A nurse is providing nail care for a client.

Which of the following actions should the nurse take?

Trim the nails at the lateral corners.

Clean under the nail with an orange stick.

File the nails in a rounded shape.

Push the cuticles back with a metal nail file.

Answer and Explanation

The Correct Answer is B

Choice A rationale: Trimming nails at lateral corners increases risk of ingrown nails and tissue injury, especially in older adults with fragile skin and poor circulation.

Choice B rationale: Cleaning under nails with an orange stick safely removes debris without damaging nail bed or cuticle, reducing infection risk and maintaining proper hygiene.

Choice C rationale: Filing nails in a rounded shape can predispose to ingrown nails; straight filing is safer and recommended for older adults to prevent complications.

Choice D rationale: Pushing cuticles back with a metal nail file can cause trauma, infection, and damage to nail matrix, making this practice unsafe in clinical nail care.

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Correct Answer is C

Explanation

Choice A rationale:
A thrombotic stroke occurs when a blood clot forms in one of the arteries that supply blood to the brain. It does not typically cause a sudden, severe headache and vomiting.
Choice B rationale:
A transient ischemic attack (TIA), or “mini-stroke,” is a temporary blockage of blood flow to the brain. It does not cause a sudden, severe headache and vomiting.
Choice C rationale:
A hemorrhagic stroke occurs when a blood vessel in the brain bursts, causing bleeding into the brain. This can cause a sudden, severe headache and vomiting.
Choice D rationale:
An embolic stroke occurs when a blood clot or other debris forms away from your brain — commonly in your heart — and is swept through your bloodstream to lodge in narrower brain arteries. This type of stroke does not typically cause a sudden, severe headache and vomiting.

A. "This test will tell your doctor how your kidneys are functioning.”. B. "This test will tell if you have severe renal impairment or a disease.”. C. "We'll find out if any medications, such as steroids, are interfering with your kidney function.”. D. "You'll have to ask your doctor.”.

Correct Answer is A

Explanation

Choice A rationale:
Serum creatinine level is a reliable indicator of kidney function.
Choice B rationale:
While it can indicate severe renal impairment, it doesn’t diagnose specific diseases.
Choice C rationale:
It doesn’t specifically test for medication interference.
Choice D rationale:
It’s the nurse’s role to provide this information, not defer to the doctor.

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

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

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