You are examining an unconscious patient from another region and notice Beau's lines, a transverse groove across all of her nails, about 1 cm from the proximal nail fold. What would you do next?
A) Conclude this is caused by a cultural practice.
B) Conclude this finding is most likely secondary to trauma.
C) Look for information from family and records regarding any problems which occurred 3 months ago.
D) Ask about dietary intake
Answer: C) Look for information from family and records regarding any problems which occurred 3 months ago.
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An older female patient is experiencing fatigue, nausea, vague complaint of intermittent chest discomfort, and not sleeping well. How should the nurse interpret these symptoms?
1. Signs of anemia 2. Pancreatic disease 3. Myocardial infarction 4. Normal changes of aging
When a older adult client states, "My mouth is always dry," the nurse realizes that this client may be at a risk for developing an oral infection primarily because:
1. A dry mouth is lacking in bacteria-fighting immunoglobulin A. 2. Poorly chewed food will remain in the mouth, supporting bacterial growth. 3. A lack of salivary gland lubrication makes chewing the food difficult, resulting in gum trauma. 4. The normal aging process reduces the antibacterial properties of saliva.
A licensed vocational nurse (LVN) who is interested in working as a parish nurse
consults a registered nurse for information regarding the job. What should the registered nurse tell the LVN? A) An LVN can work as a parish nurse B) A parish nurse provides hands-on nursing care C) A parish nurse should be familiar with high-tech equipment D) A parish nurse provides support to terminally ill clients
A patient has GERD and is taking ranitidine (Zantac). She continues to have gastric discomfort and asks whether she can take an antacid. Which of the following is an appropriate response by the nurse?
A) "Sure, you may take an antacid with ranitidine."
B) "No, the two drugs will work against each other."
C) "Yes, but be sure to wait at least 2 hours to take the antacid after you take the ranitidine."
D) "I wouldn't advise it. You may experience severe constipation."