. Assess urine for ketones. C. Check blood pressure. D. Review prior insulin prescriptions.

Correct Answer is A

Explanation

Choice A rationale
The first action the nurse should take when caring for an adolescent with type 1 diabetes mellitus who presents with an HbA1c of 11% (97 mmol/mol), thirst, and blurred vision is to obtain point-of-care glucose. These symptoms are indicative of hyperglycemia, and immediate blood glucose testing is necessary to confirm this and guide further treatment.
Choice B rationale
Assessing urine for ketones is important in managing diabetes, especially in cases of suspected diabetic ketoacidosis. However, this would not be the first action to take in this scenario.
Choice C rationale
Checking blood pressure is a standard part of any physical assessment, but it would not be the first action to take in this scenario.
Choice D rationale
Reviewing prior insulin prescriptions can provide valuable information about the patient’s management of their diabetes, but it would not be the first action to take in this scenario.

View Question and Answer

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

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

Correct Answer is B

Explanation

The nurse is caring for an adolescent with type 1 diabetes mellitus who presents with an HbA1c of 11% (97 mmol/mol), thirst, and blurred vision. What action should the nurse take first?

Correct Answer is A

Explanation

During a sports physical examination, a 15-year-old female expresses her desire for oral contraceptives. She mentions that she is sexually active and prefers not to inform her parents. What should be the nurse’s course of action?

The nurse is giving an intramuscular injection of an antibiotic to a 16-month-old toddler with pneumonia. The toddler does not have any known allergies and has been walking without assistance for one month. Which technique should the nurse select for administration?

A 7-year-old child has been admitted to the hospital with a diagnosis of acute rheumatic fever. When taking a health history from the child’s mother, which recent illness is of most significance?

A nurse is educating parents about essential dietary modifications for their child, who has recently been diagnosed with celiac disease. Which foods should the nurse include in the list of permissible foods for this child?

The nurse is caring for a 5-week-old infant who has been experiencing projectile vomiting after feedings. What additional symptom should the nurse anticipate?

The nurse is evaluating a preschool-aged child who is presenting with symptoms of flank pain, dysuria, and a low-grade fever. What additional information should the nurse obtain from the parent to determine if the child might have a urinary tract infection?

A mother brings her 2-month-old to the well-baby clinic. She mentions that when she kisses her baby, the infant’s skin tastes salty. What standard diagnostic test should the nurse prepare the mother for to screen for cystic fibrosis (CF)?

A 9-week-old infant is scheduled for a cleft lip repair. What information is most important for the nurse to convey to the surgeon before transporting the infant to the surgical suite?