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.
Diabetes.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Infection is not directly related to weight loss, ill-fitting dentures, or limited fiber intake. The primary risks are more connected to gastrointestinal function rather than infections. While malnutrition can affect immune response, infection risk isn’t the primary concern here.
Choice B rationale
Deficient fluid volume is not a direct consequence of weight loss or dietary habits related to ill-fitting dentures. While fluid intake should be monitored, it is not the most immediate risk associated with these symptoms.
Choice C rationale
Excessive intake of convenience foods might contribute to poor nutritional status and unintended weight loss, but it is not the primary risk. The client's condition more directly influences gastrointestinal health rather than dietary habits.
Choice D rationale
Constipation is a significant risk due to limited intake of high-fiber foods. Fiber is crucial for promoting bowel movements and preventing constipation. Weight loss and ill-fitting dentures may further reduce the client's dietary fiber intake, increasing the likelihood of constipation
Correct Answer is B
Explanation
Choice A rationale
Temporal lobe damage affects auditory processing and memory rather than visual stimuli interpretation, impacting functions like language comprehension and memory formation.
Choice B rationale
Occipital lobe is the primary visual processing center of the brain, responsible for interpreting visual stimuli. Damage to this lobe impairs visual perception and recognition, aligning with the symptoms described.
Choice C rationale
Frontal lobe injury affects executive functions, behavior, and motor skills, not visual stimuli interpretation. Symptoms include problems with planning, movement, and personality changes rather than visual processing issues.
Choice D rationale
Parietal lobe processes sensory information such as touch, temperature, and pain, and helps in spatial orientation. It does not primarily interpret visual stimuli, making it less relevant to the described visual interpretation difficulty.
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