John, a 65-year-old man, is nonambulatory and presents with complaints of rectal pain and problems with urination. What is the best position to examine John's rectum and prostate?
Lithotomy position
Left lateral (Sims) position
Bent forward with hips flexed
Standing position
The Correct Answer is B
A. Lithotomy position requires the patient to lie on his back with his legs raised and spread apart, which may be difficult for a nonambulatory patient and may cause pressure on his lower back and pelvis.
B. This position allows for easy access to the rectum and prostate without causing discomfort or strain to the patient or examiner. The patient lies on his left side with his right leg flexed at the hip and knee and his left leg slightly flexed at the hip and straight at the knee.
C. Bent forward with hips flexed requires the patient to stand up and lean over a table or chair, which may also be challenging for a nonambulatory patient and may cause dizziness or loss of balance.
D. Standing position requires the patient to stand up straight with his feet apart, which may not provide adequate exposure or comfort for the examination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While antiepileptic drugs are sometimes used to manage neuropathic pain, the priority in George's case is preventing complications related to diabetic neuropathy.
B. Dialysis is not indicated for neuropathy management.
C. While managing blood glucose levels is important in diabetes management, immediate insulin administration may not be necessary unless George is experiencing hyperglycemic crisis.
D. This is the priority intervention to prevent complications such as diabetic foot ulcers and infections.
Correct Answer is A
Explanation
A. Exposure to strong odors can trigger reflex bronchoconstriction, leading to symptoms like difficulty breathing and chest tightness, especially in individuals with hypersensitive airways.
B. While the mucociliary clearance system plays a role in removing inhaled particles and irritants from the airways, it is not primarily responsible for acute symptoms like difficulty breathing.
C. Alveolar macrophages are involved in phagocytosis and defense against inhaled particles and pathogens but are not directly involved in causing acute respiratory symptoms like bronchoconstriction.
D. Chemoreceptors primarily regulate respiratory drive in response to changes in blood gases and pH but are not directly responsible for bronchoconstriction in response to odor exposure.
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