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 A

Explanation

Choice A rationale:
Providing warm slipper-socks can help increase the client’s comfort by keeping their feet warm.
Choice B rationale:
Increasing the client’s oral fluid intake would not directly affect the temperature of their feet.
Choice C rationale:
Rubbing the client’s feet briskly for several minutes could potentially harm the client, especially if they have decreased sensation in their feet due to peripheral vascular disease.
Choice D rationale:
Placing a moist heating pad under the client’s feet could potentially burn the client, especially if they have decreased sensation in their feet due to peripheral vascular disease.

A. Remove the IV catheter. B. Apply warm or cold compresses. C. Stop the infusion. D. Apply a sterile dressing. E. Elevate the extremity.

Correct Answer is C,A,D,E,B

Explanation

Here’s the correct order of actions a nurse should take when infiltration is identified at an IV site: C. Stop the infusion A. Remove the IV catheter D. Apply a sterile dressing E. Elevate the extremity B. Apply warm or cold compresses ? Rationale: Stopping the infusion prevents further infiltration. Removing the catheter eliminates the source of fluid leakage. Applying a sterile dressing protects the site from infection. Elevation helps reduce swelling. Compresses (warm for older infiltrations, cold for recent ones) promote absorption and comfort.

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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

A nurse is caring for a client who has peripheral vascular disease and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort?

Correct Answer is A

Explanation

A nurse is caring for a client and identifies an infiltration at the IV catheter site. Identify the order the nurse should perform the following actions. (Move the steps into the box on the right, placing them in the selected order of performance. All steps must be used.).

Correct Answer is C,A,D,E,B

Explanation

While assessing a client who is receiving continuous IV therapy via his left forearm, a nurse notes that the site is red, swollen, and painful and that the surrounding tissues are hard. Which of the following actions should the nurse take first?

A nurse is caring for a client who reports an area of redness, warmth, tenderness, and pain in the right calf. The nurse anticipates which of the following orders when notifying the provider of this finding?

A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following medications should the nurse plan to administer?

A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? (Select all that apply.).

A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?.

A nurse is caring for a client who is undergoing a lumbar puncture. Which of the following is the priority action for the nurse to take to maintain privacy for the client?

A nurse is teaching a client who has fibrocystic breast condition (FBC) about strategies to minimize discomfort. Which of the following instructions should the nurse include in the teaching?

A nurse is providing nail care for a client.

Which of the following actions should the nurse take?