The client with sickle cell anemia has had an erection for longer than 4 hours. How does the nurse intervene?
a. Administer a diuretic to increase urine output.
b. Attempt to relieve pressure by catheteriz-ing the client.
c. Document the finding and reassess in 4 hours.
d. Notify the health care provider and pre-pare to give meperidine (Demerol).
D
Prolonged penile erection—priapism—is common during sickle cell crisis. It is considered a urologic emergency because circulation to the penis may be compromised, and the client may not be able to void. Therefore, the provider must be notified promptly. Demerol is often given to induce hypotension. A diuretic will not help the client. Catheterization should be reserved for the man who cannot void. Waiting another 4 hours to intervene may lead to ischemia.
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