The nurse is completing a bed bath for a dependent adult male patient. During the perineal care, the patient has an erection. Which of the following actions should the nurse take?
a. Continue with the perineal care.
b. Tell the patient it's okay, and ask him to relax.
c. Ask the patient to try to do the care by himself as well as he can.
d. Defer the perineal care until a little later in the bath.
D
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A The nurse should not continue with the perineal care at this time.
B Telling the patient it's okay may increase the patient's embarrassment.
C If the patient is dependent in his care, the nurse should not ask the patient to perform care he is unable to do. The nurse should maintain a professional attitude.
D If the patient has an erection during perineal care, the nurse should defer the procedure until later.
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