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 B

Explanation

A. The dorsal surface of the foot and the dorsal surface of the hand are less reliable areas to assess for cyanosis in dark-skinned individuals.

B. Cyanosis in clients with dark skin can be more difficult to detect in the skin but is often visible in the conjunctivae of the eyes, as it reflects the oxygenation status of the blood.

C. The dorsal surface of the hand is also not an ideal area for assessing cyanosis in dark skin.

D. The pinnae of the ears can show signs of cyanosis but may not be as reliable as the conjunctivae, especially in dark-skinned individuals.

A. Wheezes B. Rhonchi C. Crackles D. Stridor

Correct Answer is A

Explanation

A. Wheezes are high-pitched continuous sounds heard during exhalation, commonly associated with asthma due to narrowed airways.

B. Rhonchi are low-pitched sounds caused by airflow obstruction in the larger airways and typically clear with coughing.

C. Crackles (or rales) are high-pitched sounds heard during inhalation and are often associated with fluid in the lungs, such as in pneumonia or heart failure.

D. Stridor is a high-pitched sound heard during inspiration and is often indicative of upper airway obstruction.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing for cyanosis in a client who has dark skin. Which of the following sites should the nurse examine to identify cyanosis in this client?

Correct Answer is B

Explanation

A nurse is auscultating the breath sounds of a client who has asthma. When the client exhales, the nurse hears continuous high-pitched squeaking sounds. The nurse should document this as which of the following adventitious breath sounds?

Correct Answer is A

Explanation

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