The nurse is assessing a patient who has liver disease for jaundice. Which of these assessment findings is indicative of true jaundice?
a. Yellow patches in the outer sclera
b. Yellow color of the sclera that extends up to the iris
c. Skin that appears yellow when examined under low light
d. Yellow deposits on the palms and soles of the feet where jaundice first appears
ANS: B
The yellow sclera of jaundice extends up to the edge of the iris. Calluses on the palms and soles of the feet often appear yellow but are not classified as jaundice. Scleral jaundice should not be confused with the normal yellow subconjunctival fatty deposits that are common in the outer sclera of dark-skinned persons.
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Based on the current prevalence of mental illness, most nursing students who do NOT go on to specialize in psychiatric nursing:
a. will not encounter persons with mental illness except during their psychiatric rotation b. will themselves experience significant mental illness at some point during their lifetimes c. will already know or be related to someone with significant mental illness d. will not use psychiatric nursing knowledge during their nursing career
The school nurse is caring for a 7-year-old child who has demonstrated a significantly lower-than-average score for mental age on standardized tests in reading. However, the child's IQ scores were within the average range
The nurse interprets this information as suggesting which of the following? A) Communication disorder B) Attention deficit hyperactivity disorder C) Asperger syndrome D) Dyslexia
A soft diet has been ordered for your patient. What item should be omitted from the tray?
A) fried eggs B) toast C) cream of wheat D) coffee with cream and sugar
Which of the following terms describes having to urinate very often?
A. urgency B. frequency C. oliguria D. incontinence