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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale:
Sensitivity to light is a common postoperative symptom after cataract surgery.
Choice B rationale:
Difficulty with depth perception is expected when one eye is patched.
Choice C rationale:
Severe pain is not a normal postoperative symptom and should be reported to the provider.
Choice D rationale:
Itching is a common postoperative symptom after cataract surgery.

A. Apply a cold pack to the client's upper arm. B. Measure the circumference of both upper arms. C. Remove the PICC line. D. Notify the provider who inserted the PICC line.

Correct Answer is B

Explanation

Choice A rationale:
Applying a cold pack to the client’s upper arm would not be the first action to take. It may help reduce swelling, but it does not address the underlying issue.
Choice B rationale:
Measuring the circumference of both upper arms is the correct first action. This will provide objective data about the extent of the swelling, which can then be reported to the healthcare provider.
Choice C rationale:
Removing the PICC line is not the first action to take. This should only be done under the direction of a healthcare provider.
Choice D rationale:
Notifying the provider who inserted the PICC line is important, but it should be done after gathering all necessary data, including measuring the arm circumference.

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A nurse is providing nail care for a client. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client following cataract surgery. Which of the following comments from the client should the nurse report to the client's provider?

Correct Answer is C

Explanation

A nurse is caring for a client who is receiving total parenteral nutrition via a peripherally inserted central catheter (PICC). When assessing the client, the nurse notes swelling of the client's arm above the PICC insertion site. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

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A nurse is providing nail care for a client.

Which of the following actions should the nurse take?