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.
The Correct Answer is C
Choice A rationale:
Trimming the nails at the lateral corners can lead to ingrown toenails, which can cause pain and infection.
Choice B rationale:
Cleaning under the nail with an orange stick can cause injury to the nail bed and lead to infection.
Choice C rationale:
Filing the nails in a rounded shape can prevent injury and is the recommended method for nail care.
Choice D rationale:
Pushing the cuticles back with a metal nail file can cause injury and infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Potassium 2.3 mEq/L is below the normal range of 3.5 to 5.0 mEq/L1. Hydrochlorothiazide, a diuretic, can cause hypokalemia, which is a low level of potassium.
Choice B rationale:
Chloride 99 mEq/L is within the normal range of 96 to 106 mEq/L2, so it’s not a concern.
Choice C rationale:
Sodium 136 mEq/L is within the normal range of 135 to 145 mEq/L3, so it’s not a concern.
Choice D rationale:
Calcium 10 mg/dL is within the normal range of 8.6 to 10.2 mg/dL4, so it’s not a concern.
Correct Answer is B
Explanation
Choice A rationale:
Giving the client access to a video about diabetes is a good teaching tool, but it should come after assessing the client’s knowledge.
Choice B rationale:
The first step in patient education is to assess the client’s learning needs. This includes determining what the client already knows about managing diabetes.
Choice C rationale:
Establishing short-term, realistic goals for the client is important, but it should be done after assessing the client’s knowledge.
Choice D rationale:
Evaluating the effectiveness of the client’s admission teaching plan is a later step, after assessing the client’s knowledge and teaching them about their condition.
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