Author Question: During an examination, the nurse asks the patient to perform the Valsalva maneuver and notices that ... (Read 37 times)

itsmyluck · **on:** Jun 25, 2018

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

cam1229 · **Reply #1 on:** Jun 25, 2018

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

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.