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    Hesi rn 246 health assessment proctored exam (nightgale college)

    When performing a skin and nail exam on an older adult female client, the nurse notes that she has longitudinal ridges on her fingernails. What does this finding indicate?

    Explanation & Rationale

    Choice A reason: Longitudinal ridges are a common and benign finding in older adults due to reduced cell turnover and nail matrix changes. They are considered a normal age-related variation. Choice B reason: COPD may cause clubbing or cyanosis but is not typically associated with longitudinal ridging. Choice C reason: Psoriasis may cause pitting, discoloration, or thickening of nails, but not isolated longitudinal ridges. Choice D reason: Fungal infections often present with thickened, discolored, or brittle nails, not longitudinal ridging alone.

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