Question

4. A client informs the nurse that a bookshelf fell on the client's toe and the toenail fell off. The client asks the nurse when to expect the foenail to regrow. What is the best response by the nurse? a 'You will not have regrowth of that toenail." b. "You should have a new nail in about 3 months." c. "You should have a new nail in about 12 to 18 months." d. "The nail will be back in about 2 weeks." Rationale: 5. What nursing action is essential in order to prevent heat loss through evaporation? a. Apply blankets. b. Move a space heater closer to the client. c. Dry the client with a towel when perspiring. d. Apply a warm cloth to the forehead. Rationale: Ch 75 1. The nurse is preparing to apply a moist dressing to a sacral pressure wound. What is a priority action by the nurse? a. Medicate with analgesics one half hour prior to the procedure. b. Have the client sign a consent form to perform the procedure. c. Document the procedure so that it won't be forgotten. d. Remove the necrotic tissue with forceps. Rationale: 2. A client is prescribed hydroxyzine HCL for the treatment of pruritus. What information should the nurse provide to the client? Select all that apply. a. The medication may cause drowsiness b. Drink water, juice, and other fluids c. Use sunscreen when exposed to the sun. d. Administer medication on an empty stomach. e. Discontinue medications 1 week before skin testing. Rationale 3. A client developed angioedema after taking lisinopril. What priority nursing action is essential when caring for this client2 a. Start an IV h Insert an includelline catheter

Answer 1

4. Answer ; C) you should have a new nail in about 12 to 18 months.

Rationale ; If this part get broken or completely damaged and get off from its position, It will take more than one year to get recovered and form a new one on its place, because these is not like a simple functional cells with blood supply to be formed very quickly, it can take time.

5. Answer ; A) apply a blanket.

Rationale; This kind of action will prevent the heat get escaped from the client by means of certain principles, which is referred as 'convection'. The other option given are not relevant and some action will leads to heat loss.

1. Answer ; D) remove the necrotic tissue with forceps.

Rationale ; Whenever the nurse or any health care professional doing these procedure, it is suggested to do these action, because doing so will help to enable the healing process of these wounded region.

2. Answer ; A) this medication can cause drowsiness
C) use sunscreen when exposed to the sun
E) discontinue medication 1 week before skin testing.