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: The patient should be positioned leaning forward with arms and head resting supported on a bedside adjustable table. This position allows for the expansion of the intercostal spaces and easier access to the pleural space for fluid removal.
Choice B reason: Elevating the knees is not a recommended position for thoracentesis as it does not facilitate access to the pleural space and may cause discomfort or movement that could complicate the procedure.
Choice C reason: The prone position is not suitable for thoracentesis because it does not allow for proper access to the pleural space and can increase the risk of complications.
Choice D reason: The lithotomy position is used for gynecological, urological, and proctological procedures and is not appropriate for thoracentesis, which requires access to the chest area.
Correct Answer is D
Explanation
Choice A reason: Padded tongue blades should not be used during a seizure as they can cause injury to the client.
Choice B reason: Wrist restraints are not routinely recommended for clients with seizure disorders and can cause injury if a seizure occurs.
Choice C reason: A backboard is not necessary at the bedside at all times for a client with a seizure disorder.
Choice D reason: Suction equipment should be readily available to clear the airway if secretions are present after a seizure.
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