Important techniques in performing the rectal examination include which of the following?
A) Lubrication
B) Waiting for the sphincter to relax
C) Explaining what the patient should expect with each step before it occurs
D) All of the above
D) All of the above
Lubricating the entire finger (yet removing excess lubricant), being patient while the anal sphincter relaxes, and preparing the patient for each step are key parts of a good rectal examination. The examination itself, while it may be awkward for a patient, should never cause pain in a normal person.
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You find 150 mL of fluid left in an IV. The IV is infusing at 15 microdrops/min. How long will the IV fluid last? _______________
a. 2 1/2 hr b. 2 hr c. 24 min d. 10 hr
The nurse is performing an assessment on the following 5 newborns. Which of the newborns does the nurse expect to exhibit Mongolian spots? Standard Text: Select all that apply
1. African American newborn 2. Caucasian newborn 3. Hispanic newborn 4. Native American newborn 5. Asian newborn
Pressure ulcers are caused by
A. rough handling during transfers. B. anything that interferes with circulation. C. scrubbing with a washcloth during bathing. D. using too much soap on the skin.
The nurse is assessing muscle strength in a fully conscious patient as part of a neurologic assessment. Which technique should the nurse employ?
a. Press down on the patient's extended arms one at a time while the patient attempts to raise the arm. b. Apply pressure above the eye and push upward while the patient attempts to re-move the hand. c. Pinch the trapezius muscle at the angle of the shoulder and neck while twisting the fingers slightly. d. Rub the sternum with fisted knuckles in a twisting motion while the patient attempts to remove the fist.