HESI RN HEALTH ASSESSMENT PROCTORED EXAM
While completing an admission assessment for a client with gastrointestinal bleeding, the nurse inspects the perianal area and anus. Which findings indicate a normal appearance of the anus?
Explanation & Rationale
A. Dimpled area above anus: This can be a sign of a pilonidal cyst, a condition where hair follicles become embedded under the skin.B. Flap of tissue at sphincter: This could indicate haemorrhoids, swollen veins in the anus and rectum.C. Hypotonic tone of the anal sphincter: Weak anal sphincter tone can lead to faecal incontinence.D. Increased pigmentation and coarse skin: This is a normal finding, especially in adults. The perianal area can have a darker colour and thicker skin texture compared to other areas
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