Compare and contrast three major causes of jaundice
What will be an ideal response?
Hemolytic jaundice is secondary to the increased breakdown of red blood cells resulting in increased formation of bile pigments beyond the liver's ability to conjugate and excrete. Hence the unconjugated bilirubin accumulates in the blood as in hemolytic anemia or hemolytic disease.
Hepatocellular jaundice is secondary to severe damage to the liver tissue and bile channels, impairing its ability to conjugate and excrete bilirubin.
Obstructive jaundice is secondary to the obstruction of the bile duct preventing bile excretion into the duodenum as in cancer of the head of the pancreas or in case of a gallbladder stone impacted in the common bile duct. In this case, conjugation and excretion are not impaired.
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________________ is a narrowing of the preputial opening of the foreskin, which prevents the foreskin from being retracted over the penis
ANS:
A staff nurse tells the nurse manager, "I don't know how you do it. You manage the unit, work extra shifts, and have so many people depending on you and yet you seem so calm and in control." What explains this nurse's perception?
1. Nurse managers don't do much direct client care, so their work is predicable. 2. The staff nurse is trying to manipulate the manager. 3. The manager has excellent coping skills and high stress tolerance. 4. Some people do a very good job of hiding their stress.
What is the nurse's duty when a client tells the nurse he plans to kill his wife and her lover as soon
as he is released from the hospital? The nurse must a. document this information in the client's record and report it to the physician and team. b. immediately call the client's wife and her lover to warn them. c. immediately call to warn the client's wife but not her lover. d. file a report with the local law enforcement authorities.
The nurse is supervising a certified nursing assistant (CNA). The nurse intervenes when the CNA asks a patient:
1. "Would you like some more pain medication?" 2. "Would you like some fresh sheets?" 3. "When would you like your bath?" 4. "Is it okay if I take your vital signs?"