Which of the following would be most important for the nurse to remember when performing the physical examination of the anus and rectum? Select all that apply

A) Perform the steps of the exam quickly.
B) Use gentle finger movements.
C) Use adequate lubrication.
D) Watch for nonverbal signs of discomfort.
E) Explain all the steps before beginning.


B, C, D

Nursing

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The nurse manager incorporates verbal reports and walking rounds for what purpose?

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A patient who has been seriously ill has recovered sufficiently to be transferred to a monitored medical unit. Which intervention will best reduce transfer anxiety for this patient?

1. Transfer the patient immediately before bedtime so that the first few hours on the new unit will be sleeping hours. 2. Promise to frequently visit the patient on the new unit. 3. Explain some of the routines used on the new unit. 4. Offer reassurance by telling the patient you once worked on the new unit.

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A nurse is caring for a client with a myocardial infarction. Which factors could be a

cause for the chest pain experienced by the client? A) Decreased blood supply to the heart muscle B) Atherosclerotic plaques on the coronary artery C) Irregular heart rhythm D) Enlargement of the heart muscle

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A patient is being treated for a seizure disorder with phenytoin (Dilantin). He is admitted to the emergency room with sinus bradycardia. What action will occur regarding his antiepileptic agent?

A) Phenytoin (Dilantin) dose will be reduced. B) Phenytoin (Dilantin) will be discontinued. C) Phenytoin (Dilantin) will be given every other day. D) Phenytoin (Dilantin) dose will be increased.

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