NCLEX RN Practice Question # 634

A nurse should assess a client with hemolytic anemia for weakness, fatigue, malaise, skin and mucous membrane pallor, and:

1. jaundice.
2. a smooth red tongue.
3. a craving for ice.
4. a poor intake of fresh vegetables.

hemolytic-anemia

HYPERBILIRUBINEMIA NCLEX REVIEW

Description

Elevated serum bilirubin level
Evaluation is indicated when serum levels are greater than 12 mg/dL in a term newborn.
Therapy is aimed at preventing kernicterus, which results in permanent neurological damage resulting from the deposition of bilirubin in the brain cells.

Assessment

Jaundice
Elevated serum bilirubin levels
Enlarged liver
Poor muscle tone
Lethargy
Poor sucking reflex