The 3-month-old with biliary atresia is restless and crying and is very jaundiced. The exhausted mother tells the home health nurse that the baby only sleeps when exhausted with crying and is always fussy and irritable
The nurse is aware that the irritability and restlessness are the result of: a. Bile deposits in the skin causing itching
b. Constipation from lack of bile in the stool
c. Hunger from inability to eat
d. Discomfort from gas
A
The bile that builds up in the blood is deposited in the skin causing itching.
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What factor influences drug absorption?
A) Kidney function B) Route of administration C) Liver function D) Cardiovascular function
A patient on an enteral feeding suddenly complains of feeling faint and is sweating. The diastolic blood pressure has dropped 20 points. The nurse recognizes this as signs of the dumping syn-drome. What is the cause of dumping syndrome?
a. Hypertonic fluid entering the jejunum and pulling large amounts of water from the circulating volume b. Rich enteral feeding causing bowel irrita-tion with severe cramping c. Hypertonic solution rapidly entering the stomach causing pyloric spasm d. Rapid drop in blood glucose as a result of the hypertonic solution pooling in the je-junum
The nurse is assessing an infant for pain. Which integumentary assessment finding indicates that the infant may be experiencing pain?
1) Palmar sweating 2) Increased heart rate 3) Rapid respirations 4) Increased muscle tone
Which of the following best describes why clients with dual diagnoses are difficult to diagnose?
A) Nonhomogeneous, poor historians, and noncompliant B) Homogeneous group with good supports, but lack of finances C) Low social supports and self-esteem D) Lack of financial resources and social supports and poor historians