NIC Nail Technician Written ExamNail Technology ProceduresMedium
A client presents with inflamed cuticles and pus around the nail folds. Which of the following conditions is most likely present, and what is the appropriate action for the nail technician?
- AParonychia; refuse service and advise the client to see a physician.
- BOnychomadesis; proceed with service, being careful not to apply pressure.
- COnychophagy; recommend a bitter-tasting polish to deter biting.
- DOnychocryptosis; gently lift the nail plate and apply antiseptic.
Show answer & explanationAnswer & explanation
Correct answer: A. Paronychia; refuse service and advise the client to see a physician.
Inflamed cuticles and pus around the nail folds are classic symptoms of paronychia, a bacterial or fungal infection. Providing service in such a condition is contraindicated due to the risk of spreading infection and exacerbating the client's condition, making referral to a physician the correct action.
Why the other options are wrong
- B. Onychomadesis is the shedding of the nail plate, not an infection of the surrounding tissue, and servicing it would be inappropriate if an infection is present.
- C. Onychophagy is nail biting, which does not typically present with pus or inflammation in the nail folds, and the action is incorrect for the described symptoms.
- D. Onychocryptosis is an ingrown nail, which may cause inflammation but not typically pus around the cuticle area, and lifting the nail is a medical procedure outside a nail technician's scope.
Paronychia
An inflammation of the nail fold, often bacterial or fungal, characterized by redness, swelling, tenderness, and sometimes pus.
- Commonly caused by trauma, moisture, or chemical irritants.
- Requires medical attention; nail technicians must refuse service.
- Can be acute (bacterial) or chronic (fungal).
Memory trick: Infected Nail Folds: Physicians' Orders Only!