Try Naxlex NCLEX-RN (Free-Trial)

The nurse is teaching an elderly patient about nail care and hygiene. The nurse should instruct the patient to do which of the following?

(Select all that apply.).

Trim nails straight across and file edges smoothly.

Soak nails in warm water before trimming to soften them.

Use a metal nail file or scissors to cut nails.

Apply a clear nail polish to protect nails from cracking.

Report any signs of infection or inflammation around nails.

Answer and Explanation

Correct Answer : A,B,E

The correct answer is A, B, and E.

The nurse should instruct the patient to do the following:.

• Trim nails straight across and file edges smoothly.

• Soak nails in warm water before trimming to soften them.

• Report any signs of infection or inflammation around nails.

These are good practices for nail hygiene and health, especially for the elderly who may have dry, brittle or thickened nails. Trimming nails straight across and filing them prevents ingrown nails and reduces the risk of injury or infection. Soaking nails in warm water makes them easier to cut and less likely to crack or split. Reporting any signs of infection or inflammation around nails is important to prevent complications and get appropriate treatment.

Choice C is wrong because using a metal nail file or scissors to cut nails can damage the nail plate and cause splitting or tearing. Choice D is wrong because applying a clear nail polish to protect nails from cracking is unnecessary and may worsen nail health by trapping moisture and bacteria under the polish.

To maintain healthy nails, the elderly should also scrub the underside of their nails with soap and water, moisturize their nails and cuticles, avoid biting or chewing their nails, eat nutritious foods rich in calcium and vitamins B and C, and use sterilized nail grooming tools.

: Fingernail Care for the Elderly - assisting hands-il-wi.com: Fingernails: Do’s and don’ts for healthy nails - Mayo Clinic: Nail Hygiene | CDC - Centers for Disease Control and Prevention.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

The correct answer is D.

Digit Span Test (DST).

The DST is a tool that can be used to assess the client’s attention span and concentration by asking them to repeat a series of digits forward and backward (Martin, 1990).

The DST is part of the Mini-Mental State Examination (MMSE), which is a broader tool that covers other domains of cognitive functioning, such as orientation, memory, language, and visuospatial skills (Folstein et al., 1975).

Choice A is wrong because the MMSE is not a specific tool for attention span and concentration, but rather a general screening tool for cognitive impairment.

Choice B is wrong because the Confusion Assessment Method (CAM) is a tool that can be used to diagnose delirium, but not to assess attention span and concentration.

The CAM focuses on four features of delirium: acute onset and fluctuating course, inattention, disorganized thinking, and altered level of consciousness (Inouye et al., 1990).

Choice C is wrong because the Clock Drawing Test (CDT) is a tool that can be used to assess visuospatial skills and executive function, but not attention span and concentration.

The CDT requires the client to draw a clock face with numbers and hands indicating a specific time (Shulman et al., 1986).

Normal ranges for the DST vary depending on the age and education level of the client, but generally a score of 5 or more digits forward and 4 or more digits backward is considered normal (Martin, 1990).

A. Decreased immune response B. Decreased chest wall compliance C. Decreased alveolar surface area. D. Decreased oxygen saturation. E. Decreased bronchial dilation.

Correct Answer is ["A","B","C"]

Explanation

The correct answer is A, B and C.

These are the factors that increase the risk of respiratory infections in elderly patients:.

• Decreased immune response: Elderly patients have a weaker immune system that makes them more susceptible to viral and bacterial infections.They also have a poor response to respiratory vaccines.

• Decreased chest wall compliance: Elderly patients have reduced elasticity of the lungs and chest wall, which makes it harder for them to breathe and expel mucus.

• Decreased alveolar surface area: Elderly patients have fewer and larger alveoli, which reduces the gas exchange area and oxygen diffusion capacity.

Choice D is wrong because decreased oxygen saturation is not a risk factor, but a consequence of respiratory infections.

Choice E is wrong because decreased bronchial dilation is not a specific factor for elderly patients, but a common feature of obstructive lung diseases.

Normal ranges for oxygen saturation are 95-100% and for bronchial dilation are variable depending on the type and severity of the disease.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is teaching an elderly patient about nail care and hygiene. The nurse should instruct the patient to do which of the following? (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing a mental status examination on an older adult client who has delirium. Which of the following tools can the nurse use to assess the client’s attention span and concentration?

Correct Answer is D

Explanation

The nurse is caring for an elderly patient who has been admitted with pneumonia. The nurse knows that elderly patients are at increased risk for respiratory infections because of which of the following factors? (Select all that apply.).

Correct Answer is ["A","B","C"]

Explanation

A nurse is educating an older adult client who has depression about the benefits of physical activity and exercise. Which of the following statements should the nurse include? (Select all that apply.).

A nurse is implementing interventions to prevent or reduce social isolation in older adult clients who live in a long-term care facility. Which of the following interventions are appropriate for this setting? (Select all that apply.).

A nurse is planning care for an older adult client who has constipation due to decreased intestinal motility. Which of the following interventions should the nurse include in the plan?

A nurse is educating a client who is 60 years old about strategies to prevent orthostatic hypotension. Which of the following instructions should the nurse include? (Select all that apply.).

A nurse is caring for an older adult client who reports feeling cold most of the time. The nurse knows that this is most likely due to which of the following physiological changes with aging?

According to Erikson’s psychosocial theory, what is the main developmental task of older adults?

A nurse is providing discharge instructions to an older adult client who had a hip replacement surgery. Which of the following statements by the client indicates a need for further teaching?

A nurse is providing education to a group of older adults about sexuality and aging. Which of the following information should the nurse include?

The nurse is teaching an elderly patient about nail care and hygiene. The nurse should instruct the patient to do which of the following?

(Select all that apply.).