A nurse is providing nail care for a client.
Which of the following actions should the nurse take?
Trim the nails at the lateral corners.
Clean under the nail with an orange stick.
File the nails in a rounded shape.
Push the cuticles back with a metal nail file.
The Correct Answer is B
Choice A rationale: Trimming nails at lateral corners increases risk of ingrown nails and tissue injury, especially in older adults with fragile skin and poor circulation.
Choice B rationale: Cleaning under nails with an orange stick safely removes debris without damaging nail bed or cuticle, reducing infection risk and maintaining proper hygiene.
Choice C rationale: Filing nails in a rounded shape can predispose to ingrown nails; straight filing is safer and recommended for older adults to prevent complications.
Choice D rationale: Pushing cuticles back with a metal nail file can cause trauma, infection, and damage to nail matrix, making this practice unsafe in clinical nail care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Cleaning the perineal area with antiseptic solution daily is not necessary and can disrupt normal flora.
Choice B rationale:
Routine irrigation of the catheter is not recommended as it can introduce bacteria.
Choice C rationale:
Checking the catheter tubing for kinks or twisting ensures urine flow and prevents infection.
Choice D rationale:
Replacing the catheter every 3 days is not necessary and can increase infection risk.
Correct Answer is B
Explanation
Choice A rationale:
Giving the client access to a video about diabetes is a good teaching tool, but it should come after assessing the client’s knowledge.
Choice B rationale:
The first step in patient education is to assess the client’s learning needs. This includes determining what the client already knows about managing diabetes.
Choice C rationale:
Establishing short-term, realistic goals for the client is important, but it should be done after assessing the client’s knowledge.
Choice D rationale:
Evaluating the effectiveness of the client’s admission teaching plan is a later step, after assessing the client’s knowledge and teaching them about their condition.
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