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    RN HESI Paediatrics Proctored Exam 2

    A male adolescent arrives at the clinic and reports intense pain in the testicular area that occurred during football practice at high school. The nurse observes the scrotum and identifies significant erythema and swelling. Which action should the nurse take?

    Explanation & Rationale

    A. Collecting a sterile urine sample for culture and sensitivity is not the priority in this situation. The primary concern is the potential testicular torsion, and this action does not address that concern. B Report the findings immediately to the healthcare provider. Intense pain in the testicular area, especially when accompanied by significant erythema (redness) and swelling, can be indicative of a serious condition such as testicular torsion, which is a medical emergency. Testicular torsion occurs when the spermatic cord twists, cutting off blood supply to the testicle. It requires immediate medical evaluation and intervention. C. Obtaining a swab of secretions from the penis and urethra is not the most immediate concern in the presence of intense testicular pain, erythema, and swelling. It may be relevant for other conditions but does not address the urgency of this situation. D. Providing the adolescent with a urinal for urinary hesitancy does not address the primary concern, which is the possibility of testicular torsion. Testicular torsion is not related to urinary hesitancy. Testicular torsion is a surgical emergency, and the healthcare provider should be notified immediately to evaluate the adolescent and initiate appropriate treatment. Delay in diagnosis and intervention can lead to testicular damage and potential loss of the affected testicle.

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