While assisting a female client into the lithotomy position for a pelvic examination the nurse observes the following on the patient's perineum. For which health problem should the nurse expect orders to be written by the healthcare provider? 
Definitions:
Ruler
An individual who holds significant political power or authority over a country, state, or territory; often a monarch, emperor, or president.
Enlightenment
A cultural and intellectual movement of the 17th and 18th centuries emphasizing reason, individualism, and skepticism towards traditional doctrines.
Political Order
The set of structures, institutions, and processes that shape how power is exercised, how decisions are made, and how citizens interact with the state.
Divinely Sanctioned
Justified, supported, or approved by a deity or religious authority, often used to legitimize actions, leaders, or laws.
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