While Performing an Assessment of the Perianal Area of a Patient

question 3

Multiple Choice

While performing an assessment of the perianal area of a patient, the nurse notices that the pigmentation of the anus is darker than the surrounding skin, the anal opening is closed, and a skin sac that is shiny and blue is noted. The patient mentioned that he has had pain with bowel movements and has occasionally noted some spots of blood. What does this assessment and history most likely indicate?

• A) Anal fistula
• B) Pilonidal cyst
• C) Rectal prolapse
• D) Thrombosed hemorrhoid

Distinguish between bureaucratic and flexible organizational structures.

Differentiate between horizontal and vertical differentiation within organizations.

Understand Charles Perrow’s key aspects of organizational structure modification in response to technology.

Explain the concept of spatial differentiation in organizations.

---

Definitions:

Fill

The act of populating an area or object with a particular color, pattern, or texture in graphic design and software applications.

Ink Annotations

In digital documents or software, ink annotations are notes or drawings made directly on the document using a stylus or mouse, resembling handwriting or sketching on paper.

Pen

A device used for writing or drawing, traditionally using ink but also referring to a stylus used with electronic devices for input.

Highlighter

A tool or feature used to mark or emphasize text or portions of a document with a bright, translucent color to make them stand out.