A nurse in the emergency department is assessing an adolescent who reports sudden and severe testicular pain. Which of the following actions should the nurse take?
Obtain a urology consult for immediate evaluation.
Apply heat to the affected area for relief.
Recommend the client take over-the-counter pain relievers and monitor pain over the next few days.
Determine if the adolescent has had exposure to the mumps recently?
The Correct Answer is A
A. Obtain a urology consult for immediate evaluation: Sudden, severe testicular pain in an adolescent is highly concerning for testicular torsion, a surgical emergency. Prompt urologic evaluation is critical to restore blood flow and prevent irreversible testicular ischemia and loss.
B. Apply heat to the affected area for relief: Heat application is inappropriate in acute scrotal pain and may delay diagnosis and treatment of testicular torsion, potentially worsening ischemic injury.
C. Recommend the client take over-the-counter pain relievers and monitor pain over the next few days: Delaying evaluation in the setting of acute testicular pain risks permanent damage or loss of the testicle. Observation and analgesics alone are unsafe without ruling out torsion.
D. Determine if the adolescent has had exposure to the mumps recently: Mumps orchitis typically presents with gradual onset of testicular pain and swelling, often with systemic symptoms. While history is relevant, immediate evaluation for torsion takes priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
A. It can lead to physical manifestations in children, like stomach pain, even in the absence of a specific illness or cause: Hospitalization can be a stressful experience for toddlers, and stress may manifest as somatic symptoms such as stomachaches, headaches, or changes in appetite, even without an underlying medical cause.
B. Children who are undergoing hospitalization are not affected by changes in their usual routine and environment: Hospitalization disrupts familiar routines and environments, which can increase anxiety, stress, and behavioral changes in children.
C. Stress during hospitalization is unlikely to influence the recovery and health outcomes of pediatric clients: Stress can negatively affect immune function, pain perception, and overall recovery, making it an important factor to address in pediatric care.
D. It can negatively impact children's mental health: Hospitalization can lead to fear, anxiety, regression, and emotional distress, particularly in toddlers who have limited coping mechanisms and understanding of medical procedures.
E. Pediatric clients of all ages experience hospitalization in a similar manner: Children’s reactions to hospitalization vary widely depending on their developmental stage, temperament, previous experiences, and support systems, so experiences are not uniform across all ages.
Correct Answer is A
Explanation
A. "Children who need hospital admission will receive specialized care related to their illness and developmental level.": Specialty pediatric hospitals provide care tailored to both the medical needs and developmental stage of children. This ensures that treatments, procedures, and support are appropriate for the child’s age and condition, demonstrating understanding of pediatric-focused care.
B. "Children here will receive complete developmental screenings at routine intervals.": While developmental assessments may be performed, routine and complete screenings are not the primary function of a specialty pediatric hospital and may not occur for every admitted child.
C. "My toddler will receive medical and childcare while my partner and I are at work.": Specialty pediatric hospitals focus on providing treatment and support for serious medical conditions, not acting as daycare services for working parents.
D. "My toddler will receive first aid and health education while they are here.": Basic first aid and general health education are not the primary focus of specialty pediatric hospitals. The primary focus is specialized medical care for complex or chronic conditions.
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