During the health history, the patient states, "It really hurts back there, and sometimes it itches, too.I have even seen blood on the toilet tissue after I have had a bowel movement.Is there something there?" Upon inspection of the anus, the nurse will see a(n):

Question

Quizplus · Accepted Answer

These symptoms are consistent with an external hemorrhoid.An external hemorrhoid, when thrombosed, contains clotted blood and becomes a painful, swollen, shiny blue mass that itches and bleeds with defecation.When the external hemorrhoid resolves, it leaves a flabby, painless skin sac around the anal orifice.An internal hemorrhoid is not palpable but may appear as a red mucosal mass when the person performs a Valsalva manoeuvre.A rectal prolapse appears moist, red, and doughnut shaped, with radiating lines.

During the Health History, the Patient States, "It Really Hurts