During report, the nurse is told that a patient "has moderate jaundice." Which assessment finding should the nurse expect to see?
a. Flushing in the face
b. Pale mucous membranes
c. Yellow discoloration of the skin
d. Bluish tinge to the fingers and toes
ANS: C
Jaundice, a yellow-orange discoloration, may occur as a result of liver disease. D. Cyanosis presents as a gray cast to the skin related to poor oxygenation. A. Erythema is red or purple gray. B. Pallor is paleness.
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The school nurse is educating middle school students about the connection between noise and hearing loss. Which information should the nurse provide?
1. Hearing loss requires multiple exposures to high noise levels. 2. Rock concerts are considered to produce moderate levels of noise. 3. One exposure to intense "impulse" noise will probably not damage hearing. 4. Noise-induced hearing loss is also referred to as toxic loss.
Who was the leader in the development of Evidence-Based Practice?
a. London c. Cochrane b. Oxford d. Nightingale
Unlicensed assistive personnel (UAP) perform all the following actions when caring for a patient with Ménière's disease who is experiencing an acute attack. Which action by UAP indicates that the nurse should intervene immediately?
a. UAP raise the side rails on the bed. b. UAP turn on the patient's television. c. UAP turn the patient to the right side. d. UAP place an emesis basin at the bedside.
A female client is being seen in the clinic. The nurse observes both male and female genitalia upon physical assessment. This would be classified as which hormonal imbalance?
A) Homosexuality B) Klinefelter's syndrome C) Hermaphrodism D) Turner's syndrome