Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Adult

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A college professor was diagnosed with hepatitis A. She expresses concern over the change in her skin color that is associated with her disease. The nurse informed the patient that change in her skin color is associated with:
  1. Inability of the liver to excrete normal amounts of bilirubin from the blood stream
  2. Stimulation of the liver to produce excessive amounts of bile pigment
  3. Low prothrombin levels that leads to intradermal bleeding
  4. Destruction of RBC’s during the acute phase of the disease
Explanation
Answer - A - The nurse must recognize that the development of jaundice is associated with the inability of the liver to excrete normal amounts of bilirubin from the blood stream. Damage to the liver cells greatly affect its ability to facilitate the excretion of bilirubin from the blood, with resulting deposition in the skin and sclera.
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