Exam 23: Anus,rectum and Prostate

During an examination,the nurse asks the patient to perform the Valsalva manoeuvre and notes that the patient has a moist red doughnut-shaped protrusion from the anus.The nurse knows that this would be consistent with:

A 60-year-old man has just been told he has benign prostatic hypertrophy (BPH).He has a friend who just died from prostate cancer and is concerned this will happen to him.How should the nurse respond?

During a health history of a patient who complains of chronic constipation,she asks the nurse about high-fibre foods.The nurse relates that an example of a high-fibre food would be:

Which of the following is an abnormal finding upon palpation of the prostate gland through the rectum?

After completing an assessment of a 60-year-old man with a family history of colon cancer,the nurse discusses early detection measures for colon cancer with him.The nurse is sure to mention the need for a(n):

During an assessment of the newborn,the nurse expects to see which finding when the anal area is slightly stroked?

The nurse is performing an examination of the anus and rectum.Which of the following is important to remember during this examination?

The mother of a 5-year-old girl tells the nurse that she has noticed her daughter "scratching at her bottom a lot the last few days." During the assessment,the nurse finds redness and raised skin in the anal area.This most likely indicates:

A 46-year-old man requires assessment of his sigmoid colon.Which of the following is most appropriate for this examination?

A 30-year-old woman is visiting the clinic for a complaint of "pain in my bottom when I have a bowel movement." The nurse should assess for which problem?

While performing a rectal examination,the nurse notes a firm,irregularly shaped mass.What should the nurse do next?

The nurse notes that a patient has had a pale,yellow,greasy stool,or steatorrhea,and recalls that this is caused by:

A 62-year-old man is experiencing fever,chills,malaise,and urinary frequency and urgency.He also reports urethral discharge and a dull aching pain in the perineal and rectal area.These symptoms are most consistent with which of the following?

When testing stool for occult blood,the nurse is aware that a false-positive result may occur with:

The nurse is examining only the rectal area of a woman.In what position should the woman be placed?

The structure that secretes a thin,milky alkaline fluid to enhance the viability of sperm is the:

A 40-year-old male of African descent is in the office for his annual physical.Which statement is true regarding screening for prostate cancer,according to the Canadian Cancer Society?

While assessing a hospitalized,bedridden patient,the nurse notes that the patient has been incontinent of stool.The stool is loose and grey-tan in colour.The nurse recognizes that this finding indicates which of the following?

Which of the following statements about the anal canal is true?

During the assessment of an 18-month-old,the mother expresses concern to the nurse about the infant's inability to toilet train.What would be the nurse's best response?