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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. The pinnae of the ears may not provide an accurate assessment for cyanosis in clients with dark skin.

B. The dorsal surface of the hand can be misleading in clients with dark skin.

C. In clients with dark skin, cyanosis is best assessed in areas where the pigmentation is less prominent, such as the oral mucosal lining.

D. The dorsal surface of the foot is not an ideal site for assessing cyanosis in this client population.

A. Pale yellow urine B. Flat neck veins C. Hypotension D. Poor skin turgor E. Bradycardia

Correct Answer is ["B","C","D"]

Explanation

A. Pale yellow urine would not be expected, as dehydration often leads to concentrated, dark urine.

B. Flat neck veins are a sign of dehydration and decreased fluid volume.

C. Hypotension is expected with dehydration due to a drop in circulating blood volume.

D. Poor skin turgor is a common indicator of dehydration as the skin loses elasticity.

E. Bradycardia is not expected; rather, tachycardia is more common in dehydration as the body tries to compensate for fluid loss.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing for cyanosis in a client who has dark skin. Which part of the body should the nurse examine to identify cyanosis in this client?

Correct Answer is C

Explanation

A nurse in the urgent care facility is assessing a client who reports frequent vomiting and diarrhea for the past 3 days. Which objective findings should the nurse expect? (Select three options that apply.)

Correct Answer is ["B","C","D"]

Explanation

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