Prepare for NCLEX success with today’s question: Learn the priority nursing action for a patient with mumps and orchitis. Can you choose the correct intervention?

The nurse in the emergency department is caring for a client newly diagnosed with mumps and orchitis. Which is the nurse’s priority action?

A. Assist the client to apply snug fitting underwear

B. Place the client on droplet and contact precautions 

C. Assess the client’s medical history and immunization status 

D. Report the mumps infection to the health department 
Scroll down for the correct answer!

The correct answers to today’s NCLEX-RN® Question are…

B. Place the client on droplet and contact precautions 

Rationale: Preventing the spread of the mumps infection is a nursing priority. Therefore, the nurse should first place the client on droplet and contact precautions and don appropriate personal protective equipment, including gloves, mask, and gown.  

Major Takeaway

The priority nursing goals for a client with mumps are to prevent the spread of infection, provide supportive care, and monitor for complications. The nurse should first place the client on droplet and contact precautions and don appropriate personal protective equipment, including gloves, mask, and gown. The nurse should then start the assessment by gathering an accurate medical history, including immunization status and if they have been in contact with someone with similar symptoms. Next, since mumps is a reportable disease, the nurse must ensure the client’s case has been reported to the local health department. Then, for supportive care for clients with orchitis, or testicular swelling, the nurse should promote comfort with intermittent ice applications by using snug-fitting underwear to support the testicles.

management of care

Incorrect answer explanations

A. Assist the client to apply snug fitting underwear

Rationale: Applying snug fitting underwear is a comfort measure for clients with orchitis, or edema of one or both testicles, but this is not the nurse’s priority action.  

C. Assess the client’s medical history and immunization status 

Rationale: Assessing medical history and immunization status is an important nursing intervention, but not the priority action for a client with mumps.

D. Report the mumps infection to the health department

Rationale: The nurse will report the client’s active mumps infection to the health department; however, this is not the priority action.

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