The nurse is caring for a patient who has jaundice due to a gallstone. The patient asks, "What is causing my jaundice?" The nurse would recognize that which of the following is the most likely cause?

a. Hemolysis
b. Cirrhosis
c. Bile duct obstruction
d. Hepatitis


ANS: C
Jaundice occurs when the bile duct is obstructed and free flow of bile into the intestine is interrupted. Hemolysis, cirrhosis, and hepatitis all cause jaundice but are not the most common cause in patients with gallbladder disease.

Nursing

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A high school athlete tells the nurse that a protein supplements are necessary for strong muscles. What should the nurse respond to this student?

a. It is not worth the extra expense b. The additional protein will provide extra energy c. Strong muscles are developed with exercise, not extra protein d. Protein supplements will lead to weight loss so should be avoided

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The nurse institutes measures to maintain thermoregulation based on the understanding that newborns have limited ability to regulate body temperature because they:

A) Have a smaller body surface compared to body mass B) Lose more body heat when they sweat than adults C) Have an abundant amount of subcutaneous fat all over D) Are unable to shiver effectively to increase heat production

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Which of the following individuals most clearly exhibits the characteristics of body dysmorphic disorder (BDD)?

A) A 44-year-old man who is committed to going to the gym every day both before work and after work B) A 71-year-old woman who talks frequently about her multiple health problems C) A 20-year-old woman who weighs 98 pounds but who considers herself obese D) A 13-year-old boy who is in the fifth percentile of height and weight for his age and sex

Nursing

What is characteristic of antithyroid drugs that act on the thyroid gland? (Select all that apply.)

a. They are a physiologic hormone replacement. b. They block synthesis of T3 and T4 in the thyroid gland. c. They destroy T3 and T4. d. Immediate improvement is observed. e. They may be used before subtotal thyroidectomy.

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