A client admitted with liver cancer and jaundice. Which of the following skin deposits are related to jaundice and cause itching?

Ammonia

Nitrogen

Bile salts

Protein

Answer and Explanation

The Correct Answer is C

A. Ammonia: Ammonia accumulation affects the brain, causing hepatic encephalopathy, but it does not cause itching.

B. Nitrogen: Nitrogenous waste buildup is associated with renal failure (uremic pruritus) rather than liver disease.

C. Bile salts: In liver dysfunction, bile salts accumulate in the skin, leading to pruritus (itching) due to biliary obstruction.

D. Protein: Protein does not cause itching; however, hypoalbuminemia in liver disease can lead to edema, not pruritus.

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Correct Answer is A

Explanation

A. "My immune system reacts to gluten and damages the villi in my gut.": Celiac disease is an autoimmune disorder in which gluten triggers an immune response that damages the small intestinal villi, leading to malabsorption.

B. "I have an allergy to the proteins that are found in wheat.": Celiac disease is not a wheat allergy; it is an autoimmune condition triggered by gluten, a protein found in wheat, barley, and rye.

C. "I am glad that I can still eat rye bread." : Rye contains gluten and must be avoided in celiac disease.

D. "The bacteria in my gut are unable to digest gluten." : Celiac disease is not caused by bacterial inability to digest gluten but by an autoimmune response to gluten.

A. Stoma coding red drainage B. Rosebud-like stoma orifice C. Purplish colored stoma D. Shiny, moist stoma

Correct Answer is C

Explanation

A. Stoma oozing red drainage: Some drainage is expected postoperatively.

B. Rosebud-like stoma orifice: This is a normal appearance of a healthy stoma.

C. Purplish colored stoma: A purplish stoma indicates ischemia or poor perfusion and requires immediate intervention.

D. Shiny, moist stoma: This is a normal finding for a stoma.

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A client admitted with liver cancer and jaundice. Which of the following skin deposits are related to jaundice and cause itching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a newly diagnosed client with celiac disease. Which of the following statements made by the client indicate understanding on the teaching?

Correct Answer is A

Explanation

A nurse in a PACU is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider?

Correct Answer is C

Explanation

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