After a fall on a bicycle, a 15-year-old boy is brought to the emergency department complaining of nausea and sudden and acute scrotal pain. There is an absence of the cremasteric reflex. Which problem does the nurse suspect?
a. Hydrocele
b. Varicocele
c. Prostatitis
d. Testicular torsion
D
Torsion of the testicle often occurs after trauma and manifests in acute scrotal pain, absence of the cremasteric reflex, and nausea/vomiting. A hydrocele (fluid accumulation in the scrotum) is usually painless and causes scrotal enlargement. A variocele is a painful swelling that results when tributary vessels of the spermatic vein dilate and clump. Prostatitis, or inflammation of the prostate, occurs from an infectious agent or other causes. Symptoms include recurrent urinary infection, pelvic pain, and sexual dysfunction and are often mistaken for benign prostatic hyper-plasia (BPH).
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A patient, age 61, has had type II diabetes for 20 years. He has symmetrical peripheral polyneuropathy of his feet and legs with almost total loss of sensitivity to touch and temperature
He also has peripheral vascular disease evidenced by decreased peripheral pulses and dependent rubor. To prevent injury and infection to this patient's feet and legs, which instruction does the nurse include in teaching? a. He should soak his feet in warm water every day. b. He should not go barefoot and should always wear shoes with soles. c. The use of commercial keratolytic agents to remove corns and calluses is preferred to cutting off corns and calluses. d. He should use a heating pad to warm his feet when they feel cool to the touch.
Which professional organization poses a conflict in loyalty for some nurses?
A) OSHA B) Equal Employment Opportunity Commission C) Service Employees International Union D) American Nurses Association
PM care is also called HS care in some facilities
Indicate whether the statement is true or false.
The nurse performing a lethality assessment asks the client whether he is thinking of suicide. Which statement by the client would be of most concern to the nurse?
A. "No, I wasn't, but I am now, thanks to you." B. "I hadn't thought of that, but I can see that you are." C. "Of course not, but there are days when I think that I should be." D. "What is suicide going to do for me except get me excommunicated from the church?"