Pediatric NCLEX Questions Related

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Which of the ff. nursing actions is most appropriate when doing perineal care on an uncircumcised male patient?

  • A. Leave the foreskin retracted so air can keep the area dry
  • B. Do not retract the foreskin during washing
  • C. Replace the foreskin over the head of the penis after washing
  • D. Use alcohol and a cotton swab to clean under the foreskin
Correct Answer: C

Rationale: When performing perineal care on an uncircumcised male patient, it is important to replace the foreskin over the head of the penis after washing. The foreskin should not be left retracted or pulled back forcibly as it can cause irritation and discomfort to the patient. Leaving the foreskin retracted can also lead to potential complications such as paraphimosis, where the foreskin becomes trapped behind the head of the penis. Proper hygiene involves gently retracting the foreskin to clean underneath it and then returning it to its natural position to protect the sensitive glans penis. Using gentle, warm water with mild soap is typically sufficient for cleaning, and alcohol should be avoided as it can cause irritation and dryness to the sensitive genital area.