Which assessment finding supports the client statement, “My feet swell all the time?”

Positive Homan’s sign bilaterally.

2+ pitting edema of ankles bilaterally.

Pedal pulses weak and thready.

Capillary refill in both feet greater than 3 seconds.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Positive Homan’s sign bilaterally indicates deep vein thrombosis (DVT) but does not directly correlate with swelling.
Choice B rationale
2+ pitting edema of ankles bilaterally is a direct indication of swelling and supports the client’s statement about their feet swelling all the time.
Choice C rationale
Pedal pulses weak and thready indicate poor arterial circulation but do not directly confirm swelling.
Choice D rationale
Capillary refill in both feet greater than 3 seconds indicates poor peripheral perfusion but does not directly correlate with swelling.

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Correct Answer is B

Explanation

Choice A rationale
Diabetes mellitus can lead to various complications affecting the nails, such as yellowing or thickening due to poor circulation and infections, but it is not typically associated with brittle, concave (spoon-shaped) nails.
Choice B rationale
Iron deficiency anemia is often associated with brittle, spoon-shaped (concave) nails, known as koilonychia. This condition affects the oxygen-carrying capacity of the blood, leading to changes in the nail beds.
Choice C rationale
Coronary heart disease can lead to changes in the nails due to poor circulation, but it is not commonly associated with brittle, concave nails. Other nail changes might include clubbing or cyanosis.
Choice D rationale
Recent candida infection can affect the nails, causing them to become discolored, thickened, or separated from the nail bed, but it does not typically cause the nails to become brittle and concave.

A. Elbow B. Wrist C. Shoulder

Correct Answer is {"A":{"answers":"C"},"B":{"answers":"B"},"C":{"answers":"A"}}

No explanation

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Which assessment finding supports the client statement, “My feet swell all the time?”

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

Correct Answer is {"A":{"answers":"C"},"B":{"answers":"B"},"C":{"answers":"A"}}

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