When assessing a patient with hepatitis, the nurse notes a yellow tingle to the patient's skin. The nurse understands that jaundice most likely results from an obstruction in the flow of bile from the:
a. heart.
b. liver.
c. brain.
d. intestines.
B
Jaundice is a yellow tinge to the skin; it may indicate obstruction in the flow of bile from the liver.
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The RN leader of a team overhears one of the UAPs on the team say, "I'll sure be glad when I get my RN license. All they do is sit around doing paperwork." How does the RN interpret this comment?
1. As a need to be more involved in direct client care when this UAP is on the team 2. As a common disadvantage of the team approach to nursing 3. As an indication that this UAP should be reported for unprofessional behavior 4. As confirmation that UAPs are poorly educated and do not work well on teams
Which critical thinking skill allows the nurse to think outside of the box when assessing a patient?
1) Divergent thinking 2) Reasoning 3) Creativity 4) Reflection
Which assessment is most important for the nurse to perform before administering a bronchodi-lator by inhalation?
a. Listening with a stethoscope to the patient's breath sounds b. Measuring blood pressure in the sitting and standing positions c. Asking questions to assess the patient's cognition and mental status d. Checking the oral mucous membranes for white or cream-colored patches
Which contributing factor(s) may lead to hernia development? (select all that apply.)
a. Heavy lifting b. Chronic cough c. Straining with defecation d. Ascites e. Strenuous sexual activity