To facilitate the insertion of your gloved finger into the anal sphincter, you should instruct the patient to
a. take a deep breath and hold it. c. bear down.
b. take shallow breaths. d. tighten the sphincter.
C
To perform anal and rectal wall palpation, place your finger by the anal orifice and instruct the patient to bear down (Valsalva's maneuver) as you gently insert the flexed tip of your gloved finger into the anal sphincter. Taking a deep breath and holding it, taking shallow breaths, and tightening the sphincter are not correct.
You might also like to view...
The characteristics of an individual are important components to consider for transitions. Which of the following characteristics should be considered when a person is transitioning?
a. The person's height and weight b. The person's past experiences c. The sex of the person d. The person's vital signs
A long-term care facility is reviewing its ?Violence Prevention? policy. The policy contains information regarding the reporting procedure
Which of the following would be appropriate for the DON (director of nursing) to consider adding to this policy? 1. Notification of the situation to area facilities 2. A list of who to contact in regard to administration and law enforcement 3. A list of law enforcement officials to contact 4. Administration?s home phone numbers
A pregnant patient asks the nurse about the safe use of medications during the third trimester. What will the nurse tell her about drugs taken at this stage?
a. They may need to be given in higher doses if they undergo renal clearance. b. They require lower doses if they are me-tabolized by the liver. c. They are less likely to cross the placenta and affect the fetus. d. They are more likely to cause anatomical defects if they are teratogenic.
What role will the nurse play in transferring a client to a long-term care facility?
A) Provide a verbal report to the nurse at the long-term care facility on the client, the hospital care, and the client's current condition. B) Assure that the client's original chart accompanies the client. C) Arrange for the client's belongings to remain at the hospital until discharge from the long-term care facility. D) Inform the client that transferring should be a stress-free situation.