An older adult's fingernails appear concave and spoon shaped. The nurse associates this observation with:
a. Normal finding in older adults
b. Chronic lung disease
c. An iron deficiency
d. Chronic heart disease
C
A change in nail shape may indicate underlying disease. Spoon-shaped nails may result from iron deficiency. In chronic lung disease, clubbing of the nails may be present due to chronic hypoxia. In heart disease, changes occur with delayed capillary refill time. Spoon-shaped nails are not part of a normal aging process and should be evaluated in the older adult.
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Which of the following patients would benefit from preoperative teaching about splinting of incisions to minimize discomfort? (Select all that apply.)
a. Patient having coronary bypass graft surgery b. Patient having open breast biopsy c. Patient having total hip replacement surgery d. Patient having lumbar spine decompression surgery e. Patient having surgery to repair retinal detachment f. Patient having total abdominal hysterectomy
_____ are vital to good leaders because they are able to take the vision of the leader and achieve the determined goals
a. Managers b. Motivators c. Visionaries d. Followers
The nurse is educating a client who has experienced radiation exposure. The client asks, "What type of exposure is most likely to lead to cancer?" What is the nurse's response?
A) "All types of exposure will eventually lead to cancer." B) "When irradiation occurs, and the energy passes through the body, cancer may develop." C) "When contamination occurs, and radioactive material is deposited on the body, cancer may develop." D) "When incorporation occurs, and radioactive material is taken up by the body's organs, cancer may develop."
The nurse will ask a 64-year-old patient being admitted with acute pancreatitis specifically about a history of
a. diabetes mellitus. b. high-protein diet. c. cigarette smoking. d. alcohol consumption.