The nurse is inspecting the fingernails of a client with a diagnosis of polycythemia. Which of the following findings would be expected with this diagnosis?
1. Dark red nails
2. Horizontal white bands
3. Pale nail beds
4. Spoon-shaped nails
1
Rationale 1: The client with polycythemia has nails that appear dark red due to a pathological increase in red blood cells.
Rationale 2: Horizontal white bands in the nails are seen with the client who has been diagnosed with chronic hepatitis.
Rationale 3: Pale nail beds are associated with anemia or peripheral circulatory disorders.
Rationale 4: Spoon-shaped nails may be related to iron deficiency.
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A nursing instructor has completed a lecture on effective communication techniques
When quizzing the students on effective communication techniques, which responses by the students would indicate that further teaching is needed? Select all that apply. a. Restating d. Probing b. Reflecting e. Defending c. Clarifying f. Sequencing
Which natural chemical does the body produce at night to decrease wakefulness and promote sleep?
A) Melatonin B) Serotonin C) Endorphins D) Dopamine
The client is talking to the nurse about recent health problems of immediate family members and the strain she has been under trying to care for them. She begins to cry between sentences. What response by the nurse demonstrates the most empathy?
A) "I know how you feel. I was the primary caregiver for my father when he was dying." B) "It's okay to cry. Sometimes that helps us to feel better." C) "Just take your time. I am listening." D) "It is difficult when family members are ill. It helps if you take some time for yourself."
A newly pregnant client weighs 75.0 kg and has a body mass index of 28.5. What is the maximum amount of weight in pounds that this client should weigh during the pregnancy?
What will be an ideal response?