Maternity and Pediatric Nursing 4th Edition Test Bank Related

Review Maternity and Pediatric Nursing 4th Edition Test Bank related questions and content

While bathing an 82 y.o. man hospitalized with pneumonia, a nurse notes an ulcerated area on his penis. What action should the nurse take first?

  • A. Report the ulcer to the admitting care provider.
  • B. Teach the man about STD prevention.
  • C. Ask the man if he has a history of syphilis.
  • D. Clean the ulcer; reporting is not necessary because an STD is unlikely in a man this age.
Correct Answer: A

Rationale: The nurse should report the ulcer to the admitting care provider as the first action. An ulcerated area on the penis in an older adult may be indicative of various serious conditions, such as sexually transmitted infections (STIs) or skin breakdown. It is important for the healthcare provider to assess the ulcer, determine the cause, and initiate appropriate treatment. Reporting the finding promptly ensures timely intervention and appropriate management of the patient's condition. This initial action takes priority over teaching about STD prevention or inquiring about the patient's history of syphilis. Cleaning the ulcer without proper assessment and diagnosis by a healthcare provider can potentially worsen the patient's condition.