Deck 48: Nail Disorders

Question 1

A female patient who works with caustic chemicals has developed acute paronychia. What will he provider include when teaching this patient about her condition? (Select all that apply.)

A) Analgesics may be necessary for comfort.
B) Apply clear nail polish to protect her nails.
C) Avoid trimming the nails until the infection clears.
D) Use protective gloves while working.
E) Wear waterproof gloves when washing dishes.

Answer 1

A, D, E

Question 2

A patient diagnosed with recurrent herpetic whitlow is counseled about management of symptoms and prevention of complications. What will be included in this teaching? (Select all that apply.)

A) Begin antiviral medications within 3 days of onset of symptoms.
B) Contact the provider if symptoms persist longer than 3 weeks.
C) Cool compresses may help with comfort and decrease erythema.
D) Keep hands away from the mouth and eyes to prevent inoculation.
E) Wear gloves when preparing foods to prevent spread to others.

Answer 2

B, C, D

Question 3

A patient is diagnosed with herpetic whitlow and in a 2 weeks follow-up evaluation, is noted to have paronychial inflammation of the tendon sheath in one finger that has responded to treatment. What is a priority treatment for this patient?

A) Begin therapy with an oral antiviral medication.
B) Obtain a consult for incision and drainage of the lesion.
C) Order a creatinine clearance test to evaluate renal function.
D) Refer the patient to the emergency department.

Answer 3

D