Your 5-year-old male patient has an absent anal reflex along with anorectal tears and ecchymosis, which are most likely caused by
a. cancer of the anus. c. sexual abuse.
b. a congenital disorder. d. a spinal cord lesion.
C
The following are possible signs of sexual abuse in children: a) a strong fear of the physical exam; b) presence of STDs; c) abnormal discharge or odor; d) anorectal tears; e) absent or delayed anal reflex; f) anorectal ecchymosis, pruritus, scarring, HPV, or bleeding; f) in the female child, a broken hymen, or vaginal tears. An absent anal reflex without the anorectal tears and ecchymosis are caused by conditions such as a spinal cord lesion and tumors that interrupt nervous innervation to the anal sphincter.
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The physician has ordered Nipride (nitroprusside) 3 mcg/kg/min via infusion pump. The medication is available as Nipride (nitroprusside) 50 mg in 250 D5W. The client weighs 60 kg
How many milliliters per hour should the nurse set the infusion pump? A) 54 B) 55 C) 56 D) 57
Nutritional recommendations include lowering the intake of total fat in our diets. What is one strategy we can use to lower total fat intake in our diets?
A) Substitute regular margarine for butter. B) Use artificially sweetened soft drinks in place of sweetened drinks. C) Use herbs and spices in place of butter. D) Use olive oil in place of corn oil.
Ginkgo biloba has been shown to produce modest improvements among
A. clinical depressive patients B. Alzheimer's disease patients C. heroin abusers D. bodybuilders
The client rates his pain as an "8" on a 0 to 10 scale. Using the World Health Organization (WHO) three-step approach, what medication would the nurse administer?
A. Weak opioid B. Nonopioid C. Strong opioid D. Opiate and coanalgesic