A nurse is collecting data from a client who is African American has cholecystitis. Which of the following areas should the nurse inspect to monitor for the presence of jaundice?
Webbed areas of the fingers
Nail beds
Hard palate
Peri-umbilical area
The Correct Answer is C
A. Jaundice is typically not visible in the webbed areas of the fingers.
B. 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.
C. The hard palate is a part of the oral mucosa that can show jaundice, especially in clients with dark skin tones.
D. 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 skin can show jaundice, but it may be difficult to detect in clients with dark skin tones.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Monitoring fluid intake and output provides direct measurement of fluid balance in the body.
B. Lung sounds may indicate fluid accumulation in the lungs but are not a direct measure of overall fluid balance.
C. Edema may indicate fluid retention but does not provide comprehensive information about fluid balance throughout the body.
D. While weight can be an indicator of fluid balance, it is influenced by factors other than fluid status, such as muscle mass and fat.
Correct Answer is ["A","B","D"]
Explanation
A. Hodgkin's disease is characterized by the presence of Reed-Sternberg cells, which are large, abnormal lymphocytes.
B. Enlarged, painless lymph nodes, particularly in the neck, armpits, or groin, are characteristic of Hodgkin's disease.
C. Skeletal pain is not a typical symptom of Hodgkin's disease. Patients may experience generalized symptoms such as fatigue, fever, and weight loss.
D. Hodgkin's disease has a relatively high cure rate, especially in comparison to other types of lymphomas. Advances in treatment have improved outcomes for many patients with Hodgkin's disease.
E. Philadelphia chromosome is associated with chronic myeloid leukemia, not Hodgkin's disease.
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