The client with sickle cell anemia, who has been hospitalized for another health problem, says that he has had an erection for over 4 hours. What is the nurse's best action?

A. "Tell the client that his sexual conversations are not appreciated."
B. "Attempt to induce urination by applying pressure to the bladder."
C. "Document the report as the only action."
D. "Notify the physician."


D
Prolonged penile erection, priapism, is common during sickle cell crisis and is considered a uro-logic emergency, because circulation to the penis may be compromised and the client may not be able to void.

Nursing

You might also like to view...

Cases of primary immunodeficiency are usually related to:

a. aging. b. nutritional deficiencies. c. malignancies. d. a single gene defect.

Nursing

What actions would you or the team need to undertake in preparation for the second patient, who is morbidly obese and scheduled for a laparoscopic cholecystectomy and intraoperative cholangiogram (IOC)?

You are waiting for a RN Rosie has been working as an anaesthetic nurse for several months and she is in the anaesthetic room with Mrs A, who is to undergo a total knee replacement. Mrs A has had a premedication, which has made her drowsy, but she is clearly still very anxious and holding firmly onto Rosie's hand. Rosie notices that Mrs A's healthcare record It is the commencement of your morning shift and you have been assigned to work in the general surgery operating theatre. The operative list comprises of two adult patients for elective surgical procedures: the first patient has an allergy to latex; the second patient is morbidly obese (BMI 70, height 166 cm, weight 193 kg). What will be an ideal response?

Nursing

Which finding indicates that a patient is experiencing increased peripheral resistance and vasoconstriction?

1. Strong bounding pulse with deep red coloring 2. Pale, cool extremities with decreased pulses 3. Increased venous engorgement with strong pulses 4. Faster than normal capillary refill time

Nursing

The nurse is interviewing the mother of a 6-month-old being seen at a well-child visit. The mother reports she has used an over-the-counter topical ointment intended for adults on her child for a skin rash

What is the most appropriate response by the nurse? A) "This is dangerous so please do not do this again." B) "Why did you do that instead of contacting your doctor?" C) "Children have thin skin and can absorb medications differently than adults." D) "How often do you use this medication?"

Nursing