A patient seen in the emergency department for priapism is sent to the medical unit. The admitting nurse should anticipate which actions as part of the nursing care plan?
Select all that apply.
1. Assess the penis to include color changes and degree of erection.
2. Palpate the penis for firmness and rigidity.
3. Administer analgesic as prescribed for pain.
4. Administer iced saline enemas as prescribed.
5. Push oral fluids.
Correct Answer: 1, 2, 3, 4
Priapism is an involuntary, sustained, painful erection that is not associated with sexual arousal. Impaired blood flow results in ischemia. The nurse will assess the penis for color changes, degree of erection, and palpate for firmness and rigidity. Analgesics are given for pain control and iced saline enemas to induce anesthesia. Intake and output should be monitored as acute urinary retention can occur. Excessive oral intake would be inappropriate.
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