The nurse is preparing to perform a physical examination on a ...

[serike]

The nurse is preparing to perform a physical examination on a client who has cardiopulmonary disease. Knowing this about the client, the nurse is alert for the presence of which of the follow-ing when checking the client's nails?
 
  a. Clubbing
  b. Bands in nailbeds
  c. Yellow discoloration
  d. Splinter hemorrhages

Question 2

When performing a thorough psychosocial assessment on a young adult, what must the nurse realize?
 
  a. Having a job is the best way to relieve stress.
  b. Although psychologically disturbing, stress does not lead to physical illness.
  c. Change is inevitable and is not a factor in stress-related illness.
  d. Psychosocial health is often related to job and family stress.

[amy.lauersdorf90]

Answer to Question 1

A
Clubbing of the nails is caused by a chronic oxygenation problem, such as in heart or pulmonary disease.
Bands in nail beds may be caused by nutrient and electrolyte changes.
Yellow discoloration of the nails is related to insufficient intake or uptake of calcium.
Splinter hemorrhages may indicate trauma or chronic conditions.

Answer to Question 2

D
The psychosocial health concerns of the young adult are often related to job and family stressors. If stress is prolonged and the patient is unable to adapt to the stressor, health problems will develop. Job assessment also includes conditions and hours, duration of employment, changes in sleep or eating habits, and evidence of increased irritability or nervousness. When a patient seeks health care and presents stress-related symptoms, the nurse needs to assess for the occurrence of a life change event.