The nurse documents which finding as expected on inspection of the anus?
a. Skin tone darker and coarser than that of the surrounding skin
b. Sphincter lightly closed when the patient is relaxed
c. Large amount of stiff, curling hair surrounding the anus
d. Slight protrusion under the skin when the patient strains or bears down
ANS: A
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A client with cancer has anorexia and mucositis, and is losing weight. The client's family members continually bring favorite foods to the client and are distressed when the client won't eat them. What action by the nurse is best?
a. Explain the pathophysiologic reasons behind the client not eating. b. Help the family show other ways to demonstrate love and caring. c. Suggest foods and liquids the client might be willing to try to eat. d. Tell the family the client isn't able to eat now no matter what they bring.
The nurse is teaching childbirth education classes. Teaching has been successful if the primiparous client states: "I can reduce the likelihood that I'll tear or need an episiotomy if I:
1. "Push in a semi-sitting position." 2. "Make sure I push long and hard." 3. "Begin regular perineal massage." 4. "Pull back on my legs when pushing."
The student studying community health nursing learns that vulnerable populations can be best assisted by which activity?
a. Researching their genetic risk for health problems b. Working with the community to decrease health risks c. Studying vital statistics to determine their causes of death d. Making sure the population maintains immunizations
Which of the following acid-base disturbances commonly occurs with the hyperventilation and impaired gas exchange seen in severe exacerbation of asthma?
a. Metabolic acidosis b. Metabolic alkalosis c. Respiratory acidosis d. Respiratory alkalosis