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

File the nails in a rounded shape.

Clean under the nail with an orange stick

Push the cuticles back with a metal nail file.

Trim the nails at the lateral corners.

Answer and Explanation

The Correct Answer is B

A. Filing nails in a rounded shape may lead to ingrown nails, so a straight-across filing is recommended for safety and proper nail care.

B. An orange stick is commonly used to clean under the nails, as it is gentle and reduces the risk of injury to the nail bed.

C. Pushing the cuticles back with a metal nail file can cause injury and infection. A soft tool like an orangewood stick is preferred.

D. Trimming the nails at the lateral corners is not recommended as it can cause the nails to become ingrown. Nails should be trimmed straight across.

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Correct Answer is C

Explanation

A. Bilateral bowel sounds in the lower quadrants are normal and do not require further investigation unless they are abnormal in frequency or tone.

B. A symmetrical convex sphere shape of the abdomen can be a normal finding, especially in a well-nourished individual.

C. Ecchymosis (bruising) may be a sign of trauma, bleeding disorders, or other underlying health conditions that require further investigation.

D. A concave umbilicus may be normal or could indicate a past surgical history or conditions like malnutrition, but it doesn't inherently require investigation unless associated with other symptoms.

A. "Rub all surfaces of your hands with an alcohol rub for 20 to 30 seconds." B. "If you wear gloves, you do not have to wash your hands." C. "If you don't have an infection, your hands won't infect others." D. "Use an alcohol rub when your hands are visibly soiled."

Correct Answer is D

Explanation

A. An abrasion is a superficial wound caused by scraping or rubbing and does not involve the full thickness of the skin.

B. A full-thickness wound with jagged edges and visible muscle tissue is a laceration. Lacerations are typically caused by trauma and result in irregular edges and deeper tissue damage.

C. A puncture wound is caused by a sharp object penetrating the skin, often with a small opening.

D. A contusion is a bruise caused by blunt force trauma that results in damage to underlying tissues but does not involve a break in the skin.

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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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