A male patient tells the nurse that he has "excruciating pain" in his perineal region that started a few days after having an indwelling urinary catheter removed
Upon inspection, the nurse sees a dime-sized reddened area on the patient's perineum below the scrotal sac. Which of the following should the nurse do to help this patient? 1. apply a warm compress to the region
2. apply ice to the region
3. obtain an order for a pain medication
4. have the wound further evaluated for possible Fournier's gangrene
4
Rationale: The one clinical symptom of Fournier's gangrene is pain out of proportion to the wound. The other clinical symptom is that this type of disorder affects males more than females. These two pieces of information should lead the nurse to contact the patient's physician for further evaluation of the wound for possible Fournier's gangrene. The patient did have an indwelling urinary catheter removed a few days ago and this type of disorder is associated with genitourinary procedures or manipulation. The nurse should not apply a warm compress or a cold compress to the region. The patient needs to be evaluated and not just provided with a pain medication.
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