Author Question: A nurse needs to examine the rectum of a constipated client for the presence of stool. The nurse ... (Read 21 times)

ashley · **on:** Jul 22, 2018

A nurse needs to examine the rectum of a constipated client for the presence of stool. The nurse should instruct the client to lie in which position?

A) On the back with legs slightly stretched on the bed
B) Flat on the stomach with legs slightly stretched to the sides
C) On the left side with the right knee drawn up toward the chest
D) Flat on the abdomen with slightly outstretched arms

Question 2

A 58-year-old Caucasian woman is at the clinic for her annual check-up. She tells the nurse that she noticed her blood pressure is higher than it was when she was younger. She asks the nurse why this would happen.

What is the nurse's best response? a. Your race and gender are predisposing factors for heart disease.
b. Well, if you stop smoking your blood pressure would go down.
c. As we age, our blood vessels become less elastic, which causes higher blood pressure.
d. I don't think it's anything to worry about.

Anonymous · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
Feedback:
In the Sims' position, the client lies on her left side with her right knee drawn up toward her chest. This position is used for conducting examinations and procedures involving the rectum and vagina. Prone and supine positions are not typically used for a rectal examination.

Answer to Question 2

C
Arterial vessels in the older adult become calcified and lose elastin. This may lead to hyperten-sion and a rise in systolic blood pressure. Both of these normal changes of aging place the older adult at risk for heart failure. Do not be judgmental about smoking and the question does not in-dicate the female is a smoker. Males, not females, are more prone to heart disease. Afri-can-Americans, American Indians, and Mexican-Americans are at greater risk than Caucasians for developing heart disease. Telling the patient to not worry is not therapeutic.