The nurse is providing care to a client with neurologic problems and notices that the client is experiencing a penile erection. Which nursing reaction is correct?
A) Excuse yourself and return later.
B) Inquire what the client is thinking about.
C) Ask the client if he would like a few minutes alone.
D) Perform duties professionally and explain that spontaneous erections are unpredictable.
D
Feedback:
The nurse understands that the client with neurologic deficits, especially disturbed nerve function to the genitalia, may have unpredictable penile erections. The correct action by the nurse is to complete nursing duties and, either then or later, explain that spontaneous erections are unpredictable. Excusing yourself, inquiring what the client is thinking about, and asking if the client would like to be alone are inappropriate statements and can alienate and embarrass the client.
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