A young client is admitted with torsion of the spermatic cord. Which is the most appropriate action to be taken by the nurse?
A) Elevate the scrotum.
B) Keep the client NPO.
C) Monitor vital signs for cardiac changes.
D) Avoid the use of analgesics.
B
Feedback:
With torsion of the spermatic cord, immediate surgery is necessary to prevent atrophy of the cord and preserve fertility. The client should be placed on NPO status in preparation for surgery. Elevating the scrotum intensifies the pain by increasing the degree of twist. Analgesics are prescribed preoperatively to control pain. Cardiac changes are not indicated unless client history warrants assessment.
You might also like to view...
Health care team members know recently that an increased incidence of infections such as West Nile virus and SARS does not match with previously established patterns
Which of the following phenomena constitutes the most significant contributor to the spread of new diseases in the United States? A) Drug resistance by bacterial and protozoal infections B) Increased ease and frequency of individual and group international travel C) Genetic variation and mutation by microorganisms D) Decreased living standards and public health standards in urban areas
The nurse is caring for a male teen patient who has been receiving androgen therapy. What diagnostic testing would be needed approximately every 6 months to monitor this patient?
a. X-ray films of the hands and wrists b. Complete blood count (CBC) for anemia c. Urinalysis for ketones d. Male pattern baldness
A client is diagnosed with gestational hypertension and is receiving magnesium sulfate. Which finding would the nurse interpret as indicating a therapeutic level of medication?
A) Urinary output of 20 mL per hour B) Respiratory rate of 10 breaths/minute C) Deep tendons reflexes 2+ D) Difficulty in arousing
A woman comes to the clinic with neck pain
There's a bald spot on her scalp. She explains that she caught her hair in a door, which pulled it out and caused her neck injury. The partner wants to stay with the injured woman. What is the nurse's best action? a. Encourage the partner to remain with the woman to provide emotional support. b. Require the partner to stay in the waiting room when the woman is examined. c. Call hospital security to have them stand by to prevent violence. d. Report the situation to local law enforcement authorities.