The nurse is inspecting the fingernails of a client who is diagnosed with polycythemia. Which assessment data would be expected for this client?
1. Dark red nails.
2. Horizontal white bands.
3. Pale nail beds.
4. Spoon-shaped nails.
Correct Answer: 1
The client with polycythemia has nails that appear dark red due to a pathological increase in red blood cells. Horizontal white bands in the nails are seen with the client who has been diagnosed with chronic hepatitis. Pale nail beds are associated with anemia or peripheral circulatory disorders. Spoon-shaped nails may be related to iron deficiency.
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A child is diagnosed with attention deficit hyperactivity disorder (ADHD). Which characteristics would the nurse assess in this child? (Select all that apply.)
a. Social anxiety b. Impulsivity c. Hyperactivity d. Distractability e. Inattention
Three key skills that enable nurses to function as agents of change, innovation, and transformation (Porter-O'Grady & Malloch, 2011; Curtin, 2011) are listed below. Which one is not correct?
a. communicating effectively b. establishing trust c. embracing organizational vision and values d. enabling quality and safe practices
The clinic nurse will immediately alert the healthcare provider when which category X drugs are identified on the medication record of a recently diagnosed pregnant patient?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. Tetracycline B. ACE inhibitor antihypertensive medication C. Methotrexate D. Isotretinoin (Accutane) E. Oral contraceptives
A client asks the nurse to please close the door when entering or exiting the room because the noise is more than the client is used to since he lives alone. The nurse identifies the reason for this client's response to sensory stimuli as being due to:
1. Lifestyle. 2. Developmental stage. 3. Culture. 4. Illness.