The nurse assists the physician to perform a circumcision using a Plastibell. When the procedure is completed, the nurse's priority action is to:
1. Apply petroleum jelly to a 2X2 dressing and place it on the penis.
2. Wash the penis thoroughly before diapering.
3. Place the infant in the bassinet without a diaper for two hours.
4. Diaper the infant and take him to his mother for comfort.
4
Rationale: The nurse should diaper and swaddle the infant and take him to his mother for comfort and eventual feeding when he is calm. Petroleum jelly is not applied when a Plastibell is used, because it can cause the Plastibell to fall off prematurely. The penis may be cleaned to remove blood, but this should be done gently, to prevent bleeding, and it should not be thoroughly cleaned for several days. Diapering is acceptable.
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