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 D

Explanation

Choice A rationale
While it’s true that TSH levels can influence thyroxine levels, this statement is misleading. High TSH levels do not cause low thyroxine levels. Instead, the pituitary gland produces more TSH when thyroxine levels are low in an attempt to stimulate the thyroid gland to produce more thyroxine.
Choice B rationale
Thyroxine levels in breastfeeding infants should be within the normal range. High thyroxine levels are not typical and could indicate a problem with the infant’s thyroid gland.
Choice C rationale
This statement is incorrect. The thyroid gland begins producing thyroxine before birth, and levels should be within the normal range shortly after birth.
Choice D rationale
This is the correct explanation. In congenital hypothyroidism, the thyroid gland does not produce enough thyroxine, leading to high levels of TSH. The pituitary gland produces more TSH in an attempt to stimulate the thyroid gland to produce more thyroxine.

A. Surgery should be performed within one month to prevent bladder infections. B. Postponing the repair until the child reaches school age can alleviate fears of castration. C. The repair should be completed before the child is toilet-trained. D. The urethral repair should be carried out after the child reaches sexual maturity.

Correct Answer is C

Explanation

Choice A rationale
While it’s important to prevent bladder infections, performing surgery within one month is not typically recommended for hypospadias.
Choice B rationale
Postponing the repair until the child reaches school age is not typically recommended. The fear of castration is not usually a consideration in the timing of hypospadias repair.
Choice C rationale
The repair should ideally be completed before the child is toilet-trained. This allows for normal urinary function and reduces potential psychological impact.
Choice D rationale
Waiting until the child reaches sexual maturity is not typically recommended. Early intervention allows for normal development and function.

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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

A breastfeeding infant, screened for congenital hypothyroidism, is found to have low levels of thyroxine (T4) and high levels of thyroid-stimulating hormone (TSH). What is the best explanation for this finding?

Correct Answer is D

Explanation

The parents of a newborn with hypospadias are anxious about the timing of the surgical correction. What information should the nurse share with them?

Correct Answer is C

Explanation

The nurse is assessing the growth and development of a 3-year-old child. Which speech and language skills should the nurse identify as normal developmental milestones for this child?

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?

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