Exam 23: Anus, Rectum, and Prostate

A 13-year-old girl is visiting the clinic for her annual physical examination.As part of the genitalia assessment, the nurse will:

During an assessment of a 20-year-old man, the nurse finds a small palpable lesion with a tuft of hair located directly over the coccyx.The nurse recognizes that this lesion is likely a:

During a health history interview with a patient who has chronic constipation, the nurse recommends increasing consumption of high-fibre foods, such as:

The advanced practice nurse is preparing to palpate the rectum and should use which of these techniques? The nurse should:

During examination of a 65-year-old female patient, the nurse asks the patient to hold her breath and bear down.The nurse observes that the patient has a moist, red, doughnut-shaped protrusion from the anus and recognizes this finding as a:

While assessing a hospitalized patient who is bedridden, the nurse notices that the patient has fecal incontinence.The stools are loose and grey-tan in colour, indicating:

A 62-year-old male patient of African descent has come for his annual physical examination.The patient wants to know if he should get the prostate-specific antigen (PSA) test.The nurse will:

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

During a discussion with a men's health group, the nurse identifies a number of nonmodifiable risk factors for prostate cancer, including:

After completing an assessment of a 60-year-old man with a family history of colorectal cancer, the nurse discusses with him early detection measures for colorectal cancer.The nurse should discuss the need for a(n):

The nurse is examining only the rectal area of a woman and should place the woman in what position?

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

Abdominal palpation of a 78-year-old patient admitted from a long-term care facility, reveals a firm ropelike mass in the left lower quadrant, and percussion of this area of the abdomen is dull.The patient states feeling "full and nauseous," has a distended abdomen, and admits that she has not had a bowel movement "for several days." The nurse recognizes that this is likely:

A 35-year-old patient with a history of pancreatitis reports significant weight loss and stools that appear pale, yellow, and greasy.The nurse recognizes that these findings likely indicate:

During the health history, the patient states, "It really hurts back there, and sometimes it itches, too.I have even seen blood on the toilet tissue after I have had a bowel movement.Is there something there?" Upon inspection of the anus, the nurse will see a(n):

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

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

A 62-year-old man is experiencing fever, chills, malaise, urinary frequency, and urgency.He also reports urethral discharge and a dull aching pain in the perineal and rectal area.The nurse recognizes these symptoms as most consistent with:

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

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