An older adult's fingernails appear concave and spoon shaped.The nurse associates this observation with:

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A change in nail shape may indicate underlying disease.Spoon-shaped nails may result from iron deficiency.In chronic lung disease,clubbing of the nails may be present due to chronic hypoxia.In heart disease,changes occur with delayed capillary refill time.Spoon-shaped nails are not part of a normal aging process and should be evaluated in the older adult.

An Older Adult's Fingernails Appear Concave and Spoon Shaped