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NSE 203- Week 8 Exam Questions And Accurate Answers
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NSE 203- Week 8 Exam Questions AndAccurate Answers
What is the significance of a right-angled anal canal in a rectal exam? - Answer Indicates
healthy tissue structure and requires alertness for autonomic nerve response in the
rectum and somatic sensation in the anal canal.
How would you differentiate between the internal and external sphincters during a
digital rectal exam? - Answer Note the voluntary control of the external sphincter and
the absence of sensation in the involuntary internal sphincter.
Why are the anal columns important to examine in patients with constipation? - Answer
They contain blood vessels which, if enlarged, can indicate hemorrhoids.
During a rectal exam, what would the presence of the valves of Houston suggest? -
Answer Normal anatomical structure, but if pronounced, could indicate an underlying
condition.
How does the coverage of the rectum by the peritoneal reflection vary and why is this
important in surgical procedures? - Answer It only covers the upper two-thirds, and
awareness is vital for avoiding surgical complications.
In assessing the prostate, what are the implications of finding a bilobed, heart-shaped
gland? - Answer Normal finding, but deviations in size or texture could indicate
pathology.
How can changes in sphincter tone during a rectal exam inform patient care? - Answer
Variations may indicate nerve damage or conditions like BPH.
What does the presence of occult blood in stool signify in colorectal cancer screening? -
Answer Possible internal bleeding, warrants further investigation like colonoscopy.
During a rectal examination, how can you ensure patient comfort and dignity? - Answer
Provide privacy, explain procedures, use a gentle approach, and maintain
communication.
How would you interpret the presence of a shiny blue skin sac during an anal exam? -
Answer Indicative of a thrombosed hemorrhoid, requiring medical intervention.
How do you utilize the Bristol Stool Chart in nursing practice? - Answer Assess stool
quality based on the chart, which helps to identify constipation or diarrhea and guide
dietary or medication interventions.
What nursing interventions are critical during a rectal exam? - Answer Ensuring patient
privacy, explaining the procedure, using a gentle touch, and continuous communication
to maintain comfort.
, Which screening methods are recommended for colorectal cancer in adults? - Answer
Stool tests every 2 years and flexible sigmoidoscopy every 10 years for ages 50-74, with
consideration for individual risk factors.
What social determinants of health should be considered in colorectal cancer risk? -
Answer Age, diet, lifestyle, family history, and access to healthcare, with tailored
interventions in at-risk populations like Indigenous communities.
What are key health considerations for older adults regarding rectal exams? - Answer
Be aware of potential relaxation of perianal musculature and decreased sphincter
control, which may affect bowel function and screening outcomes.
How should nurses address health promotion for prostate and colorectal cancer
screening? - Answer Educate patients on early symptoms, recommend age-appropriate
screening methods, and discuss the benefits and risks of tests like PSA and FOBT.
What is the Bristol Stool Chart? - Answer A visual tool used to classify the form of human
feces into seven categories, guiding diagnosis and treatment of bowel disorders.
What is a guaiac fecal occult blood test (gFOBT)? - Answer A screening test for
colorectal cancer that detects hidden blood in the stool using a chemical reaction.
What is a fecal immunochemical test (FIT)? - Answer A test that uses antibodies to
detect human hemoglobin in stool, more sensitive than gFOBT for screening colorectal
cancer.
What is a digital rectal examination (DRE)? - Answer A manual examination where a
healthcare provider inserts a gloved, lubricated finger into the rectum to feel for
abnormalities.
What does FOBT stand for? - Answer Fecal Occult Blood Test, a non-invasive test that
detects hidden blood in the stool, used to screen for colorectal cancer.
What is a flexible sigmoidoscopy? - Answer A procedure where a flexible tube with a
light and camera is inserted into the rectum to examine the sigmoid colon and rectum
for cancerous growths.
What is the Hematest? - Answer A brand name for a fecal occult blood test used to
detect hidden blood in stools, often used in clinical settings.
What is a colonoscopy? - Answer An endoscopic examination of the large bowel and the
distal part of the small bowel with a CCD camera or a fiber optic camera on a flexible
tube passed through the anus.
What is a prostate-specific antigen (PSA) test? - Answer A blood test primarily used to
screen for prostate cancer by measuring the level of PSA, a protein produced by both
cancerous and noncancerous tissue in the prostate.
What are Valsalva maneuvers in the context of rectal examination? - Answer Actions
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