You are assigned to a 60-year-old African American patient who has diabetes and arthritis. Your patient is receiving treatment for a recurrent urinary tract infection and today has developed a sudden rise in temperature and complains of rectal pain
You prepare the patient for a prostatic examination. To perform prostatic palpation, you should insert your gloved finger into the anal sphincter with the a. tip of the finger extended at a right angle to the perianal area.
b. ball of the finger toward the posterior rectal wall.
c. ball of the finger toward the left lateral rectal wall.
d. tip of the finger toward the anterior rectal wall.
D
Place your finger by the anal orifice and instruct the patient to bear down as you gently insert the flexed tip of your gloved finger into the anal sphincter, with the tip of the finger toward the anterior rectal wall (pointed toward the umbilicus). The anus should never be approached at a right angle (with the index finger extended).
You might also like to view...
The nurse is providing care to several children who have been brought to the clinic by the parents for complaints of cold-like symptoms. The nurse would most likely suspect sinusitis in which child?
A) A 2-year-old with thin watery nasal discharge B) A 3-year-old with sneezing and coughing C) A 5-year-old with nasal congestion and sore throat D) A 7-year-old with halitosis and thick, yellow nasal discharge
In assessing a patient before administration of a cardiac glycoside, the nurse knows that which lab result can increase the toxicity of the drug?
a. Potassium level 2.8 mEq/L b. Potassium level 4.9 mEq/L c. Sodium level 140 mEq/L d. Calcium level 10 mg/dL
The nurse has assumed the responsibilities of case manager. Which of the following would these include?
A) Delegating activities to other nurses B) Managing an acute hospital stay C) Evaluating performance of ancillary workers D) Identifying areas of client concern or problems
A nurse is preparing to administer digoxin (Lanoxin) to a patient. The patient's heart rate is 62 beats per minute, and the blood pressure is 120/60 mm Hg. The last serum electrolyte value showed a potassium level of 5.2 mEq/L
What will the nurse do? a. Contact the provider to request an increased dose of digoxin. b. Give the dose of digoxin and notify the provider of the potassium level. c. Request an order for a diuretic. d. Withhold the dose and notify the provider of the heart rate.