The nurse practitioner is evaluating a 10-year-old boy in th…

The nurse practitioner is evaluating a 10-year-old boy in the clinic. The child’s parent reports he complained of sudden onset of scrotal pain upon awakening earlier that morning. His symptoms are accompanied by severe nausea and vomiting. During the physical examination, the nurse practitioner finds a tender, warm, and swollen left scrotum. The cremasteric reflex is negative and the urine dipstick is negative for leukocytes, nitrites, and blood.  What diagnosis does the NP suspect? 

During a breast exam of a 25-year-old nulliparous woman, the…

During a breast exam of a 25-year-old nulliparous woman, the nurse practitioner palpates several slightly tender, rubbery mobile areas of breast tissue. Both breasts have symmetrical findings. There are no skin changes or any nipple discharge. The patient is expecting her menstrual period in 5 days. Which action by the NP would recommend?