Nokea
A yellow tinge to the skin that may indicate obstruction in the flow of bile from the liver is known as ____.
Correct Answer: jaundice
Rationale: Jaundice is a yellow tinge to the skin; it may indicate obstruction in the flow of bile from the liver.
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A health care provider needs to assess extension of a patient's hip joint. In what position should the nurse place the patient?
- A. Sims
- B. Prone
- C. Lithotomy
- D. Dorsal recumbent
Correct Answer: B
Rationale: Prone position is used to assess extension of a patient's hip joint.
When collecting data related to the present illness the nurse must obtain detailed and comprehensive data. What does this data help to establish?
- A. A patient problem
- B. A nursing care plan
- C. Appropriate interventions
- D. Nursing orders
Correct Answer: C
Rationale: The data collected related to the present illness must be detailed and comprehensive to allow planning of appropriate interventions.
An older adult patient is being assessed for skin turgor. The nurse identifies decreased skin turgor demonstrated by slow return of the skin to the previous position after being grasped and raised. What can the nurse conclude is responsible for this assessment?
- A. Dehydration
- B. Edema
- C. Skin breakdown
- D. Malnutrition
Correct Answer: A
Rationale: Dehydration results in decreased skin turgor.
The signs and symptoms of both infection and inflammation include erythema edema and pain. What is considered the major difference between infection and inflammation?
- A. Inflammation is a result of bacteria.
- B. Inflammation is a protective response.
- C. Inflammation is a disease process.
- D. Inflammation produces tissue damage.
Correct Answer: B
Rationale: Inflammation is a protective response.
Which are infectious diseases?
- A. Measles
- B. Pneumonia
- C. Hay fever
- D. Tuberculosis
- E. Osteoarthritis
- F. Acquired immunodeficiency syndrome
Correct Answer: A,B,D,F
Rationale: Infectious diseases result from the invasion of microorganisms into the body. Examples of infectious diseases include acquired immunodeficiency syndrome (AIDS), tuberculosis, measles, and pneumonia. Hay fever is a manifestation of an allergic reaction, and osteoarthritis is an example of a degenerative disease.