During an assessment of a client with anemia, a nurse is alert for the presence of:
A. Pallor
B. Jaundice
C. Cyanosis
D. Erythema
A
A. Pallor (decrease in color) indicates reduced amount of oxyhemoglobin resulting from decreased blood flow caused by anemia or shock.
B. Jaundice indicates increased deposit of bilirubin in tissues caused by liver disease, destruction of red blood cells.
C. Cyanosis indicates increased amount of deoxygenated hemoglobin caused by heart or lung disease or cold environment.
D. Erythema indicates increased visibility of oxyhemoglobin caused by dilation or increased blood flow that is caused by fever, direct trauma, blushing, or alcohol intake.
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The children of a widow confer with the bereavement nurse because their mother persists in
repeatedly telling people the details of finding her husband not breathing, performing CPR, and going to the emergency department with him by ambulance and seeing him pronounced dead. The family are concerned that this is traumatic to those who have to hear the story and ask what they can do. The nurse should counsel the family that a. they can interpret their feelings to their mother and ask for a change in behavior. b. the retelling should be limited to once daily to avoid unnecessary stimulation. c. repeating the story and her feelings is a helpful and necessary part of grieving. d. retelling of memories is to be expected as part of the aging process.
When inspecting the skin of a client, the nurse notes a bluish tinge to the skin. What condition would the nurse document?
A) Jaundice B) Cyanosis C) Erythema D) Pallor
Which assessment finding is reflective of the parasympathetic nervous system?
1. Frequent bowel movements 2. Elevated liver enzymes 3. Pupils 8 mm and equal 4. Decreased urine output
Type 1 diabetes
A. is treated with oral medication. B. is treated with daily insulin injections. C. first appears after the age of 40. D. is the most common type.