Try our free nursing testbanks today. click here to join
Teas 7 test, Hesi A2 and Nursing prep
Nursingprepexams LEARN. PREPARE. EXCEL!
  • Home
  • Nursing
  • TEAS
  • HESI
  • Blog
Start Studying Now

Take full exam for free

While assessing a client who takes acetaminophen for chronic pain, the nurse observes that the client's skin looks yellow in color. Which action should the nurse take in response to this finding?

A.

Use a pulse oximeter to assess oxygen saturation.

B.

Advise the client to reduce the medication dose.

C.

Report the finding to the healthcare provider.

D.

Check the client's capillary glucose level.

Answer and Explanation

The Correct Answer is C

Rationale:

 

A. Jaundice is not related to oxygen saturation, so using a pulse oximeter is not appropriate in this situation.

 

B. Reducing the dose of acetaminophen may be necessary, but this decision should be made after evaluating liver function.

 

C. Jaundice, characterized by yellowing of the skin, can indicate liver dysfunction, possibly due to acetaminophen overuse or toxicity. The nurse should report this finding to the healthcare provider immediately for further evaluation and management.

 

D. Checking capillary glucose levels is not relevant to the assessment of jaundice.


Free Nursing Test Bank

  1. Free Pharmacology Quiz 1
  2. Free Medical-Surgical Quiz 2
  3. Free Fundamentals Quiz 3
  4. Free Maternal-Newborn Quiz 4
  5. Free Anatomy and Physiology Quiz 5
  6. Free Obstetrics and Pediatrics Quiz 6
  7. Free Fluid and Electrolytes Quiz 7
  8. Free Community Health Quiz 8
  9. Free Promoting Health across the Lifespan Quiz 9
  10. Free Multidimensional Care Quiz 10
Take full exam free

View Related questions

Correct Answer is D

Explanation

Rationale:

A. Renal creatinine clearance is important in assessing kidney function but is not directly related to divalproex sodium therapy.

B. While CBC monitoring is essential, especially for detecting thrombocytopenia, liver function tests are more critical in this context.

C. A chemistry panel is valuable but does not specifically monitor for the primary risks associated with divalproex sodium.

D. Divalproex sodium (valproate) can cause hepatotoxicity, so monitoring liver function tests (LFTs) is crucial. Regular LFTs help detect early signs of liver damage, which can be a serious adverse effect of this medication.

Correct Answer is B

Explanation

Rationale:

A. Pulse volume and bruit are different assessments; pulse volume is not graded in the context of auscultation findings.

B. A bruit is an abnormal sound heard over an artery, indicating turbulent blood flow, often due to stenosis or narrowing. Documenting a "left carotid artery bruit present" accurately reflects the findings.

C. The presence of a bruit does not necessarily mean the pulse is strong or that there is occlusion.

D. A bruit indicates turbulent flow, not necessarily complete occlusion.

Quick Links

Nursing Teas Hesi Blog

Resources

Nursing Test banks Teas Prep Hesi Prep Nursingprepexams Blogs
© Nursingprepexams.com @ 2019 -2025, All Right Reserved.