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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Pulseless ventricular tachycardia requires immediate defibrillation to restore a perfusing rhythm.
B. Antiarrhythmic medications are not typically effective for pulseless ventricular tachycardia as the heart is not effectively pumping blood.
C. Synchronized cardioversion is used for certain tachyarrhythmias with a pulse but is not appropriate for pulseless ventricular tachycardia.
D. A pacemaker is not indicated for pulseless ventricular tachycardia as it does not address the underlying issue of cardiac arrest.

A. Use contact precautions. B. Administer ibuprofen prior to assisting with ADLS C. Measure rectal temperature every 4 hr. D. Administer a stool softener.

Correct Answer is D

Explanation

A. Leukemia itself doesn't necessitate contact precautions unless there are other specific infectious concerns, which are not mentioned in this scenario.
B. Ibuprofen is contraindicated in patients with low platelet counts due to the risk of bleeding. Therefore, administering ibuprofen would exacerbate the risk of bleeding in this patient.
C. Invasive procedures like rectal temperature measurements should be avoided in patients with low platelet counts due to the risk of bleeding. Thus, this intervention increases the risk of harm to the patient.
D. Patients with low platelet counts are at risk for bleeding, including gastrointestinal bleeding. Administering a stool softener can help prevent straining during bowel movements, reducing the risk of bleeding and promoting patient comfort and safety.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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