An adolescent male is being seen for acute onset of left testicular pain. The pain started 3 hours ago. He complains of nausea and denies dysuria or fever. Your priority action should be to:
a. obtain urine and DNA probe urethral samples.
b. lift the left scrotum to confirm epididymi-tis.
c. establish absent cremasteric reflex.
d. transilluminate the left and right scrotum.
C
The patient is displaying symptoms of testicular torsion. An absent cremasteric reflex is a sup-porting finding to differentiate torsion from epididymitis.
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A nurse manager has been appointed leader of a large task force charged with a complex assignment. What strategies should the manager use?
1. Limit full task force meetings to an initial meeting, a middle meeting, and a final meeting. 2. Lead one of the subgroups established at the first full task force meeting. 3. Develop a work plan with interim deadlines. 4. Set deadlines that are at least 1 week earlier than necessary to give subgroups time to be late.
A patient has begun taking buspirone (BuSpar) for the management of generalized anxiety dis-order. The patient telephones the health care provider after 4 days complaining that the drug is not working
The health care provider responds that the patient can expect to feel the effects of the drug in: a. 1-4 weeks b. 4-6 weeks c. 6-12 weeks d. 2-3 months
An older client in a long-term care facility does not sleep much at night and prefers to stay up late reading. The client takes "power naps" during the day. How should the nurse respond to this client's plan to acquire adequate sleep?
1. "Daytime napping is a positive method to restore the missed sleep time at night." 2. "You do not need the same quantity of sleep as younger adults." 3. "If you feel like you are getting enough rest at night, a daytime nap is acceptable." 4. "There is no problem as long as the total number of hours slept per 24-hour period is at least 8."
The client's neck veins are full in the sitting position. What should the nurse do first in response to this observation?
A. Document the observation as the only action. B. Measure urine specific gravity and volume. C. Assess the pulse and blood pressure. D. Assess deep tendon reflexes.