M.L. is a 50-year-old male who presents to the family practice for a yearly physical. The patient has noticed a change in bowel movements. He states that his stools are dark colored and that he has been passing gas more frequently. His last bowel movement was this morning prior to the office visit. He has no other complaints at this time. The patient has a past medical history of depression and hemorrhoids. Vital signs are: T 97.5, P 85, R 16, and BP 110/55.

1. What subjective information should the nurse obtain?

2. The nurse is preparing to perform the physical examination. What are the major structures of the anus and rectum?

3. The nurse needs to assess the patient's anal area. What is the proper procedure for this assessment?

4. What health promotion concepts should the nurse teach this patient regarding the anus, rectum, and prostate?

5. What interventions would be implemented

6. A histamine (H2)- receptor antagonist will be prescribed for a client. The nurse understands that which medications are H2-receptor antagonist? Select all that apply.

1. Nizatidine (Axid)

2. Ranitidine (Zantac)

3. Famotidine (Pepcid)

4. Cimetidine (Tagamet)

5. Esomeprazole (Nexium)

6. Lansoprazole (Prevacid