NursingPlex
    Sign In
    Hesi bsn 315 rn pharmacology 35504 proctored exam

    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?

    Explanation & Rationale

    A. Report the finding to the healthcare provider: Yellow skin (jaundice) suggests possible liver dysfunction, which can be caused by acetaminophen toxicity. Promptly reporting this finding is critical to ensure timely evaluation and intervention. B. Advise the client to reduce the medication dose: The nurse should not independently instruct the client to change medication dosages, especially when signs of toxicity are present. Dose adjustments must be made by the healthcare provider based on assessment. C. Use a pulse oximeter to assess oxygen saturation: Yellow skin is not related to oxygenation status, so measuring oxygen saturation will not provide useful information about this specific concern. D. Check the client’s capillary glucose level: Jaundice does not indicate a glucose imbalance; therefore, checking glucose levels is not a priority action related to yellow skin in this context.

    🔒 Submit your answer to reveal