Which of the following is noted in this condition? when performing - ProProfs Discuss
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Which of the following is noted in this condition? When performing an assessment on a client with COPD the nurse notes the presence of clubbing.



A. Fingertips large and round
B. Delayed capillary refill
C. Flattening of the angle of the nail
D. Delayed Allen s test
E. Base of the nail feels spongy
Asked by Jackson, Last updated: Jan 09, 2019

This question is part of

Ch18 Peripheral Vascular System

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2 Answers

A. Daniels

A. DanielsProfessor, San Diego
Professor, San Diego

Answered on Jan 09, 2019

Clubbing is part of a condition called hypertrophic osteoarthropathy. COPD can cause clubbing. Clubbing initially manifests itself as sponginess of the nail bed, along with the loss of the nail bed angle, which causes the nail to curve downward and appear clubbed.

It is the enlargement of the ends of the fingers and a downward sloping of the nail. Most people with clubbing have acquired bilateral clubbing, which affects both hands and both feet.

Clubbing is often seen in those people who have co-existent pulmonary or cardiovascular disease. Eventually, the nail and skin around the nail become shiny, and the nail develops ridging.

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John Smith

John Smith

Answered on Sep 08, 2016

Fingertips large and round-2. flattening of the angle of the nail-3. base of the nail feels spongy-fingertips large and round - enlargement of the tips of the fingers occurs with clubbing. clubbing is a sign of oxygen deprivation in the extremities. delayed capillary refill - this is seen with circulatory problems and is not a sign of clubbing. flattening of the angle of the nail - this is seen with clubbing. clubbing is a sign of oxygen deprivation in the extremities. delayed allens test - this occurs with alterations in radial and ulnar artery circulation, not clubbing. base of the nail feels spongy - the base of the nail feels spongy with clubbing. clubbing is a sign of oxygen deprivation in the extremities.
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