Exam 23: Anus,rectum and Prostate

While doing an assessment of the perianal area of a patient,the nurse notes that the pigmentation of the anus is darker than the surrounding skin,that the anal opening is closed,and that a shiny,blue skin sac is present.The patient mentions that he has had pain with bowel movements and has noted some occasional spots of blood.What would this assessment and history most likely indicate?

A 70-year-old man is visiting the clinic for "difficulty in passing urine." In the history,he indicates he has to urinate frequently,especially at night.He experiences burning when he urinates and has noticed pain in his back.Given this history,what might the nurse expect to find during the physical assessment?

The nurse is caring for a newborn infant.Thirty hours after birth,the infant passes a dark green meconium stool.The nurse recognizes that this is important because:

The nurse is performing a digital examination of a patient's prostate gland and notes a normal prostate gland includes the following characteristics: (Select all that apply. )

During a DRE,the nurse notes that the patient has hard feces in the rectum.The patient complains of feeling "full," has a distended abdomen,and states that she has not had a bowel movement "for several days." The nurse suspects which condition?

A patient who is visiting the clinic complains of having "stomach pains for 2 weeks" and describes his stools as being "soft and black" for about the last 10 days.He denies taking any medications.The nurse is aware that these symptoms are most indicative of:

During an assessment of a 20-year-old man,the nurse finds a small,palpable lesion containing a tuft of hair and located directly over the coccyx.The nurse knows that this lesion would most likely be a:

Which of the following statements about the sphincters is true?

Which of the following techniques is correct for palpation of the rectum?