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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. B lymphocytes, also known as B cells, are responsible for generating sensitized lymphocytes (memory cells) and antibodies (immunoglobulins).
B. Suppressor T cells (T regulatory cells) are involved in modulating the immune response, but they do not generate sensitized lymphocytes or antibodies.
C. T cells play various roles in the immune response, including cell-mediated immunity, but they are not primarily responsible for generating antibodies.
D. Hematopoietic stem cells are multipotent stem cells that give rise to all blood cells, including B and T lymphocytes, but they do not directly generate sensitized lymphocytes or antibodies.

A. Dry and scaling skin in the treated area. B. Increased frequency of asthma attacks. C. Reddish-brown discoloration of the skin D. Thinning of the treated skin.

Correct Answer is D

Explanation

A. Dry and scaling skin may occur as a side effect of topical corticosteroids, but thinning of the skin is a more concerning adverse effect.
B. While systemic corticosteroids can exacerbate asthma, topical corticosteroids are less likely to worsen asthma symptoms unless used excessively on the face or in high quantities.
C. Reddish-brown discoloration of the skin (hyperpigmentation) is a potential adverse effect of topical corticosteroids but is less common compared to skin thinning.
D. Thinning of the skin (skin atrophy) is a common adverse effect of high-potency topical corticosteroids, especially with prolonged use. This is of particular concern for David given his asthma history, as it may increase the risk of systemic absorption.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Mike, a 32-year-old with a suspected immunodeficiency, is undergoing diagnostic tests. Which type of lymphocytes are responsible for either generating sensitized lymphocytes or antibodies?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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