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?

Use a pulse oximeter to assess oxygen saturation.

Advise the client to reduce the medication dose.

Report the finding to the healthcare provider.

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

Take full exam free

View Related questions

A. White blood cell count of 6,000/mm3 (6 x 109/L). B. Decreased blood urea nitrogen. C. Hearing has decreased. D. Reports of photophobia.

Correct Answer is C

Explanation

Rationale:

A. A WBC count within the normal range does not indicate an adverse effect of gentamicin.

B. Gentamicin is more likely to increase BUN levels due to nephrotoxicity rather than decrease them.

C. Gentamicin is an aminoglycoside antibiotic known to cause ototoxicity, which can lead to hearing loss. Decreased hearing is a significant adverse effect that should be promptly addressed.

D. Photophobia is not a common side effect of gentamicin.

A. Intranasal edema and swelling of turbinates. B. Purulent secretions from eyes and nares. C. Snoring and bilateral, pale gray nodules. D. Eye tearing and thick yellow nasal drainage.

Correct Answer is A

Explanation

Rationale:

A.Allergic rhinitis is characterized by intranasal edema and swelling of the turbinates due to inflammation caused by allergens. This is a common physical finding in clients with allergic rhinitis.

B.Purulent secretions typically indicate an infection rather than an allergic condition.

C.Bilateral, pale gray nodules might suggest nasal polyps, which are associated with chronic sinusitis rather than acute allergic rhinitis.

D.Eye tearing is common in allergic rhinitis, but thick yellow nasal drainage suggests an infection rather than an allergic reaction.

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?

Free Nursing Test Bank

Correct Answer is C

Explanation

Correct Answer is A

Explanation

Quick Links

Resources

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?

Free Nursing Test Bank

A male client has been receiving the antibiotic gentamicin sulfate, IV piggyback every 12 hours for several days. Which observation by the nurse indicates that the client may be experiencing an adverse effect of gentamicin? Reference Range: White Blood Cell [5000 to 10,000/mm3 (5 to 10 x 109/L)]

Correct Answer is C

Explanation

A client is being evaluated for environmental allergies. While examining the client's nasal passage, which finding suggests to the nurse that the client is experiencing allergic rhinitis?

Correct Answer is A

Explanation

The nurse is preparing a bladder irrigation for an adult client who has a long-term indwelling urinary catheter. The urine is cloudy with fibrin clots and sediment. Which intervention should the nurse implement?

In assessing a client's neck, the nurse hears a blowing swish when auscultating the area over the left carotid artery, but hears no sound over the right carotid artery. How should the nurse document this finding?

Which intervention is most important for the nurse to implement when administering medications?

A client who is taking an oral contraceptive receives a new prescription for erythromycin. Which instruction should the nurse provide to the client?

An older client who is experiencing urinary incontinence is brought to the clinic with increased confusion. The nurse observes serous drainage from a laceration on the client's left arm. Which assessment is most important for the nurse to obtain?

When systematically auscultating a client's anterior breath sounds, the nurse should begin by placing the stethoscope over which location?

A client asks the nurse to look at a mole located on the back. The client tells the nurse that the mole has changed from brown to black and enlarged in size. Which is the priority nursing action?

An older client is admitted to the medical-surgical unit after falling and fracturing the left hip. The nurse is reviewing written preoperative instructions with the client and spouse. Which action should the nurse implement while providing these instructions?

Quick Links

Resources

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?