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6 years ago
The nurse notes swelling in the scrotum of a newborn infant. Transillumination reveals a reddish-yellow reflection. What action by the nurse is best?
 
  A.
  Document the findings and reassure the parents.
  B.
  Elevate the scrotum and apply ice for 20 minutes.
  C.
  Notify the health-care provider immediately.
  D.
  Obtain informed consent for emergent surgery.
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6 years ago
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.
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