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mlevans624 mlevans624
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Posts: 510
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6 years ago
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.

Question 2

A 62-year-old man is experiencing fever, chills, malaise, urinary frequency, and urgency. He also reports urethral discharge and a dull aching pain in the perineal and rectal area. These symptoms are most consistent with which condition?
 
  a. Prostatitis
  b. Polyps
  c. Carcinoma of the prostate
  d. BPH

Question 3

A 70-year-old man is visiting the clinic for difficulty in passing urine. In the health history, he indicates that he has to urinate frequently, especially at night. He has burning when he urinates and has noticed pain in his back.
 
  Considering this history, what might the nurse expect to find during the physical assessment?
  a.
  Asymmetric, hard, and fixed prostate gland
  b.
  Occult blood and perianal pain to palpation
  c.
  Symmetrically enlarged, soft prostate gland
  d.
  Soft nodule protruding from the rectal mucosa
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Replies
wrote...
6 years ago
The answer to question 1

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

The answer to question 2

ANS: A
The common presenting symptoms of prostatitis are fever, chills, malaise, and urinary frequency and urgency. The individual may also have dysuria, urethral discharge, and a dull aching pain in the perineal and rectal area. These symptoms are not consistent with polyps.

The answer to question 3

ANS: A
Subjective symptoms of carcinoma of the prostate include frequency, nocturia, hematuria, weak stream, hesitancy, pain or burning on urination, and continuous pain in lower back, pelvis, and thighs. Objective symptoms of carcinoma of the prostate include a malignant neoplasm that often starts as a single hard nodule on the posterior surface, producing asymmetry and a change in consistency. As it invades normal tissue, multiple hard nodules appear, or the entire gland feels stone hard and fixed.
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