The nurse assesses a client and finds that the client's skin... | W6 NR302 Exam 2

Practice Question

The nurse assesses a client and finds that the client's skin is yellowish-brown. Which additional structure should the nurse check to confirm the presence of jaundice?

Answer Choices:

A. Sclera ✓ Correct Answer

B. Hair follicles

C. Ears

D. Nail beds

Correct Answer:

Sclera

Rationale:

✓ Jaundice results from excess bilirubin in the blood, which deposits in tissues, giving a yellow discoloration most visible in the sclera (whites of the eyes).

✓ The sclera provides a reliable site for detection because it lacks pigmentation that may mask the yellow hue seen in darker skin tones.

✓ Checking scleral color helps differentiate true jaundice from skin conditions like carotenemia.

✓ Early identification aids in evaluating hepatic function and determining causes such as liver disease or biliary obstruction.

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A nurse assesses an alert adolescent who sustained a recent sports related head injury. The client reports feeling nauseated with head pain 8/10. Which additional finding(s) require Immediate intervention?

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B. The client reports feeling lightheaded.

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Answer Choices:

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W6 NR302 Exam 2

55 Questions

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Question Details

Category: RN - Nursing Exam(s)
Subcategory: Examplify/Examsoft Exams
Domain: MED-SURG - EXAMSOFT
Answer Choices: 4

NursingSprint

Practice Question

The nurse assesses a client and finds that the client's skin is yellowish-brown. Which additional structure should the nurse check to confirm the presence of jaundice?

Correct Answer:

Rationale:

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More Practice Questions

A nurse assesses an alert adolescent who sustained a recent sports related head injury. The client reports feeling nauseated with head pain 8/10. Which additional finding(s) require Immediate intervention?

The nurse is assessing the skin of a client with suspected varicella (chickenpox). The lesions appear like blisters, are elevated up to 1 cm, and contain free fluid. Which type of primary skin lesion should the nurse document to describe these findings?

A client asks the nurse to explain the benefits of weight management. How should the nurse respond?

The nurse is caring for a group of clients. Which client should the nurse assess first?

The nurse plans to teach a group of clients on the recommended practices for monitoring and maintaining skin health. What should the nurse include in the teaching? Select all that apply.

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W6 NR302 Exam 2

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Practice Question

The nurse assesses a client and finds that the client's skin is yellowish-brown. Which additional structure should the nurse check to confirm the presence of jaundice?

Correct Answer:

Rationale:

Want to practice more questions like this?

More Practice Questions

A nurse assesses an alert adolescent who sustained a recent sports related head injury. The client reports feeling nauseated with head pain 8/10. Which additional finding(s) require Immediate intervention?

The nurse is assessing the skin of a client with suspected varicella (chickenpox). The lesions appear like blisters, are elevated up to 1 cm, and contain free fluid. Which type of primary skin lesion should the nurse document to describe these findings?

A client asks the nurse to explain the benefits of weight management. How should the nurse respond?

The nurse is caring for a group of clients. Which client should the nurse assess first?

The nurse plans to teach a group of clients on the recommended practices for monitoring and maintaining skin health. What should the nurse include in the teaching? Select all that apply.

From Exam

W6 NR302 Exam 2

Question Details

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