The nurse is assessing a patient with liver failure and jaundice. Which question should the nurse ask to determine if the cause of the jaundice is hemolytic?
1. "Have you been diagnosed with a disorder of red blood cell destruction?"
2. "What color is your urine?"
3. "What color are your stools?"
4. "Do you have any gallbladder problems?"
Correct Answer: 1
Hemolytic jaundice develops when excess RBC destruction releases more bilirubin into circulation than the liver is able to process. Darkened urine and light or clay-colored stools are more commonly associated with hepatic or obstructive jaundice. Patients with gallbladder disorders are also at risk for jaundice; however, this patient's liver failure is a given.
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