A nurse is completing discharge teaching with a client. Of the following barriers to learning the nurse identifies with this client, which should the nurse interpret as a need to postpone the session?

Motor impairment

Pain

The client's culture

Hearing loss

Answer and Explanation

The Correct Answer is B

A. An abrasion is a superficial wound caused by scraping or rubbing and does not involve the full thickness of the skin.

B. A full-thickness wound with jagged edges and visible muscle tissue is a laceration. Lacerations are typically caused by trauma and result in irregular edges and deeper tissue damage.

C. A puncture wound is caused by a sharp object penetrating the skin, often with a small opening.

D. A contusion is a bruise caused by blunt force trauma that results in damage to underlying tissues but does not involve a break in the skin.

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Correct Answer is A

Explanation

A. Decreased muscle mass is a normal age-related musculoskeletal change. This can lead to reduced strength and mobility in older adults.

B. Chest width typically remains stable, though changes in lung function or posture may occur with aging.

C. Vertebral disks tend to thin and lose hydration with age, not thicken.

D. The force of isometric contraction typically decreases with aging due to muscle weakness and decreased muscle mass.

A. File the nails in a rounded shape. B. Clean under the nail with an orange stick C. Push the cuticles back with a metal nail file. D. Trim the nails at the lateral corners.

Correct Answer is B

Explanation

A. Filing nails in a rounded shape may lead to ingrown nails, so a straight-across filing is recommended for safety and proper nail care.

B. An orange stick is commonly used to clean under the nails, as it is gentle and reduces the risk of injury to the nail bed.

C. Pushing the cuticles back with a metal nail file can cause injury and infection. A soft tool like an orangewood stick is preferred.

D. Trimming the nails at the lateral corners is not recommended as it can cause the nails to become ingrown. Nails should be trimmed straight across.

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A nurse is completing discharge teaching with a client. Of the following barriers to learning the nurse identifies with this client, which should the nurse interpret as a need to postpone the session?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a presentation at a senior center about age-related musculoskeletal changes. Which of the following changes should the nurse plan to include?

Correct Answer is A

Explanation

A nurse is providing nail care for a client. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is completing discharge teaching with a client. Of the following barriers to learning the nurse identifies with this client, which should the nurse interpret as a need to postpone the session?

A nurse is auscultating the breath sounds of a client who has asthma. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. The nurse should document this as which of the following adventitious breath sounds?

A nurse is assessing for cyanosis in a client who has dark skin. Which of the following sites should the nurse examine to identify cyanosis in this client?

A nurse is measuring a client's oral temperature. The client informs the nurse that he has just eaten some ice chips. Which of the following actions should the nurse take?

A nurse is preparing to teach a client who has a low literacy level. Which of the following methods should the nurse plan to include?

A nurse is admitting a client who has hepatitis C. Which of the following precautions should the nurse implement?

A nurse is preparing to collect health history data during a client's admission. Which of the following questions should the nurse use to promote this discussion?

A nurse is caring for a client who has a stage I pressure ulcer. Which of the following dressings should the nurse plan to apply?