While completing a comprehensive assessment of a client who is admitted with chronic obstructive pulmonary disorder, the objective data revealed the client's nails appear convexed and wide with an angle greater than 160 degrees. How would the nurse document this finding?
Beau's line
Koiloncychia
Clubbing
Onycholysis
The Correct Answer is C
A. Beau's lines are horizontal depressions across the nail, unrelated to clubbing.
B. Koilonychia refers to spoon-shaped nails, not convexed nails.
C. Clubbing is a condition where the nails become convex and the angle between the nail bed and finger increases, often associated with chronic hypoxia or lung diseases like COPD.
D. Onycholysis is the separation of the nail from the nail bed, unrelated to convexed nails.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.8"]
Explanation
To administer the correct dose of morphine sulfate, which is prescribed at 8 mg stat, and given that the medication ampule concentration is 10 mg/mL, the nurse would need to calculate the volume of medication to administer. The calculation is based on the formula: Volume (mL) = Dose (mg) / Concentration (mg/mL). Therefore, for an 8 mg dose, the nurse would prepare 0.8 mL of morphine sulfate to administer, rounding to the nearest tenth.
Correct Answer is B
Explanation
A. The lateral position is typically not used for breast examination.
B. The sitting position is the standard initial position for a breast examination to observe breast symmetry and any abnormalities.
C. The Trendelenburg position is inappropriate for breast examination.
D. Standing is not typically used for breast examination; the client may be asked to stand later for certain aspects, but the sitting position is preferred initially.
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