During an internal examination of a client's anus, the nurse notes that the client has a hypertonic sphincter. The relevant action for the nurse to take at this time is to:
a. Ask the client about anxiety or pain related to the exam.
b. Determine if the client has had any neurologic injury that may cause a hypertonic sphincter.
c. Refer the client to the physician for evaluation.
d. Question the client about a history of anal trauma.
ANS: A
You might also like to view...
The pediatric nurse is caring for child that weighs 15 kilograms and calls the physician for an order for Acetaminophen for pain control. What is the maximum amount of medication per dose the nurse anticipates ordering?
a. 100 mg b. 150 mg c. 225 mg d. 250 mg
The nurse is planning to use music therapy to help reduce a critically ill patient's level of anxiety
What will the nurse do when using this complementary and alternative therapy? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Ask family members to identify the patient's preferred music. 2. Plan for the music to be played for 30 uninterrupted minutes. 3. Listen to the music in advance to make sure it does not have lyrics. 4. Ensure that the music beats are between 60 to 80 per minute. 5. Play the music from a tape recorder on the bedside table.
For diagnostic coding in medical practices, the first code listed is the ______ ______, defined as the main reason for the patient's encounter with the provider.
Fill in the blank(s) with correct word
Capillary colloidal pressure is controlled by the:
A) Plasma proteins. B) Red blood cells. C) White blood cells. D) Serum sodium concentration.