The nurse is providing nail care for the patient who wants his fingernails "done." The nurse should:
a. clip the fingernails gently to prevent injury.
b. clean under the nails using an orange stick.
c. soak the fingernails no longer than 10 minutes.
d. clean under the nails using the end of a cotton swab.
C
Unless the patient has diabetes, allow the patient's feet and fingernails to soak no longer than 10 minutes. The goal is to soften the skin and debris beneath the nails, without causing excessive dryness. Obtain a physician's order for cutting the nails (required by most agencies). The patient's skin may be cut accidentally. Certain patients are more at risk for infection, depending on their medical condition. Check agency policy for appropriate process for cleaning beneath the nails. Do not use an orange stick or the end of a cotton swab; both of these splinter and can cause injury.
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Cardiac output in children under the age of 5 years is dependent on which of the following factors?
1. Heart rate 2. Preload 3. Contractility 4. Afterload
The client is at 6 weeks' gestation, and is spotting. The client had an ectopic pregnancy one year ago. The nurse anticipates that the physician will order
1. A urine pregnancy test. 2. The client to be seen next week for a full examination. 3. A serum pregnancy test. 4. An ultrasound to be done within four weeks.
The home health care agency that receives federal funds desires to hire a new home health care aide. This aide will provide direct and hands-on care to patients. Which person would meet federal requirements for that position?
1. A nursing assistant who has on-the-job training at a nursing home 2. A nursing assistant who completed a training and competency evaluation program 3. A nursing assistant who has on-the-job training at a hospital 4. A second-semester student enrolled in a registered nursing program
The nurse has completed education to the parents of a child newly diagnosed with tonic-clonic seizures. Which comments made by the parents would the nurse evaluate as indicating need for further education?
1. "Some of the times when I thought he was ignoring me may have actually been seizure activity." 2. "He just needs to focus more to prevent these attacks." 3. "I know he will outgrow these seizures with time." 4. "I hope we can help our son identify his seizure aura." 5. "We will watch for the development of status epilepticus."