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?

Coronary heart disease.

Recent candida infection.

Iron deficiency anemia.

Diabetes mellitus.

Answer and Explanation

The Correct Answer is C

A. Coronary heart disease. While coronary heart disease can affect overall health, it is not typically associated with changes in nail shape.

B. Recent candida infection. Candida infections can cause nail changes, but they usually result in discoloration and thickening rather than concave curves.

C. Iron deficiency anemia. This is the best choice because iron deficiency anemia is commonly associated with koilonychia (spoon-shaped nails).

D. Diabetes mellitus. Diabetes can cause various changes in skin and nails, but it is not typically associated with brittle, concave nails.

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Correct Answer is C

Explanation

A. Impaired memory.This assesses recall rather than interpretation of abstract concepts.

B. Impaired concentration. This assesses the ability to maintain attention, not abstract reasoning.

C. Impaired thinking. This is the best choice as misinterpreting a proverb indicates difficulty with abstract thinking.

D. Normal mental status for age. Misinterpreting a common proverb indicates a cognitive issue, not a normal mental status.

A. Left carotid artery occlusion present; no occlusion of right carotid artery. B. Left carotid artery has strong pulse; right carotid artery occluded. C. Left carotid pulse volume of 4+; right carotid pulse volume of 0. D. Left carotid artery bruit present; no bruit heard in right carotid artery.

Correct Answer is D

Explanation

A. Left carotid artery occlusion present; no occlusion of right carotid artery. A bruit suggests turbulent blood flow, which may indicate partial occlusion or narrowing, not necessarily a complete occlusion.

B. Left carotid artery has strong pulse; right carotid artery occluded. This documentation is incorrect as the nurse did not assess pulse volume but rather auscultated for bruits.

C. Left carotid pulse volume of 4+; right carotid pulse volume of 0. This statement is incorrect as it documents pulse volumes, which were not assessed by auscultation for bruits.

D. Left carotid artery bruit present; no bruit heard in right carotid artery. This is the correct documentation of the auscultation findings.

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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 C

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Correct Answer is D

Explanation

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