When the nurse is performing a genital examination on a male patient, the patient has an erection. The nurse's most appropriate action or response is to:
a. Ask the patient if he would like someone else to examine him.
b. Continue with the examination as though nothing has happened.
c. Stop the examination, leave the room while stating that the examination will resume at a later time.
d. Reassure the patient that this is a normal response and continue with the examination.
ANS: D
When the male patient has an erection, the nurse should reassure the patient that this is a normal physiologic response to touch and proceed with the rest of the examination. The other responses are not correct and may be perceived as judgmental.
You might also like to view...
The patient has been diagnosed with aphasia after suffering a stroke. What can the nurse do to best make the patient's atmosphere more conducive to communication?
A) Provide a board of commonly used needs and phrases. B) Have the patient speak to loved ones on the phone daily. C) Help the patient complete his or her sentences. D) Speak in a loud and deliberate voice to the patient.
A client has a urinary tract infection and experiences an episode of urinary incontinence. The nurse would classify this type of urinary incontinence as being:
a. acute. c. stress. b. chronic. d. instability.
The informatics nurse is on a committee that is considering connected health as a tool to improve the quality of healthcare and save money. In which way will this care delivery approach save money for a healthcare organization? Select all that apply.
A) Follow-up care is more convenient. B) Access to care improves. C) Physician services are provided. D) Clients may be treated in their own community. E) Quality of care improves.
A 7 pound 14 ounce girl was born to an insulin-dependent type II diabetic mother 2 hours ago. The infant's blood sugar is 47 mg/dL. What is the best nursing action?
1. To recheck the blood sugar in 6 hours 2. To begin an IV of 10% dextrose 3. To feed the baby 1 ounce of formula 4. To document the findings in the chart