You observe yellow-tinged sclera on a client with dark skin. Based on this observation, what is your best action?
A. Examine the soles of the client's feet.
B. Nothing; this is a normal finding on all people with dark skin.
C. Inspect the client's oral mucosa and hard palate for other indications of jaundice.
D. Notify the physician of the possibility that the client has hepatitis or another liver disorder.
C
The nurse can best observe jaundice in clients with dark skin by inspecting the oral mucosa, es-pecially the hard palate, for yellow discoloration. Sclera may have subconjunctival fat deposits that show a yellow hue. Foot calluses may appear yellow.
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When instructing a patient about the therapeutic effectiveness of an anthelmintic drug, the nurse would be sure to include what?
A) Any person exposed to the patient should also be treated. B) The drugs should never be taken with food. C) The infected person should be isolated. D) Strict hygiene measures are important in eradicating the worm.
A patient is being started on enalapril (Vasotec). The nurse would teach the patient to be alert for which adverse effects? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Increased thirst 2. Dizziness 3. Cough 4. Sore throat 5. Constipation
The nurse in the workplace has little opportunity to receive positive feedback from peers or supervisors. What can be substituted?
a. A revisit from a former nursing instructor b. Self-evaluation c. Seeking compliments from the patient d. An alcoholic beverage after work
An adult son is adjusting to the idea of his chronically ill parents moving into his family home. The community health nurse is assessing the adult son for potential stressors secondary to the new family living arrangement
Which stressor will the nurse assess for in this adult son? a. Role confusion b. Role ambiguity c. Role performance d. Role overload