The nurse is inspecting the fingernails of an 18-month-old girl. What finding indicates chronic hypoxemia?
Nails that curve inward
Clubbing of the nails
Nails that curve outward
Dry, brittle nails
The Correct Answer is B
A. Nails that curve inward: Inward curving, or spoon-shaped nails (koilonychia), are typically associated with iron deficiency anemia rather than hypoxemia. They reflect nutritional or hematologic issues rather than oxygen deprivation.
B. Clubbing of the nails: Clubbing, characterized by a bulbous enlargement of the fingertips and loss of the normal nail angle, indicates chronic hypoxemia. It results from prolonged low oxygen levels causing vascular and connective tissue changes in the fingers.
C. Nails that curve outward: Outward curving nails are usually a normal shape variation and do not necessarily indicate disease. They lack the bulbous appearance and softening of the nail bed seen in clubbing.
D. Dry, brittle nails: Brittle nails are commonly linked to dehydration, nutritional deficiencies, or thyroid disorders, not chronic hypoxemia. Oxygen deprivation primarily affects soft tissue rather than nail strength or moisture.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. Podophyllin resin: Podophyllin resin is a provider-applied chemical treatment that destroys genital wart tissue by preventing cell division. It is commonly used for external lesions but must be applied carefully to avoid irritation of surrounding skin.
B. Cryotherapy: Cryotherapy uses liquid nitrogen to freeze and destroy wart tissue. It is an effective and frequently used treatment option for genital warts, especially when topical medications are ineffective or contraindicated.
C. Condylox gel: Condylox (podofilox) is a patient-applied topical medication that works similarly to podophyllin resin by causing necrosis of wart tissue. It allows for home treatment under healthcare provider supervision.
D. Penicillin: Penicillin is an antibiotic effective against bacterial infections such as syphilis but has no effect on viral infections like human papillomavirus (HPV), which causes genital warts. Therefore, it is not used in genital wart management.
Correct Answer is C
Explanation
A. Pap test: A Pap test screens for cervical cancer by detecting abnormal cervical cells. It cannot diagnose endometriosis because the condition involves endometrial tissue growing outside the uterus, not within the cervix.
B. Abdominal ultrasound: While an ultrasound can help identify ovarian cysts or endometriomas, it cannot definitively confirm endometriosis. Ultrasound imaging may miss small or deep lesions that are only visible during direct visualization.
C. Laparoscopy: Laparoscopy is the gold standard for diagnosing endometriosis. It allows direct visualization of endometrial implants and adhesions in the pelvic cavity, and tissue samples can be taken for biopsy to confirm the diagnosis.
D. Hysterosalpingogram: This imaging test evaluates the shape of the uterine cavity and patency of the fallopian tubes using contrast dye. It is primarily used in infertility assessments, not for diagnosing endometriosis.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.