A nurse is caring for a client with cholelithiasis. The client complains of a yellowish discoloration of the skin and eyes. Which term should the nurse use to describe this finding?
Jaundice.
Erythema.
Pallor.
Petechiae.
The Correct Answer is A
Choice A reason:
This statement is correct. Jaundice refers to the yellowish discoloration of the skin and eyes caused by an accumulation of bilirubin, which can occur in cholelithiasis due to obstruction of the bile ducts by gallstones.
Choice B reason:
Erythema refers to redness of the skin and is not related to the client's complaint.
Choice C reason:
Pallor refers to paleness of the skin and is not related to the client's symptom.
Choice D reason:
Petechiae refers to small, pinpoint-sized red or purple spots on the skin caused by bleeding and is not related to the client's symptom.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
This statement is correct. Engaging in regular physical activity to promote weight loss and maintain a healthy weight can help prevent the formation of gallstones, as obesity is a significant risk factor for cholelithiasis.
Choice B reason:
Consuming a high-fat diet is not recommended for preventing gallstones. A high-fat diet is associated with an increased risk of gallstone formation.
Choice C reason:
Avoiding fruits and vegetables to reduce fiber intake is not a healthy approach to preventing gallstones. Adequate fiber intake is beneficial for overall health and may help prevent gallstone formation.
Choice D reason:
Drinking sugary beverages is not recommended for preventing gallstones. It is essential to maintain hydration, but sugary beverages can contribute to obesity and other health problems, increasing the risk of cholelithiasis.
Correct Answer is B
Explanation
Choice A reason:
Administering an antipyretic medication may help reduce the fever, but it does not address the underlying issue of the suspected infection. Notifying the healthcare provider about the client's symptoms is the priority action.
Choice B reason:
This statement is correct. The nurse should notify the healthcare provider immediately about the client's severe pain, fever, and chills to initiate appropriate assessment and treatment for a possible infection.
Choice C reason:
Encouraging the client to increase oral fluid intake is important for overall hydration, but it may not be the priority action when an infection is suspected.
Choice D reason:
Placing a heating pad on the client's abdomen may provide temporary relief for discomfort but is not appropriate when the client has a fever and suspected infection.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.