Free BCEN Certified Emergency Nurse (CEN) Practice Question

The immediate intervention critical for preserving testicular function in suspected testicular torsion is emergency manual detorsion, followed by surgical fixation to prevent recurrence. Manual detorsion can provide interim relief of torsion until surgical intervention is undertaken. Surgical exploration confirms the diagnosis and allows for orchidopexy, which fixes the testes within the scrotum to prevent recurrence. Testicular ultrasonography, while useful for diagnosis, should not delay manual detorsion if torsion is highly suspected. Administration of pain medication, albeit necessary for patient comfort, does not resolve the underlying surgical emergency. Waiting for parental consent is not advisable when immediate action can prevent testicular loss.