The nurse is assessing the fingernails of a client at the clinic. The nurse observes pitting on the surface of the nail.

What disorder is this finding indicative of?

Vitiligo.

Psoriasis.

Melanoma.

Diabetes.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Vitiligo is a condition characterized by depigmentation of the skin, leading to white patches. It does not typically affect the fingernails, so pitting on the surface of the nails is not indicative of vitiligo.

Choice B rationale

Psoriasis is a chronic skin condition that often affects the nails, leading to pitting or the appearance of small depressions on the nail surface. Nail psoriasis can also cause discoloration, thickening, and separation of the nail from the nail bed.

Choice C rationale

Melanoma is a type of skin cancer that can affect the nails, causing dark streaks or pigmentation changes. However, pitting on the surface of the nails is not a characteristic feature of melanoma.

Choice D rationale

Diabetes can lead to various nail changes, including thickening and yellowing of the nails, but it does not typically cause pitting on the nail surface. Pitting is more specific to psoriasis.

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Correct Answer is C

Explanation

Choice A rationale

The largest area of the body without hair is not selected as it is not necessary for the graft to be hairless. The primary concern is matching the color and texture, not the absence of hair.

Choice B rationale

Any area that is not normally visible is not ideal as visibility is not the primary concern. The donor site needs to match the surgical site in color and texture to ensure a natural appearance.

Choice C rationale

An area matching the color and texture of the skin at the surgical site is selected to ensure the graft blends well with the surrounding skin and appears natural once healed.

Choice D rationale

An area matching the sensory capability of the skin at the surgical site is not typically a concern in graft selection. The focus is on the appearance and integration of the graft.

A. Aspiration of synovial fluid for serologic testing. B. Injection of corticosteroids into the client's knee joint to facilitate ROM. C. Injection of a contrast agent into the knee joint prior to ROM exercises. D. Replacement of the client's synovial fluid with a synthetic substitute. E. Replacement of the client's synovial fluid with a synthetic substitute.

Correct Answer is C

Explanation

Choice A rationale

Aspiration of synovial fluid for serologic testing is a procedure known as arthrocentesis, which involves extracting joint fluid for analysis. While useful for diagnosing conditions like infections or arthritis, it is not the same as arthrography, which involves imaging.

Choice B rationale

Injection of corticosteroids into the client's knee joint to facilitate ROM is a therapeutic procedure to reduce inflammation and improve movement in conditions like arthritis, but it is not part of an arthrography procedure.

Choice C rationale

Injection of a contrast agent into the knee joint prior to ROM exercises is a key part of arthrography. The contrast agent helps to enhance the imaging of the joint structures during movement, allowing for a detailed assessment of the joint.

Choice D rationale

Replacement of the client's synovial fluid with a synthetic substitute is not related to arthrography. This description aligns more with viscosupplementation, a treatment for osteoarthritis.

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The nurse is assessing the fingernails of a client at the clinic. The nurse observes pitting on the surface of the nail. What disorder is this finding indicative of?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client requires a full-thickness graft to cover a chronic wound. How is the donor site selected?

Correct Answer is C

Explanation

A client has been experiencing an unexplained decline in knee function and has consequently been scheduled for arthrography. The nurse should teach the client about what process?

Correct Answer is C

Explanation

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The nurse is assessing the fingernails of a client at the clinic. The nurse observes pitting on the surface of the nail.

What disorder is this finding indicative of?