Question

In: Nursing

For each assessment, please be sure to name the instruments that would be used in the...

For each assessment, please be sure to name the instruments that would be used in the process.


Question 1


Discuss the techniques and assessment of an adult rectum and include one usual abnormal finding


Question 2

Discuss the techniques and assessment of an adult female cervix and include one usual abnormal finding


Question 3 (if necessary, remember to include gloves, lubricant, draping, etc…) The list must be complete, but make it brief.


Name ALL the instruments needed to assess each system above the waist in an adult female. Pick ONLY FOUR systems.



there is no more information other than what i posted

thanks

Solutions

Expert Solution

Question 1- The techniques and assessment of an adult rectum

A rectal assessment is done on clients with abdominal pain and any anxiety for blood loss. There are different positions for the assessment of the rectum which include:

  • Standing position: The client should be upright with toes pointing in and he should bend over a table.
  • Sims position: Here, the client reclines on the left side with the leg straight while the right hip/knee needs to be curved.
  • Knee chest position: In this position, the client will be lying on the table, face down(as in prone) and the knees bending forward up to the chest.

Equipment

  • Gloves
  • Emollient/ lubricant
  • Guaiac testing kit
  • Towel or tissue paper
  • Anoscopy / proctoscopy

Inspection

  • Inspection the skin and anal margin
  • Check if there are any fissures, hemorrhoids, warts, or oozing.

Palpation

  • With emollient on the index finger, tell the client to take a deep breath and place the finger in a 6 o'clock position.
  • Tell the patient to compress the finger with their anal muscles, after identification of the external sphincter tone.
  • Palpate the prostate gland and then the rectal wall beginning from the 6 o'clock point clockwise to the 12 o'clock point (180 degrees) and come back to the 6 o'clock point and palpate the other part of the rectal wall identifying the presence of mass, nodule, pilonidal sinus, fistula, and tenderness.

Usual abnormal finding - Occult blood.


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