A nurse is collecting data from a client who is African American and has cholecystitis. Which of the following areas should the nurse inspect to monitor for the presence of jaundice?

Peri-umbilical area

Nail beds

Webbed areas of the fingers

Hard palate

Answer and Explanation

The Correct Answer is D

Choice A: Peri-umbilical area. This is not an area that the nurse should inspect to monitor for the presence of jaundice in a client who is African American and has cholecystitis. The peri-umbilical area is the area around the navel, which is part of the skin. The skin can show jaundice, but it may be difficult to detect in clients with dark skin tones.

Choice B: Nail beds. This is not an area that the nurse should inspect to monitor for the presence of jaundice in a client who is African American and has cholecystitis. The nail beds are part of the skin that can show jaundice, but they may also be aﬀected by other factors such as anemia, cyanosis, or nail polish.

Choice C: Webbed areas of the fingers. This is not an area that the nurse should inspect to monitor for the presence of jaundice in a client who is African American and has cholecystitis. The webbed areas of the fingers are part of the skin that can show jaundice, but they may also be inﬂuenced by other factors such as temperature, circulation, or pressure.

Choice D: Hard palate. This is an area that the nurse should inspect to monitor for the presence of jaundice in a client who is African American and has cholecystitis, which is an inﬂammation of the gallbladder. Jaundice is a yellowish discoloration of the skin and mucous membranes due to elevated bilirubin levels in the blood. Bilirubin is a pigment that is produced from the breakdown of red blood cells and is normally excreted in bile. If the gallbladder or bile ducts are inﬂamed or obstructed, bile cannot ﬂow into the duodenum and bilirubin accumulates in the blood and tissues. The hard palate is a part of the oral mucosa that can show jaundice, especially in clients with dark skin tones.

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Correct Answer is B

Explanation

Choice A: Docusate. This is not a treatment that the nurse should expect to administer to a client with an acute exacerbation of ulcerative colitis. Docusate is a stool softener that can prevent constipation and straining, but it is not indicated for ulcerative colitis.

Choice B: A corticosteroid medication. This is a treatment that the nurse should expect to administer to a client with an acute exacerbation of ulcerative colitis, which is a chronic inﬂammatory bowel disease that causes ulcers and inﬂammation in the colon and rectum. A corticosteroid medication, such as prednisone, can reduce inﬂammation, suppress the immune system, and relieve symptoms such as diarrhea, bleeding, and pain.

Choice C: Aspirin. This is not a treatment that the nurse should expect to administer to a client with an acute exacerbation of ulcerative colitis. Aspirin is a nonsteroidal anti-inﬂammatory drug (NSAID) that can relieve pain and inﬂammation, but it can also irritate the gastrointestinal mucosa and worsen ulcerative colitis.

Choice D: A bowel cathartic medication. This is not a treatment that the nurse should expect to administer to a client with an acute exacerbation of ulcerative colitis. A bowel cathartic medication, such as bisacodyl, can stimulate bowel movements and cleanse the colon, but it can also cause dehydration, electrolyte imbalance, and aggravate ulcerative colitis.

A. Dysphagia B. Pathologic fractures C. Fluid retention D. Impaired skin integrity

Correct Answer is B

Explanation

Choice A: Dysphagia. This is not a complication that the nurse should monitor the client for who has hyperparathyroidism. Dysphagia is difficulty swallowing, which can be caused by disorders of the esophagus, throat, or nervous system. It is not related to hyperparathyroidism or calcium and phosphorus levels.

Choice B: Pathologic fractures. This is a complication that the nurse should monitor the client for who has hyperparathyroidism, which is a condition that occurs when the parathyroid glands produce too much parathyroid hormone (PTH). PTH regulates calcium and phosphorus levels in the blood and bones. Hyperparathyroidism can cause hypercalcemia, which is a high level of calcium in the blood, and hypophosphatemia, which is a low level of phosphorus in the blood. These imbalances can lead to bone resorption, which is the breakdown of bone tissue and release of calcium into the blood. Bone resorption can weaken the bones and increase the risk of pathologic fractures, which are fractures that occur due to disease or injury to the bone.

Choice C: Fluid retention. This is not a complication that the nurse should monitor the client for who has hyperparathyroidism. Fluid retention is excess ﬂuid accumulation in the body, which can be caused by disorders of the heart, kidney, liver, or lymphatic system. It is not related to hyperparathyroidism or calcium and phosphorus levels.

Choice D: Impaired skin integrity. This is not a complication that the nurse should monitor the client for who has hyperparathyroidism. Impaired skin integrity is damage or loss of skin tissue, which can be caused by trauma, infection, inﬂammation, or pressure. It is not related to hyperparathyroidism or calcium and phosphorus levels.

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A nurse is collecting data from a client who is African American and has cholecystitis. Which of the following areas should the nurse inspect to monitor for the presence of jaundice?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the plan of care for a client experiencing an acute exacerbation of ulcerative colitis. Which of the following treatments should the nurse expect to administer?

Correct Answer is B

Explanation

A nurse is caring for a client who has hyperparathyroidism. Based on this diagnosis, the nurse should monitor the client for which of the following complications?

Correct Answer is B

Explanation

A nurse is assisting with the plan of care for a client who has hypothyroidism with myxedema. Which of the following interventions should the nurse include in the plan of care?

A nurse is collecting data from a client who is African American and has cholecystitis. Which of the following areas should the nurse inspect to monitor for the presence of jaundice?

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