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: Placing the head of the bed at a 30° angle is the priority action to reduce the risk of aspiration during the feeding.
Choice B reason: Documenting the client's response is important but not the priority action before starting the feeding.
Choice C reason: Wiping the top of the feeding container with alcohol is a standard practice for infection control but is secondary to positioning the client properly.
Choice D reason: Rinsing the feeding bag with water after the feeding is complete is a cleaning procedure and not a priority before starting the feeding.
Correct Answer is B
Explanation
Choice A reason: Weight loss is a concern but not as immediately life-threatening as an elevated temperature, which can indicate infection.
Choice B reason: An elevated temperature in a client with leukemia is a critical finding due to the risk of infection in an immunocompromised individual.
Choice C reason: Fatigue is a common symptom of leukemia but not as urgent as a fever.
Choice D reason: Dysuria is a concern but does not take precedence over a potential infection indicated by a fever.
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