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?

Choice A rationale Hypotonic tone of the anal sphincter is an abnormal finding and may indicate neurological or muscular disorders affecting the sphincter control. Choice B rationale A dimpled area above the anus can be a sign of a congenital condition such as a pilonidal sinus or other abnormalities. Choice C rationale Increased pigmentation and coarse skin around the anus are normal findings and are due to the natural variation in skin texture and color in this area. Choice D rationale A flap of tissue at the sphincter, also known as a skin tag, can be a normal finding but may also indicate previous hemorrhoids or other conditions.