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?
Recent candida infection.
Diabetes mellitus.
Coronary heart disease.
Iron deficiency anemia.
The Correct Answer is D
A. A recent Candida infection could affect the nails, but it typically causes nail thickening and discoloration rather than brittle, concave nails.
B. Diabetes mellitus can lead to various nail changes, including thickening and yellowing, but it is not commonly associated with brittle, concave nails.
C. Coronary heart disease may cause changes in the nails due to poor circulation, but it is not specifically linked to brittle, concave nails.
D. Iron deficiency anemia is commonly associated with brittle, concave nails, a condition known as koilonychia. This nail abnormality is a classic sign of iron deficiency and warrants further investigation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Crepitus is an abnormal finding that indicates the presence of air in the subcutaneous tissues or other issues like joint or lung abnormalities. It is not a normal finding upon palpation.
B. Non-tenderness is a normal finding and indicates that the thoracic region is free from pain or discomfort, which is expected in a healthy client.
C. Tenderness upon palpation is not normal and may suggest underlying issues such as inflammation, injury, or infection.
D. A thrill, which is a palpable vibration felt over a specific area, is not a normal finding in the thoracic region and may indicate turbulent blood flow or underlying pathology.
Correct Answer is A
Explanation
A. "Wandering behavior with flat affect" accurately describes the observed behavior and emotional state without assuming a diagnosis. It provides an objective description of the client's actions and expression.
B. While early dementia might explain such behavior, documenting this requires a more comprehensive assessment and is not solely based on the observation provided.
C. "Ambulatory and disoriented to place" does not fully capture the flat affect and aimless behavior observed.
D. "Appears confused and depressed" could be relevant but is more subjective and interpretative compared to "wandering behavior with flat affect," which is more specific to the observed behaviors.
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