The nurse documents which finding as normal on inspection of the anus?
a. Skin tone darker and coarser than that of the surrounding skin
b. Sphincter lightly closed when the client is relaxed
c. Large amount of stiff, curling hair surrounding the anus
d. Slight protrusion under the skin when the client strains or bears down
ANS: A
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A woman in her second trimester continues to smoke a pack of cigarettes a day despite stating that she understands why smoking is bad for her and for her fetus. Which action by the nurse is best?
A. Assess the patient for past trauma and abuse. B. Document the information in the patient's chart. C. Review prior teaching done regarding smoking. D. Show photos of babies born with abnormalities.
The American Nurses Association (ANA) recommends four tactics to fight sexual harassment including all of the following except:
A. Reporting the incident to your supervisor. B. Ignoring the situation and hoping it goes away. C. Documenting the incident to keep the facts fresh in your mind. D. Seeking support from your friends, relatives, and state associations.
The nurse is preparing discharge instructions for an older patient with chronic obstructive pulmonary disease. What should the nurse teach the patient about the use of inhaled bronchodilators?
A) "Usually, one or two puffs should bring you relief for around four hours.". B) "It's important to take these medications only when you experience serious symptoms.". C) "These medications can make your shortness of breath worse if you take them too often.". D) "If you develop any sort of heart disease or circulatory problems in the future, these inhalers will have to be discontinued.".
What is the purpose of a trochanter roll?
A. To keep the hands from flexing tightly B. To keep hips and legs in line with the spine C. To give extra support to the patient's back D. To prevent footdrop