Nodules found in the peritoneum through the anterior rectal wall:
a. are found with bidigital palpation.
b. are called shelf lesions.
c. are chronic fibrosis.
d. are found by having the patient bear down.
B
Because the anterior rectal wall is in contact with the peritoneum, you may be able to detect the tenderness of peritoneal inflammation and the nodularity of peritoneal metastasis. The nodules called shelf lesions are palpable just above the prostate in males and in the cul-de-sac of females.
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The recommended procedure for locating the site of a fractured rib is to have the patient point to the site of pain after
a. you have systematically palpated each rib on the side of injury. b. the patient has taken a deep breath. c. you have lightly depressed the middle of the patient's sternum. d. you have applied pressure to the chest wall on the uninjured side.
Which mood disorder does she most likely have?
A 23-year-old ticket agent is brought in by her husband because he is concerned about her recent behavior. He states that for the last 2 weeks she has been completely out of control. He says that she hasn't showered in days, stays awake most of the night cleaning their apartment, and has run up over $1,000 on their credit cards. While he is talking, the patient interrupts him frequently and declares this is all untrue and she has never been so happy and fulfilled in her whole life. She speaks very quickly, changing the subject often. After a longer than normal interview you find out she has had no recent illnesses or injuries. Her past medical history is unremarkable. Both her parents are healthy but the husband has heard rumors about an aunt with similar symptoms. She and her husband have no children. She smokes one pack of cigarettes a day (although she has been chain-smoking in the last 2 weeks), drinks four to six drinks a week, and smokes marijuana occasionally. On examination she is very loud and outspoken. Her physical examination is unremarkable. A) Major depressive episode B) Manic episode C) Dysthymic disorder
The nurse is conducting teaching for a postpartum client who is approaching discharge. Which topics will the nurse include in the educational session regarding the prevention of postpartum hemorrhage? Select all that apply
1. Using the peri-bottle 2. Applying ice to the breasts 3. Wearing cotton underwear 4. Performing fundal massage 5. Inspecting the episiotomy site
Which of the following accurately describes a child with marasmus?