While assessing a 10-month-old African American infant,the nurse notices that the sclerae have a yellowish tint. The organ system that the nurse would suspect as having an ongoing disease process is
1. cardiac.
2. respiratory.
3. gastrointestinal.
4. genitourinary
Answer:3
Rationale: 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. Cyanosis of the skin and mucous membranes is generally a sign of problems with the cardiac and/or respiratory system. Tenting of the skin and dry mucous membranes could be a sign 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.
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