The nurse is inspecting the fingernails of an 18-month-old girl. Which of the following findings indicates chronic hypoxemia?
A) Nails that curve inward
B) Clubbing of the nails
C) Nails that curve outward
D) Dry, brittle nails
B
Response:
Clubbing of the nails indicates chronic hypoxemia, related to either respiratory or cardiac disease. Nails that curve inward or outward may be hereditary or linked with injury, infection, or iron deficiency anemia. Dry, brittle nails may indicate a nutritional deficiency.
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An older client is experiencing increased itching and asks why this is occurring. What should the nurse explain to the client?
1. Cells shrink by losing fluid with aging. 2. Increased thirst causes the problem. 3. Reduced efficiency of the kidneys causes uremia. 4. Decreased respiratory compliance causes pruritus.
Which patient is most likely to experience the greatest cultural impact on his coping with a chronic debilitating illness?
a. A 26-year-old Latino man with a family b. A 30-year-old divorced white man with no dependents c. A 35-year-old Asian wife with a family d. A 65-year-old widowed black church pastor with married children
A client with a spinal cord injury (SCI) that has resulted in paraplegia has expressed doubts about "ever being able to give birth to children."
The nurse formulates the best response to the client's concern based on the understanding that: 1. Becoming a biological mother is usually possible regardless of an SCI. 2. Being sexually active will require a supportive partner. 3. Ability to function sexually will be determined by her ability to accept the physical limitations. 4. Conception is usually by artificial insemination.
An occupational and environmental health nurse provides leadership in developing occupational safety and health policy within the organization, functions in upper executive or management roles; serves as a
consultant to business and government; and designs and conducts significant research. Using your knowledge of AAOHN competency levels in occupational and environmental health nursing, at what level is this nurse functioning? A) Advanced beginner B) Competent C) Proficient D) Expert