The nurse reads in a chart that a patient has a paronychia. What assessment technique is most appropriate?
a. Auscultate the patient's bowel sounds.
b. Test the cranial nerves for sensory function.
c. Inspect the patient's nails and surrounding skin.
d. Inspect the skin using the ABCDE mnemonic.
ANS: C
A paronychia is inflammation at the base of the nail so the nurse assesses the patient's nails and the surrounding skin. The other assessments are not related to this diagnosis.
You might also like to view...
While educating a patient about transcutaneous electric nerve stimulation (TENS), the nurse should inform the patient that the TENS:
a. may inhibit endorphin production. b. is an electrical device that must be plugged in. c. provides an intermittent electrical current to the skin. d. may interfere with the function of a cardiac pacemaker.
Martin is a 57-year-old client about to undergo a bone marrow biopsy
a. What type of teaching would you include? b. Include both preprocedure and postprocedure.
A nurse recognizes that uterine hyperstimulation with oxytocin requires emergency interventions. What clinical cues would alert the nurse that the patient is experiencing uterine hyperstimulation? (Choose all that apply.)
1. Uterine contractions lasting <90 seconds and occurring >2 minutes in frequency 2. Uterine contractions lasting >90 seconds and occurring <2 minutes in frequency 3. Uterine tone <20 mm Hg 4. Uterine tone >20 mm Hg 5. Increased uterine activity accompanied by a nonreassuring FHR and pattern.
Deficiency of thiamine is characterized by
a. muscle weakness, loss of coordination, and tachycardia. b. dermatitis, altered nerve function, and convulsions. c. skin rash, hair loss, loss of appetite, and depression. d. gingivitis, poor wound healing, and in-creased risk of infection.