What anal, rectal, or prostate disorder best fits his presentation?
A 50-year-old truck driver comes to your clinic for a work physical. He has had no upper respiratory, cardiac, pulmonary, gastrointestinal, urinary, or musculoskeletal system complaints. His past medical history is significant for mild arthritis and prior knee surgery in college. He is married and just changed jobs, working for a different trucking company. He smokes one pack of cigarettes a day, drinks less than six beers a week, and denies using any illegal drugs. His mother has high blood pressure and arthritis and his father died of lung cancer in his 60s. On examination, his blood pressure is 130/80 and his pulse is 80. His cardiac, lung, and abdominal examinations are normal. He has no inguinal hernia, but on his digital rectal examination you palpate a soft, smooth, nontender pedunculated mass on the posterior wall of the rectum.
A) Internal hemorrhoid
B) Prostate cancer
C) Anorectal cancer
D) Rectal polyp
D) Rectal polyp
Polyps are generally symptom-free and can be found on routine rectal examinations. Proctoscopy with biopsy is necessary to see if the polyp has any potential to become cancerous. Anyone with a rectal polyp needs a colonoscopy.
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The nurse knows that when patients are experiencing stress, the following change can be seen in their signs and symptoms: (Select all that apply.)
a. Increase in heart rate b. Increase in gastric motility c. Pupil dilation d. Decrease in blood pressure e. Increase in respiratory rate
Seventy-two hours after cardiac surgery, a young child has a temperature of 38.4° C (101.1° F). What action should the nurse perform?
a. Report findings to the practitioner. b. Apply a hypothermia blanket. c. Keep the child warm with blankets. d. Record the temperature on the assessment flow sheet.
Which student support service provided by the school of nursing best addresses an issue especially felt among its Latino student population?
A) Used textbooks rentals B) Money management classes for single mothers C) Daycare for children of all ages provided on campus D) Tutoring for students for whom English is a second language
Infertility is defined as the inability to conceive after how many months of unprotected intercourse with the same partner?
a. 6 b. 12 c. 18 d. 24