A nurse is assisting with teaching a class about the function of cells in the epidermis. The nurse should include that which of the following cells determine skin color?

Keratinocytes

Melanocytes

Merkel cells

Langerhans cells

Answer and Explanation

The Correct Answer is B

A. Keratinocytes are the most abundant cells in the epidermis, responsible for producing keratin, which strengthens skin but does not determine skin color.

B. Melanocytes produce melanin, the pigment responsible for skin color. They play a key role in protecting the skin from ultraviolet radiation.

C. Merkel cells are mechanoreceptors involved in touch sensation and do not influence pigmentation.

D. Langerhans cells are part of the immune system, aiding in the detection and presentation of pathogens, with no role in pigmentation.

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Correct Answer is B

Explanation

A. Fill the client's bathtub with water at 48° C (118.4° F): The water temperature should be no higher than 37.8°C (100°F) to avoid burns, especially in clients with spinal cord injuries.

B. Give the client a long-handled sponge: This allows for safe, independent cleaning of hard-to-reach areas.

C. Offer the client bar soap: Liquid soap is preferred to prevent dryness and irritation of the skin.

D. Provide the client with a fixed showerhead: A handheld showerhead is preferred for flexibility and control during bathing.

A. Demonstrate hand hygiene for the client B. Ask the client to demonstrate hand hygiene. C. Identify teaching strategies about hand hygiene for the client D. Determine the client's motivation to learn about hand hygiene.

Correct Answer is C

Explanation

A. Demonstrating hand hygiene is part of the implementation step, not planning.

B. Asking the client to demonstrate is an evaluation step to assess understanding, not planning.

C. Identifying teaching strategies is part of the planning process, as it involves selecting methods to effectively convey the information.

D. Determining motivation to learn is part of the assessment phase, not planning.

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A nurse is assisting with teaching a class about the function of cells in the epidermis. The nurse should include that which of the following cells determine skin color?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting a client who has a spinal cord injury with bathing. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is assisting with preparing a teaching plan for a client about hand hygiene. The nurse should identify that which of the following actions is part of the planning step?

Correct Answer is C

Explanation

A nurse is receiving report on a group of clients. Using the ABCDE priority framework, which of the following clients should the nurse see first?

A nurse is collecting data on a client who reports feeling stress and anxiety. The client appears restless and is pacing. The client is alert and oriented to person, place, and time. Which of the following findings is subjective?

A nurse is assisting with teaching a class about converting household measurements into metric measurements. Which of the following information should the nurse include?

A nurse does not take a client's apical heart rate, but documents that it was taken in the client's electronic health record (EHR). Which of the following terms describes the nurse's actions?

A nurse collecting data on a client who has vitamin A deficiency. Which of the following findings should the nurse expect?

A nurse is assisting with teaching a class about client advocacy. The nurse should include which of the following as an example of client advocacy?