Nurse Carl reviews the client’s chart and notes that the physician has documented a diagnosis of paronychia.. Red shiny skin around the nail bed

Nurse Carl reviews the client’s chart and notes that the physician has documented a diagnosis of paronychia. Based on this diagnosis, which of the following would the nurse expect to note during the assessment?
a.    Red shiny skin around the nail bed
b.    White taut skin in the popliteal area
c.    White silvery patches on the elbows
d.    Swelling of the skin near the parotid gland

Answer A.
Paronychia, or infection around the nail, is characterized by red, shiny skin, often associated with painful swelling. These infections frequently result from trauma, picking at the nail, or disorders such as dermatitis. Often, these become secondarily infected with bacteria or fungus, which later involves the nail. Warm soaks three or four times a day may reduce pain and pressure; however, incision and drainage of the inflamed site frequently are required. Options B, C, and D are incorrect.
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