Anatomy & DisordersQuestion 75 of 100
A teenage client is worried about small white spots scattered across several of her fingernails. The nail folds and surrounding skin look completely healthy. What should you do?
a.Refuse the service, because white spots always mean a fungal infection
b.Tell her the spots mean she is low on calcium and should take a supplement
c.Scrape the spots off the nail plate with a metal pusher
d.Explain that white spots (leukonychia) usually come from minor injury to the matrix, then continue the service as normal
Explanation
Leukonychia is a harmless disorder, usually caused by a small bump or injury at the matrix, and because there is no infection you may service the nails normally. It is not a fungal infection, so refusing service is not needed, and the spots grow out on their own. Telling a client she is low on calcium is offering a medical or nutritional opinion you are not licensed to give, and the spots are inside the plate so scraping only thins and damages the nail.
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