The nurse explains that the jaundice observed in a person with hepatitis is related to the:
a. ischemia of the liver.
b. increased bile production by the enlarged Kupffer cells.
c. destruction of RBCs by the hepatitis virus.
d. congestion in the liver obstructing bile flow.
D
Congestion from the inflammation obstructs the bile from entering the duodenum and keeps it in the circulating volume.
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The emergency department (ED) has seen an increase in violent behavior over the past year. The manager has voiced concerns to the CNO (chief nurse officer) regarding the safety of the ED staff. What should be done to address this issue?
1. The manager should consult with local law enforcement. 2. The CNO should review and revise the management of violent incidents procedure policy. 3. The CNO should discuss the matter with local law enforcement. 4. The manager should discuss the matter with the ED staff.
When assessing patients with mental illness, the nurse anticipates their behavior to be:
a. very disruptive to a person in society. b. differing from socially acceptable behavior. c. causing the person to be involved in problems. d. resulting from an inability to exercise control.
A night nurse is reviewing the next day's medication administration record (MAR) of a patient who has hemophilia
The nurse notes that the MAR specifies both oral and subcutaneous options for the administration of a PRN antiemetic. What is the nurse's best action? A) Ensure that the day nurse knows not to give the antiemetic. B) Contact the prescriber to have the subcutaneous option discontinued. C) Reassess the patient's need for antiemetics. D) Remove the subcutaneous route from the patient's MAR.
The nurse is examining the posture of a male toddler and notes the condition "lordosis." What would be the appropriate reaction of the nurse to this finding?
A) Explain that the child will need a back brace. B) Refer the toddler to a physical therapist. C) Do nothing; this is a normal condition for toddlers. D) Notify the primary care physician about the condition.