The nurse examines the peripheral vascular system of a client diagnosed with chronic bronchitis 22 years ago. The nurse examines the client's hand. Which statement by the client is consistent with the client's diagnosis?
1. "My fingers look so pointy and narrow at the ends."
2. "My fingernails are as hard as a rock."
3. "My nails always look a little bluish."
4. "My nails have a lot of strange ridges in them."
Correct Answer: 3
The statement regarding blueness is a likely statement from someone who has a long history of disorder resulting in chronic hypoxia. The nails may look blue or gray due to oxygen deprivation. Many times, clients with a long-term history of chronic hypoxia such as chronic bronchitis, will exhibit clubbing of their fingers. The fingertips will look large at the ends, not pointy and narrow. Clients with lung problems resulting in chronic hypoxia will more likely to complain that their nails are soft and spongy. Ridges in the nails are more likely the result of another disorder such as a nutritional deficiency.
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