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

The sclera

Nail beds

Periumbilical area

Webbed areas of the fingers .

Answer and Explanation

The Correct Answer is A

Choice A rationale
Jaundice, a common symptom of cholecystitis, is a yellow discoloration of the skin and whites of the eyes (sclera) caused by an excess of bilirubin in the blood. The sclera is often the first place where jaundice is noticeable because the high amount of elastin in the sclera binds to bilirubin, causing a yellowish discoloration.
Choice B rationale
While nail beds can sometimes show signs of certain health issues, they are not typically used to monitor for the presence of jaundice. Jaundice primarily causes yellowing of the skin and the whites of the eyes.
Choice C rationale
The periumbilical area (around the belly button) is not typically used to monitor for the presence of jaundice. Jaundice primarily causes yellowing of the skin and the whites of the eyes.
Choice D rationale

The webbed areas of the fingers are not typically used to monitor for the presence of jaundice. Jaundice primarily causes yellowing of the skin and the whites of the eyes.

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Correct Answer is A

Explanation

Choice A rationale

Asking the patient to share their concerns allows the nurse to understand the patient’s perspective and provide individualized care. It opens up a dialogue where the patient can express their fears and the nurse can provide reassurance and information.
Choice B rationale
While it’s true that many people worry about managing an ileostomy at first, this response does not address the patient’s specific concerns. It’s important to understand the patient’s individual fears and worries.

Choice C rationale
This response may be misleading. While an ileostomy can help manage the symptoms of ulcerative colitis, it does not cure the disease. It’s important to provide accurate information to the patient.

Choice D rationale
Discussing strategies to adapt to life with an ileostomy can be helpful, but it’s important to first understand the patient’s specific concerns. This response assumes what the patient needs without asking them.

Correct Answer is ["2"]

Explanation

Step 1: Identify the prescribed dose, which is 650 mg.
Step 2: Identify the available amount, which is 325 mg per tablet.
Step 3: Divide the prescribed dose by the available amount to find the number of tablets. So, 650 mg ÷ 325 mg/tablet = 2 tablets. Therefore, the nurse should administer 2 tablets.

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A nurse is collecting data from a patient 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 providing care for a young adult patient who has ulcerative colitis and is scheduled for an ileostomy surgery. After a discussion with the healthcare provider, the patient expresses concern, “How will I ever be able to have a normal life after this?” How should the nurse respond?

Correct Answer is A

Explanation

A nurse is preparing to administer acetaminophen 650 mg PO to a patient. The available amount is acetaminophen 325 mg/tablet. How many tablets should the nurse administer?

Correct Answer is ["2"]

Explanation

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