A teen wakes up complaining of intense pain and swelling of the scrotal area with abdominal pain and has vomited twice. Which should the nurse suggest?

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Genitourinary Assessment in Pediatrics Questions

Question 1 of 5

A teen wakes up complaining of intense pain and swelling of the scrotal area with abdominal pain and has vomited twice. Which should the nurse suggest?

A. Encourage clear liquids until vomiting subsides; if worse, bring him to the ER. B. Bring him to the pediatrician’s office for evaluation. C. Take him to the emergency room immediately. D. Encourage rest and ice application, and go to the ER if pain does not improve.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A child who has had a kidney removed will experience pain due to which of the following?

A. Laparoscopic removal with residual air causing discomfort. B. Post-operative shift of fluids and organs in the abdominal cavity. C. Chemotherapy-induced pain sensitivity. D. Radiation-induced pain sensitivity.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A 12-year-old receiving peritoneal dialysis has cloudy return fluid and abdominal pain. The parents ask what the next step will likely be.

A. We will likely add antibiotics to the dialysis fluid at the next dwell to treat peritonitis. B. Cloudy returns are common and not concerning. C. We will give your child oral antibiotics as a precaution. D. We will increase the rate of fluid administration to relieve the pain.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

The parent of a 3-year-old with suspected Wilms tumor says, 'How could I have missed a lump this big?' Which is the nurse’s best response?

A. Do not be hard on yourself; it’s easy to overlook something that has been growing for months. B. I understand you’re upset; earlier detection might have improved prognosis. C. It takes a trained professional to recognize such a lump. D. This tumor grows very rapidly, so it may not have been noticeable just a few days ago.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

The parents overhear the healthcare team refer to their child’s tumor as stage III. The parents ask what this means.

A. The tumor is confined to the abdomen but has spread to lymph nodes or the peritoneum; the prognosis is poor. B. The tumor is confined to the abdomen but has spread to lymph nodes or the peritoneal area; however, the prognosis remains very good. C. The tumor has spread to three other organs; the prognosis is good. D. The tumor has spread to other organs; the prognosis is poor.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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