During an examination, the nurse asks the patient to perform the Valsalva maneuver and notices that the patient has a moist, red, doughnut-shaped protrusion from the anus. The nurse knows that this finding is consistent with a:
a. Rectal polyp.
b. Hemorrhoid.
c. Rectal fissure.
d. Rectal prolapse.
ANS: D
In rectal prolapse, the rectal mucous membrane protrudes through the anus, appearing as a moist red doughnut with radiating lines. It occurs after a Valsalva maneuver, such as straining at passing stool or with exercising
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The community-health nurse has received a referral for a new patient who resides in a high-crime area. What is the most important request that the nurse should make of the agency to best ensure safety?
A) An early morning or late afternoon appointment B) An assigned parking space in the neighborhood C) A colleague to accompany the nurse on the visit D) Someone to wait in the car while the nurse makes the visit
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An infant is brought to the emergency department with the following clinical manifestations: poor skin turgor, weight loss, lethargy, tachycardia, and tachypnea. This is suggestive of which of the following?
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A) Culturally sensitive B) Culturally blind C) Culturally affluent D) Culturally different