While assessing a 10-month-old African American infant, the nurse notices that the sclerae have a yellowish tint. Which organ system would the nurse suspect as having an ongoing disease process?
1. Genitourinary
2. Cardiac
3. Gastrointestinal
4. Respiratory
3
Rationale 1: Tenting of the skin and dry mucous membranes could be signs of dehydration, and edema could be a sign of fluid overload. Both of these conditions could be secondary to problems with functioning of the genitourinary system.
Rationale 2: Cyanosis of the skin and mucous membranes is generally a sign of problems with the cardiac and/or respiratory system.
Rationale 3: This infant's sclerae are showing signs of jaundice, which most likely is secondary to a failure or malfunction of the liver in the gastrointestinal system.
Rationale 4: Cyanosis of the skin and mucous membranes is generally a sign of problems with the cardiac and/or respiratory system.
Global Rationale:
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