During a physical assessment of a hospitalized 5-year-old, the nurse notes that the foreskin has been retracted and is very tight on the shaft of the penis; the nurse is unable to return it over the head of the penis
What action should the nurse implement?
a.
Forcibly push the foreskin down over the head of the penis.
b.
Place a warm compress on the penis.
c.
Notify the charge nurse.
d.
Wait a few hours and try again.
ANS: C
Notify the charge nurse of this occurrence of paraphimosis. The tight foreskin can impede blood flow to the penis; this should be remedied immediately.
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