Which of the following observations by nurse is a normal finding?

Correct Answer: A

Rationale: The correct answer is A because the normal angle between the nail and nail bed is around 160 degrees. This indicates a healthy nail growth. Choice B is incorrect as nails should lie flat against the nail bed. Choice C suggests nail abnormalities, not normal findings. Choice D indicates a lack of oxygen or circulation, not a normal finding.

Correct Answer: B

Rationale: The correct answer is B because oozing liquid stool is a common sign of fecal impaction in a paralyzed client. Due to decreased muscle tone and mobility, the client may have difficulty passing formed stool, leading to leakage of liquid stool around the impaction. Presence of blood in stools (A) may indicate other gastrointestinal issues. Continuous flatulence (C) is common with impaction but not specific. Absence of bowel movements (D) can be a sign of impaction but is not as reliable as oozing liquid stool.

Correct Answer: B

Rationale: The correct answer is B because toddlers often have a limited understanding of death and may express longing for the deceased through familiar activities like having pizza. Choice A may indicate an advanced understanding of death unlikely for a toddler. Choice C is a more definitive statement than a toddler might make. Choice D expresses sadness but doesn't capture the toddler's limited comprehension and focus on reunion.

Correct Answer: C

Rationale: The correct technique for suctioning is using intermittent suction while withdrawing the catheter (Choice C) because it helps prevent injury to the airway and reduce the risk of hypoxia. Intermittent suctioning allows for effective removal of secretions without causing trauma to the airway tissues. Advancing the catheter while suctioning can stimulate the gag reflex and cause injury, while continuous suctioning can lead to hypoxia and damage to the airway mucosa. Therefore, using intermittent suction while withdrawing the catheter ensures safe and effective suctioning without compromising patient safety.

Correct Answer: C

Rationale: The correct answer is C: Livor mortis. Livor mortis is the pooling of blood in the lowermost areas of the body post-mortem due to gravity. This occurs after circulation stops, causing discoloration in dependent areas. Algor mortis (choice A) refers to the cooling of the body after death, Rigor mortis (choice B) is the stiffening of muscles post-mortem, and Manor mortis (choice D) is not a recognized term in forensic science.