The nurse observes the presence of brittle, concave curves to the nails of a client on assessment. Which information should the nurse obtain from the client that may explain the appearance of the nails?

Diabetes mellitus.

Recent candida infection.

Iron deficiency anemia.

Coronary heart disease.

Answer and Explanation

The Correct Answer is C

A) Diabetes mellitus: While diabetes can lead to various complications affecting the nails, such as yellowing or thickening due to poor circulation and infections, it is not typically associated with brittle, concave (spoon-shaped) nails.

B) Recent candida infection: Candida infections can affect the nails, causing them to become discolored, thickened, or separated from the nail bed, but they do not typically cause the nails to become brittle and concave.

C) Iron deficiency anemia: This condition is often associated with brittle, spoon-shaped (concave) nails, known as koilonychia. Iron deficiency anemia affects the oxygen-carrying capacity of the blood, which can lead to changes in the nail beds, making them appear concave and brittle.

D) Coronary heart disease: While coronary heart disease can lead to changes in the nails due to poor circulation, it is not commonly associated with the specific finding of brittle, concave nails. Other nail changes might include clubbing or cyanosis, but not typically koilonychia.

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Correct Answer is A

Explanation

A) Intranasal edema and swelling of turbinates:
Allergic rhinitis is characterized by inflammation of the nasal mucosa in response to allergen exposure. This inflammation leads to symptoms such as nasal congestion, sneezing, and rhinorrhea. Intranasal edema and swelling of the turbinates are common findings in allergic rhinitis due to the body's immune response to allergens.

B) Eye tearing and thick yellow nasal drainage:
Eye tearing and thick yellow nasal drainage are more indicative of a bacterial infection rather than allergic rhinitis. In allergic rhinitis, nasal discharge is typically clear and watery.

C) Purulent secretions from eyes and nares:
Purulent secretions from the eyes and nares suggest a bacterial infection rather than allergic rhinitis. Allergic rhinitis typically presents with clear nasal discharge, while purulent secretions are more commonly associated with bacterial sinusitis or conjunctivitis.

D) Snoring and bilateral, pale gray nodules:
Snoring and bilateral, pale gray nodules are not characteristic findings of allergic rhinitis. Snoring may be associated with nasal congestion, but pale gray nodules are not typically observed in allergic rhinitis. These findings may indicate other nasal or upper airway conditions such as nasal polyps or adenoid hypertrophy.

A. Presents with a hacking nonproductive cough of 6 weeks duration. B. Expresses concern of "lung cancer" symptoms for last 6 weeks. C. An adult male presents with fears that he has "lung cancer." D. Describes having a "body wracking dry cough" of 6 weeks duration.

Correct Answer is D

Explanation

A) Presents with a hacking nonproductive cough of 6 weeks duration:
This documentation accurately describes the client's symptom of a cough but does not capture the client's expressed concern about the possibility of lung cancer. It is important to document the client's specific concerns and fears.

B) Expresses concern of "lung cancer" symptoms for last 6 weeks:
While this option captures the client's concern about lung cancer, it does not specifically describe the client's symptom of a dry cough. Effective documentation should include both the client's expressed concerns and the associated symptoms.

C) An adult male presents with fears that he has "lung cancer":
This option captures the client's fear of having lung cancer but does not describe the specific symptom of a dry cough that the client is experiencing. Including the specific symptom in the documentation is important for comprehensive assessment and evaluation.

D) Describes having a "body wracking dry cough" of 6 weeks duration:
This option effectively documents both the client's specific symptom (dry cough) and the duration of the symptom (6 weeks), which aligns with the client's expressed concerns. It accurately reflects the client's statement and provides valuable information for the healthcare provider's assessment and management.

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The nurse observes the presence of brittle, concave curves to the nails of a client on assessment. Which information should the nurse obtain from the client that may explain the appearance of the nails?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Correct Answer is D

Explanation

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