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."

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. "Imagery may help control pain.": This is an appropriate pain management strategy.

B. "Sitz baths are ordered to soothe the area.": Sitz baths are commonly recommended for pain relief and hygiene after hemorrhoidectomy.

C. "Fluids are restricted.": Adequate hydration is essential to prevent constipation, which can strain the surgical site.

D. "Bleeding should be reported.": Postoperative bleeding, beyond minor spotting, is a concerning symptom and should be reported promptly.

A. Fats B. Protein C. Carbohydrates D. Water-soluble vitamins

Correct Answer is B

Explanation

A. Fats: Restricting fats is not typically indicated in cirrhosis, unless the patient has specific issues like gallbladder disease or pancreatitis.

B. Protein: When ammonia levels rise in cirrhosis (leading to hepatic encephalopathy), restricting protein intake can help reduce the production of ammonia, as proteins are broken down into ammonia in the body.

C. Carbohydrates: Carbohydrates are generally not restricted in cirrhosis. They are important for energy, especially in patients with liver disease.

D. Water-soluble vitamins: There is no need to restrict water-soluble vitamins in cirrhosis unless there is a specific deficiency or malabsorption.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse provides education to a patient after a hemorrhoidectomy. Which statement by the patient demonstrates the need for further instruction?

Correct Answer is C

Explanation

What is necessary to restrict when the ammonia level of a patient diagnosed with cirrhosis continues to rise?

Correct Answer is B

Explanation

The nurse is assessing a patient's mouth and notes white, milk curd-appearing plaques attached to the oral mucosa. Which condition is present?

A nurse is contributing to the plan of care for a client who has cirrhosis and ascites. Which of the following interventions should the nurse recommend for inclusion in the plan of care?

A nurse is caring for a patient diagnosed with diverticulosis and assesses a temperature of 102.4° F and abdominal rigidity. What should the nurse be aware is the most likely cause of these signs and symptoms?

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?

What is pruritus related to in the patient diagnosed with hepatitis?

Which herb has been used in many cultures to provide relief of nausea associated with pregnancy?

After receiving a tube feeding, a nurse assesses the patient to be sweaty with abdominal distention and diarrhea. What is the most likely cause of this response?

The nurse is caring for a patient receiving palliative care with opioid-induced constipation. Laxative therapy has been unsuccessful in treating this patient. Which PRN medication should the nurse provide to best alleviate this type of constipation?