When assessing the anus, the nurse should inspect for: (Select all that apply)
Bleeding
Hemorrhoids
Pain
Prostate enlargement
Correct Answer : A,B,C
Prostate enlargement is not directly assessed through an anal examination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Level of consciousness (LOC) is a key indicator of neurological function and is typically assessed by observing a patient’s wakefulness, awareness, and responsiveness to stimuli.
Correct Answer is C
Explanation
The normal range for respiratory rate in adults is typically between 12 to 20 breaths per minute, butsome individuals may have a slightly higher or lower respiratory rate within the normal range.
Options a and b are incorrect. Bowel sounds of 5-30 per minute are within the normal range, but this finding alone does not indicate that the patient is ready to go home. Capillary refill of greater than 3 seconds is considered abnormal and may indicate poor peripheral perfusion.
Option d is also incorrect. A heart rate of 10 is extremely low and would be considered bradycardia. This could indicate an underlying medical issue and would require further assessment and intervention before the patient is discharged.
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