EAQ chapter 26

Which question would the nurse ask a patient to determine the presence of dyschezia?

"Do you have any pain while passing a bowel movement?"

Which question would the nurse ask the patient who has pruritus ani to determine the cause of this condition?

"Do you use scented soaps?"

Which statements made by the mother would alert the nurse the child's diarrhea is from gastroenteritis? Select all that apply.

"I found my child eating raw eggs yesterday!" "My child attends a child care center every day." "We eat raw shellfish at home several times a week."

Which statement indicates the nurse has a good understanding of the internal anal sphincter?

"It is under involuntary control by the autonomic nervous system."

Which statement made by the nurse indicates a correct understanding of the anal canal?

"The sphincters help keep the anal canal tight."

Which question would the nurse ask a male patient to help determine the cause of his explosive diarrhea from Clostridium difficile?

"Which antibiotic have you been taking?"

Which finding would the nurse report as abnormal for an Asian infant's physical examination?

Flattened buttocks

Which action would the nurse take to examine the rectum of an infant?

Flex the infant's knees up onto the abdomen.

Which type of stool would the nurse be likely to observe in a patient with celiac disease?

Frothy, fatty

Which medical conditions would lead to the absence of bile pigment in the stool? Select all that apply.

Gallstones Viral hepatitis Biliary cirrhosis

How would the nurse record abnormalities observed during an anal examination?

In terms of clock-face positions

Which treatment would be beneficial for the patient with a rectal abscess?

Incised and drained

Which conditions would put patients at higher risk for developing hemorrhoids? Select all that apply.

Pregnancy Chronic constipation Obesity

Which condition would cause the patient's anal canal to have increased muscle tone?

Anxiety

Which centimeter (cm) measurement would be the approximate length of the adult rectum?

12

At which age in months would a child develop voluntary control over the external anal sphincter?

18

At which age in years would the nurse instruct the patient to start prostate-specific antigen (PSA) testing if the patient has a father and brother diagnosed with prostate cancer at early ages?

40

Which instructions would the nurse include in patient teaching regarding methods to reduce the growth of prostate cancer? Select all that apply.

Add tomatoes to the diet. Increase the daily intake of nuts. Eat many cruciferous vegetables.

Which findings would the nurse likely observe in a child who is a victim of sexual abuse? Select all that apply.

Anal abrasions Perianal tears

Which signs and symptoms would be typical of colorectal cancer? Select all that apply.

Anemia Bowel habit changes Blood in or around stools

Which action would the nurse take to palpate the patient's anus?

Assure the patient that palpation is not usually painful.

A patient with pruritus ani has a swollen, moist anus. Which additional anal assessment finding would the nurse monitor for in the patient?

Excoriated, raised skin

Which color of stool would the nurse inform the male patient he might experience when taking iron tablets?

Black

Which foods would the nurse include in the patient's diet to reduce the risk for colon cancer? Select all that apply.

Cereals Wheat germ

Which tests would be indicated for a patient with melena and a change in bowel habits? Select all that apply.

Colonoscopy Fecal occult blood testing Fecal immunochemical test

Which medical conditions would cause frothy stools? Select all that apply.

Crohn disease Cystic fibrosis Chronic pancreatitis

The patient with acute prostatitis presents with urinary frequency and urgency. Which additional assessment finding would the nurse monitor for in the patient?

Fever

Which nodule finding would be characteristic of early colorectal cancer?

Firm with rolled edges

Which complications would be associated with constipation? Select all that apply.

Fissure Hemorrhoids Fecal impaction

Which conditions would increase a patient's risk for pruritus ani? Select all that apply.

Eczema Diabetes Liver disease

Which treatments would be beneficial for the patient with a fecal impaction? Select all that apply.

Enemas Endoscopy

Which nursing intervention would be priority for an older adult male patient who has rectal lesions that are irregular and appear to be cauliflower-shaped?

Instruct the patient to consult an oncologist.

Which statement accurately describes the sigmoid colon?

It is an S-shaped intestinal structure.

Which position would be suitable to assess the rectal area and genitalia in a female patient?

Lithotomy

In which positions would the nurse place the male patient during a rectal examination? Select all that apply.

Lithotomy Standing Left lateral

Which piece of equipment would the nurse obtain to perform a rectal examination?

Lubricating jelly

Which symptoms would the nurse observe in a patient with prostatitis? Select all that apply.

Malaise Chills Dysuria

The nurse would provide instructions to the parents of a child who has pinworms about which diagnostic procedure?

Microscopic tape test

Which finding would the nurse document as subjective data after a rectal examination of an adult patient?

No new foods in past 3 days

The nurse finds symmetric enlargement of the prostate gland upon examination of an older adult male patient. Which additional signs and symptoms would the nurse monitor for in the patient? Select all that apply.

Nocturia Urinary frequency Straining to urinate

Which situations or conditions would cause the prostate-specific antigen (PSA) test to be elevated? Select all that apply.

Noncancerous prostate growth Prostatitis Ejaculation

Which instruction would the nurse include in a community health promotion class about prevention of colorectal cancer for healthy people over 50 years of age?

Obtain a fecal occult blood test annually.

Which instruction would the nurse include in patient teaching regarding use of a fecal immunochemical test?

Only one stool sample is needed.

After performing a digital rectal examination on a hospitalized geriatric patient, the nurse finds a fecal mass in the patient's colon. Which medication class would the nurse suspect to be the likely cause of this finding?

Opioid

Which signs and symptoms would the nurse expect to find in a patient with prostate cancer? Select all that apply.

Pain during urination Weak stream of urine Presence of blood in the urine

A patient has an advanced pilonidal cyst and reports tenderness over the lower sacrum. Which additional assessment finding would the nurse monitor for in the patient?

Palpable sinus tract

Which signs and symptoms would the nurse monitor for in a patient with suspected Crohn disease? Select all that apply.

Passing gas from the gastrointestinal tract Fistula opening through skin near the anus Steatorrhea from excessive fat in stools

Which condition would be caused by mutations in the BRCA1and BRCA2 genes?

Prostate cancer

An 8-month-old infant has a secondary infection because of a diaper rash. Which additional findings would the nurse monitor for in this patient? Select all that apply.

Pustules Reddened skin

Which finding would the nurse observe in a patient with rectal prolapse?

Rounded, red tissue protruding from anus

Which activities would the patient who has pruritus ani avoid? Select all that apply.

Scratching Using prepared wipes Wearing tight underclothing Cleaning with scented soaps

A patient with an anorectal fistula reports itching and constant pain around the anus. Which additional sign would the nurse monitor for in the patient?

Serosanguineous drainage from abnormal opening

Which prostate assessment finding would the nurse find in a patient who has inflammation of the prostate gland?

Slightly swollen and asymmetric prostate gland

Which stool characteristics would the nurse observe in a patient with normal feces?

Soft and brown

Which finding would the nurse observe in a patient with prolapsed hemorrhoids?

Soiled underwear with excess mucoid discharge

Which treatment strategies would be beneficial for a patient with a longitudinal fissure tear at the anal margin? Select all that apply.

Stool softeners Botox injection Topical nifedipine cream Nitroglycerin ointment

Which conditions place patients at higher risk for developing a fecal impaction? Select all that apply.

Stroke Spinal cord injury

A patient with prostate carcinoma reports having continuous pelvic pain. Which additional findings would the nurse monitor for in the patient? Select all that apply.

Swollen, asymmetric prostate gland Stony-hard, irregular nodules in the prostate Presence of obliteration in the median sulcus

Which assessment finding would be consistent with a thrombosed hemorrhoid?

Swollen, shiny blue mass below the anorectal junction

Which finding would the nurse observe in a patient who has a pilonidal cyst?

Tuft of hair in the sacrococcygeal area

The nurse would initially insert a finger toward which structure when performing a rectal examination?

Umbilicus

Which condition would be associated with melena?

Upper gastrointestinal bleeding