Dawn is a 55-year-old woman who comes in today for her yearly wellness examination. You carefully perform the rectal examination in the lithotomy position and feel a mass against the bowel wall which is firm and immobile. Which of the following is most likely?
A) Colon cancer
B) Hemorrhoid
C) Anal fissure
D) Valve of Houston
A) Colon cancer
This examination should make you think of colon cancer because the mass is firm, nonmobile, and nontender. Hemorrhoids are not firm and are frequently visible externally, although some may be internal as well. An anal fissure would be a palpable linear lesion in the anal canal that may be tender. Valves of Houston are sometimes palpable but are not firm.
You might also like to view...
A nurse is evaluating a patient's understanding of his prescribed drug therapy regimen. Which of the following would the nurse use as part of this process? Select all that apply
A) Facial expressions B) "Yes" answers when asked about understanding C) Nodding of head through interaction D) Regimen being followed correctly E) Correct answers to questions asked
A patient has a glomerular filtration rate (GFR) of 43 mL/min/1.73 m2. Based upon this GFR, the nurse interprets that the patient's chronic kidney disease is at what stage?
A) Stage 1 B) Stage 2 C) Stage 3 D) Stage 4
A patient who returns to the emergency department 2 days after being seen is feeling no better. On assessing the patient, the nurse learns that the antibiotic prescription the patient left with has not been filled
Which question or statement by the nurse would elicit the most information about this situation? a. "I'd like to know why you haven't gotten that filled." b. "Is that medicine too expensive for you to get filled?" c. "Please tell me about the type of insurance you have." d. "Why haven't you gotten that prescription filled yet?"
The nurse is completing the intake and output record for a preschool-age client admitted for fluid volume deficit. The client has had the following intake and output during the shift:
Intake: 4 oz of Pedialyte ½ of an 8-oz cup of clear orange Jell-O 2 graham crackers 200 mL of D 5 ½ sodium chloride IV Output: 345 mL of urine 50 mL of loose stool The nurse documents the client's intake as ____ milliliters. What will be an ideal response?