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 C
Explanation
A. Bright orange: This is not characteristic of bile duct obstruction and may be caused by certain medications like rifampin.
B. Pale yellow: Normal urine color does not indicate bile obstruction.
C. Amber: Bile duct obstruction causes bilirubin to build up in the bloodstream, leading to dark, amber-colored urine.
D. Red: Red urine suggests hematuria (blood in urine), not bile duct obstruction.
Correct Answer is D
Explanation
A. Lubricates the intestinal wall and softens stool: This describes the action of lubricant laxatives, such as mineral oil, not stimulant laxatives.
B. Draws water into the bowel to facilitate the passage of feces: This describes osmotic laxatives, such as polyethylene glycol or lactulose.
C. Increases bulk and stimulates peristalsis: This describes bulk-forming laxatives, like psyllium, which absorb water and increase stool size.
D. Irritates the intestine directly, promoting peristalsis and evacuation: This is the correct mechanism for stimulant laxatives, such as bisacodyl and senna. They stimulate the nerve endings in the intestinal lining, leading to increased bowel movement activity.
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