A nurse is collecting data from a client who has iron deficiency anemia. Which of the following locations should the nurse monitor for the clinical manifestation of cheilosis? (You will find hot spots to select in the art work below. Select only the hotspot that corresponds to your answer.)
A
B
C
The Correct Answer is B
Choice A: The lower eyelids
The lower eyelids are not typically associated with cheilosis. Cheilosis, also known as angular cheilitis, is an inflammatory condition that affects the corners of the mouth, not the eyelids.
Choice B: The corners of the mouth
Cheilosis, also known as angular cheilitis, is an inflammatory condition that affects the corners of the mouth. It typically presents as erythema, scaling, fissuring, and ulceration. In patients with iron deficiency anemia, angular cheilitis can be a clinical manifestation. Therefore, a nurse should monitor the corners of the mouth in a client who has iron deficiency anemia for the clinical manifestation of cheilosis.
Choice C: The anterior nares
The anterior nares (nostrils) are not typically associated with cheilosis. Cheilosis, also known as angular cheilitis, is an inflammatory condition that affects the corners of the mouth, not the nostrils.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Confusion can be a symptom of cystitis in older adults due to the infection's systemic effects.
Choice B reason: Referred pain in the right shoulder is more commonly associated with gallbladder issues, not cystitis.
Choice C reason: Hypothermia is not typically associated with cystitis; fever is more common.
Choice D reason: Orange colored urine may be due to certain medications or dehydration, not specifically cystitis.
Correct Answer is C
Explanation
Choice A reason: Drinking contrast medium is not typically required for an EGD, as it is not a radiographic study.
Choice B reason: A cleansing enema is not necessary for an EGD, as the procedure examines the upper gastrointestinal tract.
Choice C reason: Ensuring that the signed consent is in the medical record is a critical step before any procedure to confirm that the client has been informed and agrees to the procedure.
Choice D reason: Shaving the client from axillae to groin is not related to the preparation for an EGD, which involves the upper GI tract.
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