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The nurse is teaching an elderly patient about nail care and hygiene. The nurse should instruct the patient to do which of the following?

(Select all that apply.).

Trim nails straight across and file edges smoothly.

Soak nails in warm water before trimming to soften them.

Use a metal nail file or scissors to cut nails.

Apply a clear nail polish to protect nails from cracking.

Report any signs of infection or inflammation around nails.

Answer and Explanation

Correct Answer : A,B,E

The correct answer is A, B, and E.

The nurse should instruct the patient to do the following:.

• Trim nails straight across and file edges smoothly.

• Soak nails in warm water before trimming to soften them.

• Report any signs of infection or inflammation around nails.

These are good practices for nail hygiene and health, especially for the elderly who may have dry, brittle or thickened nails. Trimming nails straight across and filing them prevents ingrown nails and reduces the risk of injury or infection. Soaking nails in warm water makes them easier to cut and less likely to crack or split. Reporting any signs of infection or inflammation around nails is important to prevent complications and get appropriate treatment.

Choice C is wrong because using a metal nail file or scissors to cut nails can damage the nail plate and cause splitting or tearing. Choice D is wrong because applying a clear nail polish to protect nails from cracking is unnecessary and may worsen nail health by trapping moisture and bacteria under the polish.

To maintain healthy nails, the elderly should also scrub the underside of their nails with soap and water, moisturize their nails and cuticles, avoid biting or chewing their nails, eat nutritious foods rich in calcium and vitamins B and C, and use sterilized nail grooming tools.

: Fingernail Care for the Elderly - assisting hands-il-wi.com: Fingernails: Do’s and don’ts for healthy nails - Mayo Clinic: Nail Hygiene | CDC - Centers for Disease Control and Prevention.

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Correct Answer is D

Explanation

You can do any of the above options, depending on your preference and medical condition.

Erectile dysfunction (ED) is the inability to get and maintain an erection for sexual activity.

It can be caused by physical or psychological factors, or both.

ED can affect your self-esteem, stress level and relationship quality.

There are different treatment options for ED, and they work in different ways.

Some of the most common ones are:.

• Oral medicationssuch as sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra) or avanafil (Stendra).

These drugs enhance the effects of nitric oxide, a chemical that relaxes the muscles in the penis and increases blood flow.

You need to take them before sexual activity, and they only work if you are sexually stimulated.

They are not safe for everyone, especially if you have heart problems, low blood pressure, liver disease or certain eye conditions.They can also cause side effects such as headache, flushing, nasal congestion or indigestion.

• Penile self-injectionssuch as alprostadil (Caverject, Edex) or papaverine (OraVerse).

These are shots of medicine that you inject into the base or side of your penis with a fine needle.

They cause an erection by dilating the blood vessels in the penis.

The erection lasts about 20 to 30 minutes, and you need to use them only when needed.They can cause side effects such as bleeding, pain, priapism (a prolonged and painful erection) or fibrous tissue formation.

• Alprostadil urethral suppository(Muse).

This is a tiny pellet of medicine that you insert into your urethra (the tube that carries urine out of the body) with a special device.

It works by expanding the blood vessels in the penis and causing an erection.

The erection lasts about 30 to 60 minutes, and you need to use it only when needed.It can cause side effects such as burning, pain, bleeding or infection.

• Vacuum erection device(VED).

This is a plastic tube that you place over your penis and pump out the air to create a vacuum.

This draws blood into the penis and causes an erection.

You then slide a rubber ring around the base of your penis to keep the blood in place.

The erection lasts as long as the ring is on, up to 30 minutes.

You need to use it only when needed.It can cause side effects such as bruising, numbness, pain or difficulty ejaculating.

• Penile implant surgery.

This is a procedure where inflatable or bendable devices are surgically placed on both sides of your penis.

You can control when and how long you have an erection by inflating or deflating the devices with a pump or a switch.This is a permanent solution for ED, but it requires surgery and has risks of infection, mechanical failure or erosion.

Other treatment options for ED include hormone therapy, psychotherapy, lifestyle changes and natural remedies.

However, these may not be as effective or safe as the ones mentioned above.

The best treatment option for you depends on your personal preference, medical condition, cost and availability.

You should talk to your doctor about the benefits and risks of each option and choose the one that suits you best.

A. Avoid crossing your legs when sitting. B. Wear compression stockings. C. Drink caffeinated beverages. D. Change positions slowly. E. Increase your salt intake.

Correct Answer is ["A","B","D"]

Explanation

The correct answer is A, B, and D.These are some of the strategies to prevent orthostatic hypotension, which is a sudden drop in blood pressure caused by a change in posture, such as when a person stands up quickly.

Some explanations for the other choices are:.

• Choice C is wrong because drinking caffeinated beverages can cause dehydration, which can worsen orthostatic hypotension by reducing the fluid volume in the blood vessels.

• Choice E is wrong because increasing salt intake can raise blood pressure, but it can also cause fluid retention, which can strain the heart and kidneys.People with hypertension, heart failure, or kidney disease should limit their salt intake.

Some normal ranges for blood pressure are:.

• Systolic blood pressure (the top number) should be less than 120 mmHg for most adults.

• Diastolic blood pressure (the bottom number) should be less than 80 mmHg for most adults.

• Orthostatic hypotension is diagnosed when there is a drop of 20 mmHg or more in systolic blood pressure or 10 mmHg or more in diastolic blood pressure within 2 to 5 minutes of standing.

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The nurse is teaching an elderly patient about nail care and hygiene. The nurse should instruct the patient to do which of the following? (Select all that apply.).

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Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client who has erectile dysfunction due to diabetes mellitus. The client asks the nurse what he can do to improve his sexual function. Which of the following responses should the nurse give?

Correct Answer is D

Explanation

A nurse is educating a client who is 60 years old about strategies to prevent orthostatic hypotension. Which of the following instructions should the nurse include? (Select all that apply.).

Correct Answer is ["A","B","D"]

Explanation

A nurse is reviewing the results of a functional status assessment for an older adult client using the Katz Index of Independence in Activities of Daily Living (ADLs). The nurse notes that the client scored 4 out of 6 on this tool. What does this score indicate?

A nurse is planning care for an older adult client who has impaired tactile sensation due to aging. Which of the following interventions should the nurse include? (Select all that apply.).

A nurse is teaching an older adult client about the benefits of social interaction for health and well-being. Which of the following statements by the client indicates a need for further teaching?

A nurse is performing a mental status examination on an older adult client who has delirium. Which of the following tools can the nurse use to assess the client’s attention span and concentration?

The nurse is assessing an older adult client who has osteoporosis and reports frequent falls. The nurse should ask the client about which of the following factors that could contribute to falls? (Select all that apply.).

The nurse is reviewing the laboratory results of an older adult client who has a urinary tract infection (UTI). Which of the following findings should alert the nurse to a possible complication of UTI in older adults? (Select all that apply.).

The nurse is providing discharge instructions to an older adult client who has diabetes mellitus and is taking oral hypoglycemic agents. The nurse should advise the client to do which of the following?

A nurse is caring for an older adult client who has depression and reports having chronic pain in his lower back. Which of the following actions should the nurse take?

The nurse is teaching an elderly patient about nail care and hygiene. The nurse should instruct the patient to do which of the following?

(Select all that apply.).