The nurse correctly identifies that the client with which disorder is at greatest risk of acquiring a fungal infection of the nail?
1. The client with arthritis
2. The client with diabetes
3. The client with gallbladder disease
4. The client with gout
Correct Answer: 2
Rationale 1: The client with arthritis is at risk for nodules, but not for fungal nail infections.
Rationale 2: The client with diabetes has a 1-in-4 chance of developing a fungal infection of the nail due to poor circulation.
Rationale 3: Clients with gallbladder disease are not at increased risk of fungal infections of the nails.
Rationale 4: Clients with gout are not at greater risk for fungal infections of the nails.
Global Rationale: The client with diabetes has a 1-in-4 chance of developing a fungal infection of the nail due to poor circulation. The client with arthritis is at risk for nodules, but not for fungal nail infections. Clients with gallbladder disease and gout are not at increased risk of fungal infections of the nails.
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