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

File the nails in a rounded shape.

Clean under the nail with an orange stick

Push the cuticles back with a metal nail file.

Trim the nails at the lateral corners.

Answer and Explanation

The Correct Answer is B

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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Correct Answer is C

Explanation

A. Wearing sterile gloves when moving sterile items is appropriate practice and should not be intervened with.

B. Positioning the wrapped package so the outer flap is away from the nurse is correct to prevent contamination when opening.

C. The nurse should avoid holding sterile items too far above the sterile field to prevent contamination from falling or being exposed to non-sterile areas. Items should be held as close as possible to the sterile field, typically no more than 2 inches (5 cm).

D. Holding the bottle of solution with the label away from the palm of the hand is proper to maintain sterility.

A. "Would it help to discuss your feelings about this hospitalization?" B. "What brought you to the hospital?" C. "Would you tell me about all of your medical issues?" D. "Do you want to talk about your health concerns?"

Correct Answer is B

Explanation

A. Asking "Would it help to discuss your feelings about this hospitalization?" is more closed and may not effectively promote discussion about the client's health history.

B. Asking "What brought you to the hospital?" is an open-ended question that allows the client to provide a comprehensive answer and facilitates a meaningful discussion about their health and hospitalization.

C. "Would you tell me about all of your medical issues?" is too broad and could overwhelm the client. A more specific question would be more effective.

D. "Do you want to talk about your health concerns?" is a yes/no question and may not encourage open communication.

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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 observing a newly licensed nurse prepare a sterile field. For which of the following actions should the nurse intervene?

Correct Answer is C

Explanation

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?

Correct Answer is B

Explanation

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