When assessing a patient with hepatitis, the nurse notes a yellow tinge to the patient's skin. What does the nurse understand as the most likely cause of the jaundice?
a. Heart
b. Liver
c. Brain
d. Intestines
Question 2A patient has discoloration of an area of their mucous membrane caused by extravasation of blood into the subcutaneous tissue. What should the nurse document that the patient has?
a. Dyspnea
b. Cyanosis
c. Diaphoresis
d. Ecchymosis
Question 3When admitting a patient to the hospital, the nurse notes the patient has mild sunburn. How should the nurse document this finding?
a. Dyspnea
b. Cyanosis
c. Erythema
d. Ecchymosis
Question 4A nurse is caring for a patient with congestive heart failure. During the physical assessment, the nurse notes the patient is experiencing difficulty breathing. What should the nurse document that the patient is experiencing?
a. Dyspnea
b. Cyanosis
c. Diaphoresis
d. Ecchymosis
Question 5During a physical assessment, the nurse notes that a patient has bright red blood in the feces. What does the nurse recognize as the most likely cause of this bleeding?
a. Bleeding in the upper intestinal tract
b. Bleeding in the lower intestinal tract
c. Bleeding in the entire intestinal tract
d. Consumption of cranberry juice
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