The nurse is aware that the following findings would be further evidence of a urethral injury in a male client during rectal examination?
- A. A low-riding prostate
- B. The presence of a boggy mass
- C. Absent sphincter tone
- D. A positive Hemoccult
Of the listed options, only B. The presence of a boggy mass is further evidence of a urethral injury in a male client during rectal examination.
Let's analyze each option:
A. A low-riding prostate:
This finding is not indicative of a urethral injury. In fact, a low-riding prostate is more likely seen in conditions like enlarged prostate or prostatitis.
B. The presence of a boggy mass:
This is a potential sign of a hematoma, which can be caused by bleeding associated with a urethral injury.
C. Absent sphincter tone:
While this can be a symptom of various conditions, it's not specific to urethral injury and requires further investigation.
D. A positive Hemoccult:
A positive Hemoccult test indicates the presence of blood in the stool, which isn't directly related to urethral injury and could have other causes.
Therefore, the most relevant finding for urethral injury during a rectal exam is the presence of a boggy mass, suggesting a potential hematoma. It's important to remember that a single finding is not enough for diagnosis, and other symptoms and diagnostic tests are necessary for definitive confirmation.
