NUR1 239 Chapter Notes - Chapter 26: Rectal Prolapse, Rectal Pain, Anal Fissure
Document Summary
Extent of assessment depends on the rectal problems stated by the client. Digital examination can cause apprehension and embarrassment in pt, help the client relax by encouraging the client to take a slow , deep breaths because tension can cause spasms of the anal sphincter making the examination uncomfortable. Inform the client about potential sensations such as feelings of defecation or passing gas. Inquire if client any history of the ff : Bright blood in stools, tarry black stools, diarrhea, constipation, abdominal pain, excessive gas, hemorrhoids, or rectal pain. When last stool specimen for occult blood was performed and results. In males, if not obtained during genitourinary examination, the signs and symptoms of prostate enlargement (e. g slow urinary stream, hesistance, frequency, dribbling, and nocturia) Standing position while the client bends over the examining table (males) Inspect anus and surrounding tissue for color, integrity, and skin lesions.
