On the admission assessment of an 80-year-old to a long-term care facility, the nurse notes that the resident's toenails are dark, thick, and brittle, extremely misshapen, and growing at an angle from the toe. The nurse recognizes these as signs of:

a. fungal infection of the nails.
b. ram's horn nails.
c. ingrown nails.
d. expected age-related changes in the nails.


ANS: A

Nursing

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You are doing patient teaching for Margaret, who has been prescribed amitriptyline (Elavil) for treatment of depression. Which of the following statements suggests that Margaret needs further instruction?

A. "I know I might not start feeling better for a few weeks, but I'll keep taking the medication just as the doctor prescribed." B. "I'll keep some hard candies in my purse in case my mouth gets dry from the medicine." C. "Once I start feeling better, I'm looking forward to cutting down on this medication." D. "I'm worried I may gain some weight, but that's a small price to pay for feeling better."

Nursing

Unlicensed assistive personnel (UAP) ask the nurse to explain the difference between cultural care and other types of care. What would the nurse say in response to the UAP?

A. It is holistic. B. It is a fad. C. It focuses on scientific theory. D. It is a belief system.

Nursing

Two of the areas of physician shortage most prevalent in the United States are:

a. family practice and dermatology c. family practice and psychiatry b. family practice and orthopedics d. family practice and geriatrics

Nursing

A patient is being treated for pinworms with anthelmintics. In addition to taking the medication, what should the nurse be sure to cover during the teaching session?

a. Wash the toilet seat weekly. b. There are special diet requirements before taking this medication. c. There is no need to test other family members for this condition. d. You may have diarrhea and abdominal pain while taking this medication.

Nursing