Hemorrhoids

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  • 1/6 Questions

    Which of the following factors would most likely be a primary cause of her hemorrhoids? 

    • Her age
    • Three vaginal delivery pregnancies
    • Her job as a school teacher
    • Varicosities in the legs
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About This Quiz

This Hemorrhoids quiz assesses knowledge on causes, management, and postoperative care related to hemorrhoids. It covers key topics such as the impact of pregnancy, effective pain management strategies, and the use of medicinal astringents. Essential for nursing professionals, this quiz ensures readiness in handling hemorrhoid-related medical scenarios.

Hemorrhoids - Quiz

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  • 2. 

    Which position would be ideal for the client in the early postoperative period after hemorrhoidectomy? 

    • High Fowler’s

    • Supine

    • Side – lying

    • Trendelenburg’s

    Correct Answer
    A. Side – lying
    Explanation
    Positioning in the early postoperative phase should avoid stress and pressure on the operative site. The prone and side – lying are ideal from a comfort perspective. A high Fowler’s or supine position will place pressure on the operative site and is not recommended. There is no need for trendelenburg’s position.

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  • 3. 

    Nurse Nico instructs her client who has had a hemorrhoidectomy not to used sitz bath until at least 12 hours postoperatively to avoid which of the following complications? 

    • Hemorrhage

    • Rectal Spasm

    • Urinary retention

    • Constipation

    Correct Answer
    A. Hemorrhage
    Explanation
    Applying heat during the immediate postoperative period may cause hemorrhage at the surgical site. Moist heat may relieve rectal spasms after bowel movements. Urinary retention caused by reflex spasm may also be relieved by moist heat. Increasing fiber and fluid in the diet can help constipation.

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  • 4. 

    The nurse is interviewing a male client about his past medical history. Which preexisting condition may lead the nurse to suspect that a client has colorectal cancer?

    • Duodenal ulcers

    • Hemorrhoids

    • Weight gain

    • Polyps

    Correct Answer
    A. Polyps
    Explanation
    Colorectal polyps are common with colon cancer. Duodenal ulcers and hemorrhoids aren’t preexisting conditions of colorectal cancer. Weight loss — not gain — is an indication of colorectal cancer.

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  • 5. 

    Client education should include minimizing client discomfort due to hemorrhoids. Nursing management should include: 

    • Suggest to eat low roughage diet

    • Advise to wear silk undergarments

    • Avoid straining during defecation

    • Use of sitz bath for 30 minutes

    Correct Answer
    A. Avoid straining during defecation
    Explanation
    Straining can increase intra abdominal pressure. Health teachings also include: suggest to eat high roughage diet, wearing of cotton undergarments and use of sitz bath for 15 minutes.

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  • 6. 

    The doctor orders for Witch Hazel 5 %. Nurse Nico knows that the action of this astringent is: 

    • Temporarily relieves pain, burning, and itching by numbing the nerve endings

    • Causes coagulation (clumping) of proteins in the cells of the perianal skin or the lining of the anal canal

    • Inhibits the growth of bacteria and other organisms

    • Causes the outer layers of skin or other tissues to disintegrate

    Correct Answer
    A. Causes coagulation (clumping) of proteins in the cells of the perianal skin or the lining of the anal canal
    Explanation
    Option a are local anesthetics; c are antiseptics and d are keratolytics.

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Quiz Review Timeline (Updated): Sep 29, 2023 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Sep 29, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Mar 05, 2013
    Quiz Created by
    RNpedia.com
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