The nurse assesses that a client has nailbed clubbing. Which additional information is consistent with this finding?
Absent deep tendon reflexes.
Capillary refill less than 3 seconds.
3+ peripheral dependent edema.
Oxygen saturation of 85%.
The Correct Answer is D
A. Absent deep tendon reflexes are not typically associated with nailbed clubbing. While reflexes may be diminished in some conditions, they are not commonly related to the pathophysiology behind clubbing.
B. A capillary refill time of less than 3 seconds is a normal finding and does not align with clubbing, which often indicates chronic hypoxia or systemic conditions such as heart or lung disease.
C. Peripheral dependent edema refers to swelling in the lower extremities, which can be associated with circulatory problems, but it is not directly linked to nailbed clubbing. Edema is more common in conditions like heart failure or kidney disease.
D. A low oxygen saturation of 85% is consistent with conditions that cause chronic hypoxia, such as chronic lung disease or congenital heart disease. Chronic low oxygen levels can lead to nailbed clubbing as a compensatory response to inadequate oxygenation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Asking the client directly about the medications they have taken for their cough provides specific
information about the treatments they’ve used, including over-the-counter or prescription options.
B. Asking if they have been prescribed medications for the cough might miss important details about over-the-counter medications or self-treatment.
C. Asking about generic brands of cough syrup is too specific and may miss other relevant medications the client is using to manage their chronic cough.
D. Asking about current medications is important for general health information, but it does not directly address treatment specific to the cough.
Correct Answer is C
Explanation
A. While vaginal discharge, genital warts, and abdominal tenderness may indicate other concerns, they are not as directly related to menstrual irregularity without further investigation.
B. Breast tenderness, tremors, and high blood pressure are less likely to be connected to missed periods in this context.
C. Body weight changes, hirsutism, and thyroid enlargement could indicate thyroid dysfunction, such as hypothyroidism or polycystic ovary syndrome (PCOS), both of which can cause irregular periods.
D. Urinary frequency, unsteady gait, and dental erosion are more indicative of a metabolic or neurological issue, which is less likely to explain missed periods.
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