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NR 511 Week 7 Quiz-2021-2022

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Question 1 1 / 1 pts A 32-year-old male appears with a rapid onset of unilateral scrotal pain radiating up to the groin and flank. The nurse practitioner is trying to differentiate between epididymitis and testicular t ...

Question 1 1 / 1 pts A 32-year-old male appears with a rapid onset of unilateral scrotal pain radiating up to the groin and flank. The nurse practitioner is trying to differentiate between epididymitis and testicular torsion. Which test should be the provider’s first choice? Technetium scan. Correct! Ultrasound. X-ray. Physical examination. If your client has a rapid onset of unilateral scrotal pain radiating up to the groin and flank and you are trying to differentiate between epididymitis and testicular torsion, an ultrasound is useful for determining whether the swelling is in the testis or the epididymis and should be your first choice. Question 2 1 / 1 pts A 32-year-old male presents with complaints of a scrotal mass; however, the scrotum is so edematous that it is difficult to assess. How would the nurse practitioner (NP) best determine whether the condition is a hernia or a hydrocele? With a hydrocele, a bulge appears on straining. The NP can transilluminate a hernia. Correct! Bowel sounds may be heard over a hernia. The NP can always return a hernia’s contents to the abdominal cavity. Hydroceles can be illuminated to show the full size and shape, which assist in the diagnosis, however hernias cannot. Hernias, if not incarcerated, will be able to be returned to the abdominal cavity. Buldging upon straining is not one of the characteristics associated with hydrocele but it is with inguinal hernia. While ultrasound would definitively diagnosis the presence of abdominal contents in the scrotum, understanding the pathophysiology of an inguinal hernia is necessary to understand that bowel sounds would be audible over a hernia. All of the other choices are incorrect. While a scrotal ultrasound would definitively confirm the diagnosis, this is not one of the options available. Question 3 1 / 1 pts A 72-year-old unmarried, sexually active man, presents to the clinic with complaints of hesitancy, urgency, and occasional uncontrolled dribbling. Although the nurse practitioner suspects benign prostatic hyperplasia, what else should the differential diagnosis include? CONTINUED......

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