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. Cardiac

2. Respiratory

3. Gastrointestinal

4. Genitourinary


3

Rationale:

1. Cyanosis of the skin and mucous membranes is generally a sign of problems with the cardiac and/or respiratory system.
2. Cyanosis of the skin and mucous membranes is generally a sign of problems with the cardiac and/or respiratory system.
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.
4. 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.

Nursing

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