Author Question: In preparation for a rectal examination of a nonambulatory male patient, the patient is informed of ... (Read 37 times)

jenna1 · **on:** Jul 23, 2018

In preparation for a rectal examination of a nonambulatory male patient, the patient is informed of the need to be placed in which position?

a. Sims' position
b. Forward bending with flexed hips
c. Knee-chest
d. Dorsal recumbent

Question 2

An elderly patient is being seen for a chronic entropion. The nurse realizes that entropion places the patient at risk for which of the following?

a. Ectropion
b. Infection
c. Exophthalmos
d. Strabismus

SAUXC · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A
Nonambulatory patients are best examined in a side-lying Sims' position. Forward bending would require the patient to be able to stand upright. Knees to chest would be difficult to maintain in a nonambulatory male and is embarrassing and uncomfortable. Dorsal recumbent does not provide adequate access for a rectal examination and is used for abdominal assessment because it promotes relaxation of abdominal muscles.

Answer to Question 2

ANS: B
The diagnosis of entropion can lead to lashes of the lids irritating the conjunctiva and cornea. Irritation can lead to infection. Ectropion is when the eyelid margins turn out so that the lashes do not irritate the conjunctiva. Exophthalmos is a bulging of the eyes and usually indicates hyperthyroidism. Strabismus, or crossing of the eyes, results from neuromuscular injury or inherited abnormalities.