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 C
Explanation
Choice A reason:
Acetaminophen is an analgesic but may not provide sufficient pain relief for biliary colic.
Choice B reason:
Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) but may not be the most effective option for pain relief in cases of biliary colic.
Choice C reason:
This statement is correct. Morphine sulfate is an opioid analgesic often used to provide pain relief for biliary colic, as it can effectively alleviate severe, cramping pain associated with gallstone obstruction.
Choice D reason:
Diphenhydramine is an antihistamine and is not used for pain relief in cases of biliary colic.
Correct Answer is B
Explanation
Choice A reason:
Avoiding all dairy products is not necessary for gallstone prevention, and it may lead to nutritional deficiencies.
Choice B reason:
This statement is correct. Including a variety of fruits and vegetables in the diet can promote gallbladder health and reduce the risk of gallstone formation.
Choice C reason:
Consuming large quantities of red meat is not a recommended preventive measure for gallstones. High red meat intake may actually increase the risk of gallstone formation.
Choice D reason:
Limiting fluid intake can lead to dehydration and increase the risk of gallstone formation. Adequate hydration is essential for gallbladder health.
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