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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C"]
Explanation
A. Cranberry juice is typically low in potassium and would be suitable for a patient instructed to limit potassium intake.
B. Chocolate is generally high in potassium and would not be a suitable snack for a patient limiting potassium intake.
C. Jello is typically low in potassium and can be a suitable snack for a patient limiting potassium intake.
D. Oranges are high in potassium and would not be suitable for a patient instructed to limit potassium intake.
E. Grapefruit juice is high in potassium and would not be suitable for a patient limiting potassium intake.
Correct Answer is C
Explanation
A. While a splenectomy can lead to increased workload on the liver, it does not directly predispose the patient to liver disease.
B. A history of splenectomy does not specifically increase the risk of lupus.
C. Patients who have undergone splenectomy are at increased risk of certain infections, particularly encapsulated bacteria such as Streptococcus pneumoniae, which can cause pneumonia.
D. A history of splenectomy does not directly increase the risk of renal disease.
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