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 ["A","B"]
Explanation
A. Physical therapy can help improve muscle strength, mobility, and balance in individuals with Charcot-Marie-Tooth disease.
B. Custom orthotic devices can help support Sally's feet, improve gait, and alleviate foot deformities associated with Charcot-Marie-Tooth disease.
C. Corticosteroid injections are not typically used to treat the symptoms of Charcot- Marie-Tooth disease.
D. Occupational therapy may be beneficial for some aspects of daily living but may not directly address the symptoms of Charcot-Marie-Tooth disease.
Correct Answer is A
Explanation
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A. The nurse should focus on teaching Paul about the dangers of using a tanning booth weekly, as this is the risk factor that he can modify. A tanning booth exposes the skin to artificial ultraviolet (UV) radiation, which can damage the DNA of skin cells and increase the risk of developing malignant melanoma.
B. Dysplastic nevi (atypical moles) are also a nonmodifiable risk factor for melanoma.C. Family history of melanoma is a non-modifiable risk factor for melanoma unlike weekly use of a tanning booth which is modifiable.
D. Fair skin and blue eyes are additional risk factors for melanoma, but is non- modifiable.
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