Your patient complains of sudden onset of swelling and pain in his scrotum. Assessment reveals a swollen scrotum with reddened skin that is taut with pitting. These findings most likely indicate
a. cryptorchidism.
b. epididymitis from gonorrhea.
c. orchitis caused by a bacterial infection.
d. scrotal edema from trauma with possible testicular rupture.
D
Scrotal edema accompanies edema associated with the lower half of the body, such as congestive heart failure, renal failure, and portal vein obstruction. It can also be the result of local inflammation. Trauma is a major cause of acute scrotal swelling. Scrotal or testicular hematoma formation, as well as testicular rupture, may be present. Cryptorchidism involves undescended testicles. Epididymitis from gonorrhea presents as a scrotum that appears indurated, swollen, and tender, without sudden onset. Orchitis presents as an acute, painful onset of swelling to the testicle along with warm scrotal skin, described as "heaviness in the scrotum." It is an infectious process, without sudden onset.
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When working with school districts, which of the following would the community health nurse encourage as the most effective school-based approach to prevent teenage suicide?
A) Suicide prevention programs with direct interventions B) Teachers assessing suicide risk among students C) Promotion of stronger parental control of teens D) Punitive treatment of teens by the school administration
A common discomfort in the first trimester of pregnancy is:
a. Dyspnea b. Leg cramps c. Constipation d. Leukorrhea
What does the nurse understand must occur in order to produce withdrawal syndrome?
a. Addiction b. Craving c. Drug tolerance d. Physical dependence
A nurse notes an increase in serosanguineous drainage from a patient's incision. The most appropriate action for the nurse to take is to
1. Notify the physician of increasing amounts of clear drainage. 2. Draw a circle around the drainage and write the date, time, and initials on the dressing. 3. Change the dressing to decrease the patient's risk for infection. 4. Immediately call the laboratory and order a white blood cell (WBC) count.