The nurse assesses changes in the patient's fingers. The fingertips look swollen, and the nails seem to angle downward. How should the nurse proceed?
1. Request an X-ray of the patient's hands.
2. Ask the patient if an injury occurred to the hands.
3. Review the patient's history for pulmonary disorders.
4. Ask if the patient has diabetes.
3
Rationale 1: There is no need for an X-ray of this finding.
Rationale 2: This assessment does not represent an injury pattern.
Rationale 3: This assessment describes clubbing which indicates chronic oxygen deficiency.
Rationale 4: Diabetes would not cause this change to the fingertips.
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