During a physical examination, a male client reports discharge from the urinary meatus. The discharge is not visible to the nurse. The nurse would first instruct the client to:
1. Strip the penis to bring discharge to the meatus for culture.
2. Return to the clinic when the discharge occurs.
3. Go to the emergency department for further testing.
4. Continue to watch for other signs of sexually transmitted diseases.
Strip the penis to bring discharge to the meatus for culture.
Rationale: The client should strip the penis to bring discharge to the meatus so that testing can be performed. Returning to the clinic when the discharge occurs is appropriate, but the initial action would be to attempt to obtain a culture of the fluid. Going to the emergency department is unnecessary because the client can be treated and further tested during the time of the examination. Watching for other signs of sexually transmitted diseases is premature because the nurse does not know if the discharge is related to a sexually transmitted disease.
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