During report, the nurse is told that a patient "has moderate jaundice." Which of the following assessment findings would the nurse expect to see?
a. Bluish tinge to the fingers and toes
b. Flushing in the face
c. Yellow discoloration of the skin
d. Pale mucous membranes
ANS: C
Jaundice, a yellow-orange discoloration, may occur as a result of liver disease. Cyanosis presents as a gray cast to the skin related to poor oxygenation. Erythema is red or purple gray, and pallor is paleness.
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A nurse cares for a client who is prescribed a drug that blocks a hormone's receptor site. Which therapeutic effect should the nurse expect?
a. Greater hormone metabolism b. Decreased hormone activity c. Increased hormone activity d. Unchanged hormone response
A nurse on a medical unit overhears a discussion about the failure of psychobiologic interventions for clients with mental disorders. Which statement could be made to counteract that supposition?
1. "There is a current moratorium on development of new drugs to correct biochemical imbalances in the brain." 2. "Contemporary research findings indicate that the field of psychobiology and effective interventions is growing rapidly." 3. "There are subjective reports that exposure to bright light and white noise provides effective treatment for mental disorders." 4. "Restriction of nutrients and non-nutrients is no longer believed to affect behavior."
A patient received a right hip prosthesis after a fall. In the immediate postoperative period, the nurse should maintain the leg:
A) In an abducted position. B) In an adducted position. C) In a neutral position. D) With the hip flexed greater than 90 degrees.
When a cast is put on a forearm or leg, the fingers or toes are left uncovered. This is to make it possible to
A) watch for any color or temperature changes. B) clean the nails. C) apply lotion. D) wiggle the patient's fingers or toes.