Today’s NCLEX-RN® question of the day focuses on perineal care and identifying and reporting any findings that require immediate review. Do you know the answer? Let’s find out!
The nurse in the step-down medical unit has performed perineal care on several newly admitted patients. Which finding should the nurse report immediately to the healthcare provider?
A.
B.
C.
D.
Scroll down for the correct answer!
The correct answer to today’s NCLEX® Question is…
A.
Rationale: If the nurse identifies abnormal lesions, such as a vulvar growth, it should be reported to the healthcare provider immediately as it could indicate cancer.
Main Takeaway
After the process of perineal care, the nurse should document any new skin rashes, redness, swelling or tenderness, peculiar odors, discharge, or bleeding from the vagina, penis, or the anus. If the nurse identifies abnormal lesions, such as a vulvar growth, it should be reported to the healthcare provider immediately as it could indicate cancer. Although perineal irritation and hemorrhoids are abnormal, the vulvar growth takes precedence and should be reported first.
Incorrect Answer Explanations
B.
Rationale: Although perineal irritation is abnormal, another finding takes precedence and should be reported immediately.
C.
Rationale: This uncircumcised penis does not display any abnormal findings that should be reported to the healthcare provider.
D.
Rationale: Although external hemorrhoids are abnormal, another finding takes precedence and should be reported immediately.
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