A nurse is collecting data from a client who is African American has cholecystitis. Which of the following areas should the nurse inspect to monitor for the presence of jaundice?

Webbed areas of the fingers

Nail beds

Hard palate

Peri-umbilical area

Answer and Explanation

The Correct Answer is C

A. Jaundice is typically not visible in the webbed areas of the fingers.

B.   The nail beds are part of the skin that can show jaundice, but they may also be aﬀected by other factors such as anemia, cyanosis, or nail polish.
C.   The hard palate is a part of the oral mucosa that can show jaundice, especially in clients with dark skin tones.
D.   This is not an area that the nurse should inspect to monitor for the presence of jaundice in a client who is African American and has cholecystitis. The skin can show jaundice, but it may be difficult to detect in clients with dark skin tones.

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Correct Answer is A

Explanation

A. Three or more consecutive premature ventricular contractions (PVCs) on an ECG tracing is indicative of ventricular tachycardia, a serious arrhythmia that requires prompt intervention.
B. Bigeminy refers to a pattern of every other beat being a PVC, not necessarily three or more consecutive PVCs.
C. Ventricular fibrillation is characterized by chaotic, disorganized ventricular activity on the ECG and is not defined by the presence of consecutive PVCs.
D. Trigeminy refers to a pattern of every third beat being a PVC, not necessarily three or more consecutive PVCs.

A. Strain all urine. B. Apply ice to the painful area. C. Encourage bedrest. D. Restrict fluids.

Correct Answer is A

Explanation

A. Straining urine is important to catch any stones that are passed, which can then be analyzed to determine their composition and inform future treatment and prevention strategies.
B. While cold therapy may provide some relief from discomfort associated with kidney stones, it is not the primary intervention for managing kidney stones.
C. Bedrest is generally not recommended for patients with kidney stones. Remaining active may help promote passage of the stone.
D. Adequate fluid intake is essential for preventing kidney stone formation and facilitating stone passage. Restricting fluids can exacerbate the problem by leading to concentrated urine and increased risk of stone formation.

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A nurse is collecting data from a client who is African American has cholecystitis. Which of the following areas should the nurse inspect to monitor for the presence of jaundice?

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