On examining a client's fingernails, the nurse notes that they are excessively dry. The nurse knows that this can be caused by which of the following?

1. Fungal nail infections
2. Dry climates
3. Washing dishes by hand
4. Polishing nails, and using polish remover


ANS: 4
Ask women whether they frequently polish their nails and use polish remover, because chemicals in these products cause excessive nail dryness. Inflammatory lesions and fungus of the nail bed cause thickened, horny nails, which separate from the nail bed. Dry climates and washing dishes do not cause excessively dry nails

Nursing

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A geriatric clinical nurse educator is teaching the other members of the health care team about the incidence, prevalence, and course of depression among older adults

Which of the following statements is most likely to appear in the physician's teaching? A) "Even though suicide rates are lower among older adults than younger adults, depression needs to be diagnosed and treated early." B) "Though they are certainly not synonymous, depression can be an indicator of dementia." C) "Many older adults lack the symptoms of sleep disturbances and lack of concentration that suggest depression in younger adults." D) "Bronchodilators and antiplatelet medications have been correlated with depression in the elderly."

Nursing

While reviewing a male patient's history in the chart, the nurse becomes concerned. The patient states, "I haven't been to see a physician in years and it's time for me to get a thorough check-up."

Based on the nurse's understanding of genetically related diseases, which diagnostic screening examination may be ordered for this patient? 1. Mammogram 2. Prostate exam 3. Colonoscopy 4. Cardiovascular assessment

Nursing

The APRN is assessing the eyes of a patient with long-standing uncontrolled hypertension. What might the APRN visualize during an assessment with an ophthalmoscope?

A) AV nicking B) Dilated veins C) Dilated arteries D) Brass wiring

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Alcohol-based solutions for hand hygiene can be used to combat which types of organisms? Select all that apply

a. Viruses b. Bacterial spores c. Yeasts d. Molds

Nursing