A young woman with severe jaundice has an altered body image. The patient says, "Will I always be this horrible color?" What is the best response by the nurse?
"No. The color will fade gradually as liver inflammation decreases."
"Yes, but cosmetics can disguise the color."
"Yes, but your sclera will return to their previous white color."
"No. The color will change to freckles."
The Correct Answer is A
A. "No. The color will fade gradually as liver inflammation decreases.": This response provides accurate information and reassurance, addressing the patient's concerns about her appearance while being supportive.
B. "Yes, but cosmetics can disguise the color.": This dismisses the patient’s concerns and is not empathetic or accurate, as jaundice usually resolves when liver function improves.
C. "Yes, but your sclera will return to their previous white color.": While the sclera may clear up, this does not address the entire issue of jaundice affecting skin color.
D. "No. The color will change to freckles.": This is misleading and untrue, potentially worsening the patient's anxiety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Abdominal tenderness: This can indicate serious complications, such as bowel obstruction or perforation, and must be reported immediately.
B. Abdominal spasms: This is a common side effect of lactulose due to increased bowel motility but is not immediately concerning unless severe.
C. Nausea: A mild, common side effect of lactulose that usually resolves with continued use.
D. Flatulence: A common, benign side effect caused by fermentation of lactulose in the colon.
Correct Answer is D
Explanation
A. Systemic infection: While liver disease can compromise immunity, systemic infection is not the most significantly increased risk.
B. Urinary infections: Liver disease does not directly increase the risk of urinary infections.
C. Drug allergy: Liver disease does not specifically increase the incidence of drug allergies.
D. Drug toxicity: Liver disease impairs drug metabolism, particularly of medications metabolized by the liver. This increases the risk of drug toxicity.
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