Nurse Kevin 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. Dry, rough patches and bumps around the hair follicles on the upper arms, legs, and buttocks
B. Red shiny skin around the nail bed
C. White silvery patches on the elbows
D. Swelling of the skin near the parotid gland
Correct Answer: B. Red shiny skin around the nail bed
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.
Option A: A skin disorder that causes small, dry, rough patches and bumps around the hair follicles on the upper arms, legs, and buttocks is called keratosis pilaris.
Option C: Silvery white patches that are seen on elbows, knees, and lower back is a characteristic of Plaque psoriasis, a common form of psoriasis.
Option D: Swelling of the skin near the parotid gland is observed in patients with mumps.
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