A nurse is collecting data from a client who has iron deficiency anemia. Which of the following locations should the nurse monitor for the clinical manifestation of cheilosis? (You will find hot spots to select in the art work below. Select only the hotspot that corresponds to your answer.)
A
B
C
The Correct Answer is B
Choice A: The lower eyelids
The lower eyelids are not typically associated with cheilosis. Cheilosis, also known as angular cheilitis, is an inflammatory condition that affects the corners of the mouth, not the eyelids.
Choice B: The corners of the mouth
Cheilosis, also known as angular cheilitis, is an inflammatory condition that affects the corners of the mouth. It typically presents as erythema, scaling, fissuring, and ulceration. In patients with iron deficiency anemia, angular cheilitis can be a clinical manifestation. Therefore, a nurse should monitor the corners of the mouth in a client who has iron deficiency anemia for the clinical manifestation of cheilosis.
Choice C: The anterior nares
The anterior nares (nostrils) are not typically associated with cheilosis. Cheilosis, also known as angular cheilitis, is an inflammatory condition that affects the corners of the mouth, not the nostrils.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: A creatinine level of 2.3 mg/dL is elevated and may indicate impaired kidney function, which is significant postoperatively and should be reported to the provider.
Choice B reason: A BUN of 20 mg/dL is within the normal range and typically would not need to be reported unless there is a significant change from the client's baseline.
Choice C reason: A hematocrit of 41% is within the normal range for adults and does not need to be reported unless it represents a significant change for the client.
Choice D reason: A WBC count of 10,000/mm is at the upper limit of the normal range and may not need to be reported unless there are signs of infection, or it is a change from baseline.
Correct Answer is B
Explanation
Choice A reason: Caloric needs for a burn patient are typically higher due to the increased metabolic demand for healing, so restricting to 2,000 calories may not be sufficient.
Choice B reason: Changing gloves between wound care on different body parts is a standard infection control practice to prevent cross contamination.
Choice C reason: Administering a diuretic may be necessary if there is fluid overload, but it is not a routine action based solely on urine output unless specified by a physician.
Choice D reason: Limiting movement or bending of the affected extremities may be necessary initially, but movement is also important for recovery and should be encouraged as tolerated.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today