The nurse is caring for a client with marked clubbing of the fingers and toes. The nurse understands which to be true regarding clubbing?

Select all that apply.
  • It is a permanent condition.
  • Clients on dialysis often have clubbing.
  • Sickle cell disease may cause clubbing.
  • It is caused by acute oxygen deprivation.
  • It can be caused by right-sided heart failure.
  • It is common in clients with congenital heart defects.
Numbers 3, 5, and 6 are correct.
Clubbing may be found in clients with sickle cell disease and right-sided heart failure. It is common in clients with congenital heart defects. Clubbing can be reversible if the underlying cause is resolved. It is caused by chronic, not acute, oxygen deprivation.