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 D

Explanation

Choice A rationale:
While hypertension is a risk factor for stroke, it is modifiable through lifestyle changes and medication.
Choice B rationale:
Smoking is a modifiable risk factor for stroke. Quitting smoking can significantly reduce the risk of stroke.
Choice C rationale:
Obesity is a modifiable risk factor for stroke. Weight loss and maintaining a healthy weight can reduce the risk of stroke.
Choice D rationale:
Genetics is a nonmodifiable risk factor for stroke. Individuals with a family history of stroke are at a higher risk, and this cannot be changed.

A. Potassium 2.3 mEq/L. B. Chloride 99 mEq/L. C. Sodium 136 mEq/L. D. Calcium 10 mg/dL.

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.

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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

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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A nurse is providing nail care for a client.

Which of the following actions should the nurse take?