While completing a comprehensive assessment of a client who is admitted with chronic obstructive pulmonary disorder, the objective data revealed the client's nails appear convexed and wide with an angle greater than 160 degrees. How would the nurse document this finding?
Beau's line
Koiloncychia
Clubbing
Onycholysis
The Correct Answer is C
A. Beau's lines are horizontal depressions across the nail, unrelated to clubbing.
B. Koilonychia refers to spoon-shaped nails, not convexed nails.
C. Clubbing is a condition where the nails become convex and the angle between the nail bed and finger increases, often associated with chronic hypoxia or lung diseases like COPD.
D. Onycholysis is the separation of the nail from the nail bed, unrelated to convexed nails.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A closed fist is used for assessing deeper structures, such as kidney tenderness, not the sinuses.
B. The hyperextended middle finger is typically used for indirect percussion, not direct.
C. The palm is not suitable for sinus percussion as it covers a large area and reduces sensitivity.
D. The fingertips of the dominant hand are best for direct percussion of the sinuses to assess for tenderness or fluid accumulation.
Correct Answer is A
Explanation
A. Hydrochlorothiazide is known to increase blood glucose levels, particularly in clients with diabetes or those at risk for glucose intolerance.
B. Dysrhythmias are more commonly associated with electrolyte imbalances like low potassium, but elevated glucose is more specific to hydrochlorothiazide use.
C. Hydrochlorothiazide typically lowers blood pressure, so elevated blood pressure is not a common nontherapeutic response.
D. Impaired airway is unrelated to hydrochlorothiazide use.
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