Mr. Vic, an Executive Officer of a big company, is complaining of pain in the anus and rectal itching. He is admitted in the hospital with a diagnosis of hemorrhoids.
61. Which of these does not help in diagnosis of hemorrhoids:
A. Proctoscopy
B. Digital palpation
C. Internal hemorrhoids through history
D. Anoscopy
62. Which of the following is the cause of hemorrhoids?
A. Diarrhea
B. Constipation
C. Increased intra-abdominal pressure
D. Prolonged straining
63. Immediately after hemorrhoidectomy, the priority goal of nursing care for Mr. Vic should be to:
A. Prevent venous stasis
B. Administer hot-sitz bath
C. Control pain
D. Remove the anal pack
64. Hot sitz TID was prescribed for Mr. Vic. The implementation should be delayed until at least 12 hours post-operatively to avoid inducing:
A. Constipation
B. Hemorrhage
C. Residual urine
D. Rectal spasm
65. Mr. Vic is to continue having hot sitz baths after discharge. The nurse has been teaching him the proper procedure of doing it, when is this done:
A. At bedtime
B. After defecating
C. Before breakfast
D. As needed for comfort
