The school nurse suspects a testicular torsion in a young adolescent student. What action should the nurse take?
a. Place a warm moist pack on the scrotal area.
b. Instruct the adolescent to lie down and elevate the legs.
c. Refer the adolescent for immediate medical evaluation.
d. Suggest that the adolescent wear a scrotum-protecting guard.
ANS: C
Because torsion may result from trauma to the scrotum, school nurses are likely to encounter such injuries and should refer the child or adolescent for medical evaluation immediately. It would not be appropriate to apply warmth, elevate the legs, or tell the adolescent to wear a scrotum-protecting guard because these actions could delay treatment.
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