In a patient with a penile avulsion and moderate bleeding, which initial measure is most appropriate?

• A. cover the avulsion with moist, sterile dressings.
• B. administer 100% oxygen via a nonrebreathing mask.
• C. applying direct pressure with a dry sterile dressing.
• D. requesting a paramedic to administer pain medication.

Answer: (C)

Controlling bleeding is the immediate priority in an open penile injury. Applying direct pressure with a clean, dry sterile dressing quickly tamponades the wound, reducing blood loss and helping prevent further contamination while you assess the injury and plan further care. While covering with a moist dressing can be useful later to protect tissue viability, it doesn’t stop bleeding as effectively as direct pressure, which is why this is the best initial action. Oxygen and pain management are important but address secondary needs; they don’t control the active hemorrhage. After bleeding is controlled, the area can be dressed and the patient transported for definitive care.