As a nurse is inspecting the nails of a client with chronic hypoxia from pulmonary disease, he notices enlargements of the ends of the fingers and angles of the nail base greater than a straight line (exceeding 180 degrees)
The nurse interprets these findings as:
a. An expected finding.
b. Koilonychia (spoon nail).
c. Clubbing.
d. Leukonychia.
ANS: C
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Prenatal testing reveals a genotype associated with mental retardation. What information should the nurse consider when talking with the parents?
1. The changes in genotype indicate the child will have serious developmental delays. 2. Genetic testing is often not accurate. 3. The genotype cannot accurately describe the child's phenotype. 4. Phenotype is not dependent on genotype.
A client was prescribed hydrocodone and acetaminophen (Vicodin), one tablet q4h p.r.n. pain. The nurse knows the advantage of using a combination product is:
a. a lower dose of opioid analgesic will be required to achieve the same level of pain relief. b. it is less likely to produce allergic reactions. c. it is less likely to result in client abuse and overdose. d. it is not a controlled substance, so the client can get as many refills as needed.
You assess a client in the local neighborhood clinic. He exhibits signs and symptoms of TB, yet has a negative tuberculin skin test result. You suspect that the physician may further test the client because he
A) visited Central America recently. B) is recovering from jet lag. C) is HIV positive. D) works in a factory setting.
After the baroreceptor reflex is stimulated, the resulting impulse is transmitted from the carotid artery by which sequence of events?
a. Vagus nerve to the medulla to increase parasympathetic activity and to decrease sympathetic activity b. Glossopharyngeal cranial nerve through the vagus nerve to the medulla to increase sympathetic activity and to decrease parasympathetic activity c. Glossopharyngeal cranial nerve through the vagus nerve to the medulla to increase parasympathetic activity and to decrease sympathetic activity d. Glossopharyngeal cranial nerve through the vagus nerve to the hypothalamus to increase parasympathetic activity and to decrease sympathetic activity