In preparation for a rectal examination of a nonambulatory male patient, the patient is informed of the need to be placed in which position?
a. Sims' position
b. Forward bending with flexed hips
c. Knee-chest
d. Dorsal recumbent
ANS: A
Nonambulatory patients are best examined in a side-lying Sims' position. Forward bending would require the patient to be able to stand upright. Knees to chest would be difficult to maintain in a nonambulatory male and is embarrassing and uncomfortable. Dorsal recumbent does not provide adequate access for a rectal examination and is used for abdominal assessment because it promotes relaxation of abdominal muscles.
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