A client with a history of heart failure and hypertension is in the clinic for a follow-up visit. The client is on Lisinopril (Prinivil) and warfarin (Coumadin). The client reports new onset cough. What action by the nurse is most appropriate?

Correct Answer: A

Rationale: The correct answer is A: Assess the client's lung sounds and oxygenation. This is the most appropriate action because Lisinopril, an ACE inhibitor, can cause a side effect of cough due to bradykinin accumulation in the lungs. This cough can indicate potential pulmonary edema or bronchospasm. Assessing lung sounds and oxygenation can help determine the severity of the cough and any respiratory distress. It is crucial to evaluate the client's respiratory status promptly to prevent further complications. Summary of other choices: B: Instructing the client on another antihypertensive is not appropriate without assessing the current situation. C: Obtaining vital signs is important but assessing the respiratory status takes precedence due to potential respiratory distress. D: Reminding the client about the side effect of Prinivil is not sufficient; the focus should be on evaluating the current cough and its impact on the client's respiratory status.

Correct Answer: A

Rationale: The correct answer is A: Stratum germinativum. Active mitosis takes place in the stratum germinativum, also known as the basal layer of the epidermis. This layer contains actively dividing cells responsible for skin regeneration. The other choices, B: Stratum granulosum, C: Stratum lucidum, and D: Stratum corneum, are layers of the epidermis where cells are not actively dividing but rather undergoing differentiation and maturation. Therefore, they do not host active mitosis.

Correct Answer: A

Rationale: The correct answer is A because the skin of a rabbit is typically dry, thin, soft, and hairy. Rabbits have delicate skin with a thin layer of fur, making it soft to the touch. The hair on the skin provides insulation and protection. Choice B is incorrect because rabbit skin is not typically hairless. Choices C and D are incorrect as rabbit skin is not thick or hard; it is known for its thin and delicate nature.

Correct Answer: B

Rationale: The correct answer is B: Sebaceous gland. This gland produces sebum, an oily substance that lubricates the skin and hair. It opens into the hair follicle to distribute sebum along the hair shaft. Sweat glands (choice A) release sweat onto the skin surface, not into hair follicles. Perineal glands (choice C) are located in the genital area and do not open into hair follicles. Zeis glands (choice D) are associated with eyelash follicles, not hair follicles in general. Therefore, the sebaceous gland is the only gland among the choices that opens into hair follicles.

Correct Answer: A

Rationale: The correct answer is A: Perineal glands. The perineal glands, also known as apocrine glands, are responsible for producing pheromones that can stimulate sex libido in humans. These glands are located in the genital area and produce a specific scent that can attract potential mates. Sebaceous glands (choice B) are responsible for producing oil to lubricate the skin and hair, but not directly related to sex libido. Sweat glands (choice C) regulate body temperature by producing sweat, but do not play a direct role in provoking sex libido. Choice D is incorrect because not all of the above glands mentioned are related to sex libido; only the perineal glands are directly linked to stimulating sex drive.