When the color of the sclera is yellow due to bilirubin that infiltrates all tissues of the body it is called:

jaundice

erythema

ecchymosis

Fetid

Answer and Explanation

The Correct Answer is A

A. Jaundice – Jaundice results from elevated bilirubin levels, commonly due to liver disease, hemolysis, or bile duct obstruction. The yellow discoloration is most noticeable in the sclera.

B. Erythema – Erythema refers to redness of the skin, often due to inflammation or increased blood flow.

C. Ecchymosis – Ecchymosis refers to bruising caused by blood leakage under the skin.

D. Fetid – Fetid refers to a foul odor, not a discoloration of tissues.

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Correct Answer is C

Explanation

A. After palpating the abdomen – Palpation may alter bowel sounds by stimulating peristalsis, leading to inaccurate findings.

B. After checking for kidney tenderness – Checking for kidney tenderness (costovertebral angle tenderness) is unrelated to bowel auscultation and should not precede it.

C. Before percussing the abdomen – Auscultation should be done before percussion and palpation to avoid artificially stimulating bowel sounds.

D. Before inspecting the abdomen – Inspection should always come before auscultation to visually assess the abdomen for distension, symmetry, and discoloration before listening.

A. percussion B. palpation C. auscultation D. Inspection

Correct Answer is B

Explanation

A. Percussion – Percussion helps assess the size, location, and density of organs but is not the primary technique for identifying tenderness.

B. Palpation – Palpation involves using the hands to assess for tenderness, swelling, temperature changes, and masses. It is the most effective method for detecting areas of tenderness.

C. Auscultation – Auscultation involves listening to internal body sounds, such as heart, lung, and bowel sounds, and does not assess tenderness.

D. Inspection – Inspection is visual observation of the body for abnormalities but does not involve physically assessing for tenderness.

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When the color of the sclera is yellow due to bilirubin that infiltrates all tissues of the body it is called:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is checking a client's bowel sounds. At which of the following times should the nurse auscultate the client's abdomen?

Correct Answer is C

Explanation

When performing a physical examination of the patient, the nurse uses a technique that is particularly useful in identifying areas of tenderness. This technique is:

Correct Answer is B

Explanation

Short, discrete, interrupted crackling or bubbling adventitious breath sounds heard most commonly on inspiration is termed:

You answer Ms. B's call light just after lunch. She complains of severe abdominal pain. What type of assessment should you perform?

An abnormally slow heart rate, below 60 beats per minute is called:

The nurse is obtaining a history of the patient's present illness. The PQRST system is being used for the interview. In this system the R is:

The nurse uses a systematic method for collecting data on all body systems including normal functioning and any noted changes. This system is:

When the color of the sclera is yellow due to bilirubin that infiltrates all tissues of the body it is called:

Although the signs and symptoms of both infection and inflammation include erythema, edema, and pain, the major difference is that inflammation:

The nurse has been assigned to care for a 62 year-old man. After introducing herself to the patient and explaining that she will be performing a nursing assessment, what is the first area to be assessed after taking vital signs?