The nurse takes immediate action based on which interpretation of a patient's data?
1. Testicular torsion
2. Varicocele
3. Orchitis
4. Indirect inguinal hernia
1
Rationale 1: Testicular torsion, twisting of the spermatic cord with scrotal swelling and pain, may occur spontaneously or following trauma or physical exertion. The torsion reduces or stops testicular circulation, which results in vascular engorgement and ischemia.
Rationale 2: Varicocele is an abnormal dilation of a vein within the spermatic cord, which allows blood to pool in the spermatic cord and forms a soft mass that may be painful, but ischemia is not present.
Rationale 3: Orchitis is an inflammatory process, commonly a complication of a systemic illness or epididymitis. Manifestations include a high fever, scrotal redness, and pain.
Rationale 4: Indirect inguinal hernia involves a protrusion of the intestines into the inguinal canal, which may descend into the scrotum. Manifestations include a dull ache or sharp pain, a mass that is not painful to palpation, and absence of ischemia.
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