PHYSICAL EXAMINATION AND HEALTH ASSESSMENT TESTBANK BY JARVIS:Chapter 26: Anus, Rectum, and Prostate

Document Content and Description Below

Chapter 26: Anus, Rectum, and Prostate Jarvis: Physical Examination & Health Assessment MULTIPLE CHOICE 1. Which statement concerning the anal canal is true? The anal canal: a. Is ... approximately 2 cm long in the adult. b. Slants backward toward the sacrum. c. Contains hair and sebaceous glands. d. Is the outlet for the gastrointestinal tract. ANS: D The anal canal is the outlet for the gastrointestinal tract and is approximately 3.8 cm long in the adult. It is lined with a modified skin that does not contain hair or sebaceous glands, and it slants forward toward the umbilicus. DIF: Cognitive Level: Remembering (Knowledge) REF: p. 721 MSC: Client Needs: General 2. Which statement concerning the sphincters is correct? a. The internal sphincter is under voluntary control. b. The external sphincter is under voluntary control. MSC: Client Needs: General 3. The nurse is performing an examination of the anus and rectum. Which of these statements iscorrect and important to remember during this examination? a. The rectum is approximately 8 cm long. b. The anorectal junction cannot be palpated. c. Above the anal canal, the rectum turns anteriorly. d. No sensory nerves are in the anal canal or rectum. ANS: B The anal columns are folds of mucosa that extend vertically down from the rectum and end in the anorectal junction. This junction is not palpable but is visible on proctoscopy. The rectum is 12 cm long; just above the anal canal, the rectum dilates and turns posteriorly. DIF: Cognitive Level: Remembering (Knowledge) REF: p. 721 MSC: Client Needs: Safe and Effective Care Environment: Management of Care 4. The structure that secretes a thin, milky alkaline fluid to enhance the viability of sperm is the: a. Cowper gland. b. Prostate gland. c. Median sulcus. d. Bulbourethral gland. ANS: B a. Proctoscope b. Ultrasound c. Colonoscope d. Rectal examination with an examining finger ANS: C The sigmoid colon is 40 cm long, and the nurse knows that it is accessible to examination only with the colonoscope. The other responses are not appropriate for an examination of the entire sigmoid colon. DIF: Cognitive Level: Understanding (Comprehension) REF: p. 722 MSC: Client Needs: Safe and Effective Care Environment: Management of Care 6. The nurse is caring for a newborn infant. Thirty hours after birth, the infant passes a dark green meconium stool. The nurse recognizes this is important because the: a. Stool indicates anal patency. b. Dark green color indicates occult blood in the stool. c. Meconium stool can be reflective of distress in the newborn. d. Newborn should have passed the first stool within 12 hours after birth. ANS: A The first stool passed by the newborn is dark green meconium and occurs within 24 to 48 hours of birth, indicating anal patency. The other responses are not correct. DIF: Cognitive Level: Understanding (Comprehension) REF: p. 723 MSC: Client Needs: Health Promotion and Maintenance “Have you considered reading any of the books on toilet training? They can be very b. helpful.” “This could mean that there is a problem in your baby’s development. We’ll watch her c. closely for the next few months.” “The nerves that will allow [Show More]

Last updated: 1 year ago

Preview 1 out of 17 pages