While collecting data on a patient, the nurse observes that the patient's facial skin is yellowish. What other areas should the nurse assess to confirm presence of jaundice?
a. Mucous membranes
b. Sclerae
c. Conjunctivae
d. Nailbeds
ANS: B
Although skin is affected by jaundice, the best place to inspect for jaundice is in the sclera of the eye. The best places to inspect for cyanosis are the lips, nailbeds, conjunctivae, and palms.
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The nurse is caring for a preoperative patient who has just received sedation prior to general anesthesia in the OR. What is the priority action of the nurse?
a. Check to make sure that the consent form was signed. b. Turn off the lights and provide a quiet environment. c. Raise the side rails on the patient's stretcher. d. Indicate the surgical site with an indelible marker.
A patient experiencing a "swollen" scrotum is found to have fluid within the scrotum. Which health problem should the nurse suspect this patient will need to have treated?
1. a hydrocele 2. a spermatocele 3. a variocele 4. scrotal cancer
A caregiver brings a handicapped patient to the ED reporting altered level of consciousness and refusal to eat by the patient. The patient is found to be severely dehydrated
The nurse suspects neglect and asks the caregiver several questions regarding the patient's activities, diet, and care. The caregiver states, "I didn't know it could hurt him if he didn't drink anything." This is an example of what kind of abuse? A) Psychological B) Intentional C) Unintentional D) Direct
A common barrier to communication is:
a. management styles. c. sadness and frustration. b. different language. d. decreased face-to-face contact.