109. The nurse in the pediatric clinic performs a physical assessment of a 13 year old boy. Which of the following findings by the nurse requires an immediate intervention? 1. The adolescent complains of his scotum aching after exercise. The nurse palpated a worm like mass above the testes 2. The nurse noted unilateral breast enlargement 3. The child’s scrotum appears swollen, and a soft mass is palpated. The nurse is unable to insert a finger above the mass 4. The child’s scrotum appears enlarged and red. The nurse swollen spermatic cord. palpated a thickened and S 110. The nurse on the medical/ surgical unit a client with a diagnosis of cerebrovascular accident (CVA. The nursing following? assessment of the client’s neurological status should include which of the 1. Obtain the pulses in all four extremities. 2. Ask the client to grasp and squeeze tow fingers 3. Determine client’s observation to person, place, and time 4. Determine if the client has pain when walking 5. Observe for the presence of Chadwick’s sign 6. Assess the client’s papillary response on each of the nurse’s hands.