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 B
Explanation
Choice A reason: Chest pain is not a typical symptom of opioid toxicity. Opioids generally have a depressant effect on the body, which does not usually manifest as chest pain.
Choice B reason: Hypotension is a common finding in opioid toxicity due to the depressant effects opioids have on the autonomic nervous system.
Choice C reason: Pupillary dilation is not expected with opioid toxicity; instead, opioids typically cause miosis, which is the constriction of the pupils.
Choice D reason: Diaphoresis, or excessive sweating, can occur with opioid toxicity as part of the body's response to the substance.
Correct Answer is A
Explanation
Choice A reason: Transdermal clonidine can cause xerostomia, commonly known as dry mouth, due to its anticholinergic effects. Advising the client about this potential side effect is important for awareness and management.
Choice B reason: While weight monitoring is important, transdermal clonidine is not typically associated with significant weight loss. Therefore, this would not be a priority action related to the medication.
Choice C reason: Diarrhea is not a common adverse effect of transdermal clonidine. The medication is more likely to cause constipation, so informing the client about diarrhea may not be relevant.
Choice D reason: Hypopigmentation under the patch is not a recognized side effect of transdermal clonidine. The nurse should check for skin irritation or contact dermatitis, which are more common.
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