When examining a patient who complains of a problem with her fingernails, the nurse should specifically question her about a history of
a. eczema, melanoma, and herpes zoster.
b. psoriasis, fungal infections, and trauma.
c. alopecia, trichotillomania, and chemotherapy.
d. vitiligo and lupus erythematosus.
B
The various components of the past health history are linked to skin, hair, and nail pathology and skin-, hair-, and nail-related information. If a patient has problems with fingernails, the nurse should ask about a history of allergies, psoriasis, bacterial or fungal infections, trauma, brittle nails, nail-biting, and congenital anomalies. If a patient has skin-specific problems, the past health history should include asking about allergies, eczema, atopic dermatitis, melanoma, albinism, vitiligo, psoriasis, skin cancer, athlete's foot, birthmarks, body piercing, tattoos, and urticaria. Lupus erythematosus and herpes zoster are pathologies associated with nonskin specific findings. Alopecia, trichotillomania, and chemotherapy are pathologies associated with hair- and nonhair-specific findings.
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