A 12-year-old boy accompanied by his mother reports sudden severe pain in the right lower abdomen and scrotum. There is no history of trauma. Upon physical examination, the right scrotum is extremely tender to touch. These are signs of:
A. Fournier's disease
B. Testicular cancer
C. Testicular torsion
D. Varicocele of the testes
ANS: C
Testicular torsion is a urologic emergency and can result in the loss of blood flow to the affected testicle. Compromised blood flow results in swelling and tissue necrosis after 6 to 8 hours. There are no established risk factors, but it is more common during adolescence due to the rapid growth of the testes. Patients experience an acute and sudden onset of pain that localizes in the affected testicle, but it may also radiate to the inguinal areas or abdomen. This pain is often accompanied by abdominal discomfort, nausea, and vomiting. Asymmetric scrotal swelling is apparent on physical examination, with the affected testicle being somewhat elevated.
You might also like to view...
The nurse is caring for a patient with a traumatic wound that is 4 days old. The wound is erythematous, edematous, and painful. The nurse assesses the wound as being in what phase of healing?
A) Proliferation B) Epithelialization C) Inflammatory D) Maturation
A child has been diagnosed with autistic spectrum disorder. The distraught mother cries out, "I'm such a terrible mother. What did I do to cause this?" Which nursing response is most appropriate?
1. "Researchers really don't know what causes autistic spectrum disorder, but the relationship between autistic disorder and fetal alcohol syndrome is being explored." 2. "Poor parenting doesn't cause autistic spectrum disorder. Research has shown that abnormalities in brain structure or function are to blame. This is beyond your control." 3. "Research has shown that the mother appears to play a greater role in the development of autistic spectrum disorder than the father." 4. "Lack of early infant bonding with the mother has shown to be a cause of autistic spectrum disorder. Did you breastfeed or bottle-feed?"
The largest percentage of community health nurses work in:
a. state and local health departments c. school health nursing b. U.S. Department of Veterans Affairs d. home health
An elderly woman who is incontinent of stool following a cerebrovascular accident will have the following nursing diagnosis
A) Bowel incontinence related to loss of sphincter control as evidenced by inability to delay the urge to defecate B) Diarrhea related to tube feedings as evidenced by hyperactive bowel sounds and urgency C) Constipation related to physiologic condition involving the deficit in neurologic innervation as evidenced by fecal incontinence D) Fecal retention related to loss of sphincter control and diminished spinal cord innervation related to hemiparesis