When performing a skin and nail exam on an older adult female client, the nurse notes that she has longitudinal ridges on her fingernails. What does this finding indicate?

An expected variation.

Chronic obstructive pulmonary disease (COPD).

Fungal infection.

Psoriasis.

Answer and Explanation

The Correct Answer is A

A.   Longitudinal ridges on the fingernails are a common finding in older adults and often do not indicate any underlying health problems. These ridges may develop due to normal aging processes as the rate of nail growth slows.
B.   While COPD can cause changes in the nails, such as clubbing, longitudinal ridges are not typically associated with this condition. COPD is more likely to cause cyanosis and other signs related to poor oxygenation.
C.   A fungal infection usually causes discoloration, thickening, or brittleness in nails, but not longitudinal ridges. Fungal infections would likely affect the overall appearance of the nail rather than causing isolated ridges.
D.   Psoriasis can cause pitting, scaling, or thickening of the nails, but longitudinal ridges are not characteristic of this condition. Psoriasis typically affects the skin more than the nails, though it can lead to changes in nail structure.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Palpating the radial pulses might not detect irregularities in pulse rate or rhythm as effectively as auscultation at the apical site.
B. Listening over the carotid artery may be useful in certain situations but is not the preferred method for assessing overall pulse rate.
C. Feeling the dorsalis pedis and posterior tibialis pulses provides information about peripheral circulation but does not assess the overall heart rate.
D. Auscultating the apical pulse is the most accurate method to assess the pulse rate, especially in clients with cardiovascular disease, as it provides direct measurement of heart activity.

A. Advise the client to see his healthcare provider for immediate evaluation. B. Ask the client if he often spends time outside in the sun without a shirt. C. Encourage the client to keep checking the mole with a magnifying mirror. D. Offer to teach a family member how to monitor the skin around the mole.

Correct Answer is A

Explanation

A. A mole that changes color and size is concerning for melanoma, a type of skin cancer. Immediate evaluation by a healthcare provider is essential for diagnosis and possible biopsy.
B. While sun exposure can increase the risk of skin cancer, the priority is to have the mole evaluated by a healthcare provider rather than focus on past behaviors.
C. Encouraging self-monitoring is not a priority when the mole shows signs of malignancy.
D. Teaching family members to monitor is secondary to seeking professional evaluation.

View Question and Answer

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

When performing a skin and nail exam on an older adult female client, the nurse notes that she has longitudinal ridges on her fingernails. What does this finding indicate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When assessing an older adult client with a history of cardiovascular disease, dyspnea, and peripheral edema, which method is best for the nurse to use to assess the client's pulse rate?

Correct Answer is D

Explanation

A client asks the nurse to look at a mole located on the back. The client tells the nurse that the mole has changed from brown to black and enlarged in size. Which is the priority nursing action?

Correct Answer is A

Explanation

When assessing an older adult client, which finding is most indicative of dehydration?

When conducting a physical examination, the nurse uses a tuning fork to assess for which condition?

Patient Data Exhibits Nurse analyzes the assessment findings. Click to indicate which findings are indicative of rheumatoid arthritis or are not applicable to that disease. Each row must have only one response option selected.

The nurse observes that a client who is intoxicated has an ataxic gait. Which finding does the nurse expect to be positive upon further assessment of the client?

An adult male client tells the nurse that he smokes approximately one pack of cigarettes daily. How can the nurse expect smoking to affect this client's sleep?

When performing a skin and nail exam on an older adult female client, the nurse notes that she has longitudinal ridges on her fingernails. What does this finding indicate?

In assessing an adult client, the nurse calculates the body mass index (BMI) as 14 kg/m2. Which nursing problem should be included in this client's plan of care? Reference Range: Body mass index (BMI) [normal 18.0 to 24.9 kg/m2]