An adolescent male is admitted to the ED with severe acute scrotal pain. When documenting medical history the nurse notes cryptorchidism at birth. What diagnosis does the nurse expect?

a. Urinary tract infection
b. Nephrosis
c. Torsion
d. Phimosis


ANS: C
When one or both testes fail to lower into the scrotum, the condition is termed cryptorchidism. Acute scrotal pain may indicate a testicular torsion (twisting), which necessitates immediate surgery to preserve testicular function.

Nursing

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After a practice change has taken place in an organization because of a nurse following evidence-based practice in a task force, which final step should the nurse take?

a. Evaluate b. Encourage c. Engage d. Execute

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A client with end-stage renal disease is scheduled to undergo a kidney transplant using a sibling donated kidney. The client asks if immunosuppressive drugs can be avoided. Which is the best response by the nurse?

A) "Even a perfect match does not guarantee organ rejection." B) "Immunosuppressive drugs guarantee organ success." C) "The doctor may decide to delay the use of immunosuppressant drugs." D) "Let's wait until after the surgery to discuss your treatment plan."

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What is the medical term used to describe toxic levels of vitamins?

1. Hypervitaminosis 2. Pernicious anemia 3. Vitamin overload 4. Vitamin deficiency

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A nurse is employed at a healthcare facility with a recent influx of many clients from a particular culture. The nurse is presenting information about the effect of one's culture on pain perception to a group of unlicensed assistive personnel (UAP). The nurse evaluates that the students need reteaching when one of them states

a) "Our perception of pain may differ from a client's as a result of cultural differences." b) "A client from this culture always exaggerates his or her pain." c) "Clients learn from others how to respond to pain." d) "Age and gender may explain differences about perception of pain."

Nursing