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 B
Explanation
Choice A rationale:
Aphasia, or difficulty with language, is typically associated with left hemisphere strokes.
Choice B rationale:
Right hemisphere strokes often result in difficulty recognizing familiar people and objects.
Choice C rationale:
Right hemiparesis, or weakness on the right side of the body, is typically associated with left hemisphere strokes.
Choice D rationale:
Difficulty reading is typically associated with left hemisphere strokes.
Correct Answer is C
Explanation
Choice A rationale:
Determining if the client needs to continue IV therapy is important, but it is not the first action the nurse should take. The nurse should first address the immediate problem, which is the irritated IV site.
Choice B rationale:
Initiating a new IV line in the other extremity is necessary, but not the first action. The nurse should first discontinue the existing IV line to prevent further irritation or infection.
Choice C rationale:
The nurse should first discontinue the existing IV line. This is because the symptoms indicate that the client might have developed phlebitis, an inflammation of the vein, which requires immediate discontinuation of the IV line.
Choice D rationale:
Applying a hot pack to the irritated site can help reduce inflammation and discomfort, but it is not the first action. The nurse should first discontinue the IV line to prevent further complications.
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