A nurse is caring for a patient with testicular torsion.
Which nursing intervention is appropriate for this patient?
Administer analgesics as prescribed to relieve pain and discomfort.
Encourage the patient to wear protective gear during physical activities.
Educate the patient on the importance of regular check-ups with healthcare providers.
Provide emotional support and counseling for fertility concerns.
The Correct Answer is A
Choice A rationale:
Administer analgesics as prescribed to relieve pain and discomfort.
Testicular torsion is a medical emergency that presents with severe testicular pain.
The administration of analgesics as prescribed is a crucial nursing intervention to alleviate the patient's pain and discomfort while awaiting surgical intervention or during the post-operative period.
Effective pain management is essential for the patient's well-being.
Choice B rationale:
Encourage the patient to wear protective gear during physical activities.
While wearing protective gear may be important in preventing injuries in sports or physical activities, it is not a specific nursing intervention for a patient with testicular torsion.
The priority in such cases is to address the acute pain and ensure timely surgical intervention.
Choice C rationale:
Educate the patient on the importance of regular check-ups with healthcare providers.
While regular check-ups are important for overall health and well-being, this is not the primary nursing intervention for a patient with testicular torsion.
The immediate focus is on pain relief and ensuring prompt surgical evaluation and intervention.
Choice D rationale:
Provide emotional support and counseling for fertility concerns.
Addressing fertility concerns is important for patients with testicular torsion, as reduced fertility can be a potential consequence.
However, the most immediate nursing priority is to manage the patient's acute pain and facilitate surgical correction.
Emotional support and counseling can be provided as part of the overall care plan but should not take precedence over pain relief and surgical intervention.
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Correct Answer is C
Explanation
Choice A rationale:
Hormonal imbalances in the testicular veins.
This choice is not the primary pathophysiological mechanism underlying varicocele.
While hormonal imbalances can contribute to various reproductive issues, they are not the primary cause of varicocele.
Varicocele is primarily a vascular disorder involving the dilation of scrotal veins.
Choice B rationale:
Mutations in the KIT gene leading to tissue growth.
Mutations in the KIT gene are not associated with varicocele.
Varicocele is mainly related to venous dilation, not tissue growth due to genetic mutations.
Choice C rationale:
Dilation of scrotal veins due to faulty valves.
This is the correct answer.
Varicocele occurs when the valves within the testicular veins fail to function correctly, leading to the dilation and enlargement of these veins.
This increased pressure in the veins can result in scrotal pain and other symptoms commonly associated with varicocele.
Choice D rationale:
Obstruction of the spermatic cord blood flow.
While varicocele can affect blood flow in the spermatic cord, it is not primarily caused by the obstruction of blood flow.
The main issue is the faulty valves in the scrotal veins that lead to venous dilation and increased pressure.
Correct Answer is C
Explanation
Choice A rationale:
Testicular torsion is not caused by faulty valves or enlarged veins within the scrotum.
It involves the twisting of the spermatic cord, which leads to compromised blood flow to the testicle.
Choice B rationale:
Testicular torsion is not related to gene mutations like the KIT gene or cancerous growth in the testicles.
It is a separate condition with a different pathophysiology.
Choice C rationale:
This is the correct statement.
Testicular torsion occurs when the spermatic cord twists, leading to the compromised blood flow to the affected testicle.
This can result in severe pain and potential tissue damage if not promptly treated.
Choice D rationale:
Abnormal attachment of the testicle within the scrotum is not the primary cause of testicular torsion.
The twisting of the spermatic cord is the key factor in this condition.
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