Answer to Question 1
ANS: A
When the nurse assesses a swollen scrotum, it is important to determine that the scrotal sac does not contain entrapped bowel or a mass. Transillumination can determine the presence of a mass when the light directed at the scrotum does not produce a reflection. A reddish-yellow reflection indicates fluid, which will be reabsorbed on its own. The nurse should document the findings and reassure the parents. No further action is needed.
Answer to Question 2
ANS: C
The presence of only one descended testicle does call for a urology consultation. However, the student performed the examination incorrectly. The nurse should instruct the student on the proper technique (place the second finger at the posterior scrotal midline with the thumb on the anterior midline) and ask that the exam be repeated. The nurse is not helping the student by simply doing the exam. The situation of one testicle needs to be addressed whether or not this is seen frequently in this family, so asking the family about other males who had this condition is irrelevant.
In the communication technique of collaborating, the nurse sends the message that the nurse and pati
The nurse is using Standard Precautions to draw blood.
The surgical nurse assists the client into the correct position
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Transillumination of the maxillary sinuses
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