During a physical examination, a male patient reports discharge from the urinary meatus. The discharge is not visible to the nurse. What is the first action the nurse would ask the patient to take?
1. Continue to watch for other signs of a sexually transmitted infection (STI).
2. Return to the clinic when the discharge occurs.
3. Strip the penis to bring discharge to the meatus for culture.
4. Go to the emergency department for further testing.
3
Rationale 1: Watching for other signs of an STI is premature because the nurse does not know if the discharge is related to an STI.
Rationale 2: 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.
Rationale 3: The patient should strip (compress or milk) the penis to bring discharge to the meatus so that testing can be performed.
Rationale 4: Going to the emergency department is unnecessary because the patient can be further tested and treated during the examination.
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