The nurse is taking care of the nails of a client. What is the correct sequence in caring for fingernails?

1 . Shape the fingernails with an emery board.
2 . Clip hangnails with manicure scissors or cuticle snippers.
3 . Trim the client's fingernails straight across with nail clippers.
4 . Soak the client's fingers in a basin or warm water and mild soap.
A) 1, 2, 3, 4
B) 2, 4, 3, 1
C) 3, 1, 2, 4
D) 4, 3, 1, 2


D
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Soak the client's fingers in a basin or warm water and mild soap. Trim the client's fingernails straight across with nail clippers. Shape the fingernails with an emery board. Clip hangnails with manicure scissors or cuticle snippers.

Nursing

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During a group session, the clients are asked to make one positive statement about their home life. The nurse notices that one of the clients begins to fidget in the chair and interprets this behavior as:

1. A form of nonlanguage vocalization. 2. A therapeutic use of space. 3. An expression of discomfort. 4. An excuse to avoid answering the question.

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The nurse assesses blood in the urine of the 73-year-old patient receiving warfarin (Coumadin) this morning. What actions will the nurse take? (Select all that apply.)

A) Assess prothrombin time (PT). B) Assess international normalized ratio (INR). C) Expect to administer protamine sulfate. D) Expect to administer vitamin K. E) Assess partial thromboplastin time (PTT).

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A new nurse would like to work where clinical performance is valued and in an environment that uses evidence-based practice. Given the new nurse's goals, which organization would be the best for this nurse?

a. Private hospitals b. Community hospitals c. Not-for-profit hospitals d. Magnet-designated hospitals

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When inspecting the ear of a 2-year-old child with suspected otitis media, you should do all of the following, EXCEPT

a. ask the child where it hurts. b. pull the lower auricle down and out to straighten the canal. c. insert the speculum about 1/4 inch to 1/2 inch. d. introduce air into the canal by gently squeezing the bulb attachment.

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