Question

While bathing a patient with liver dysfunction, the nurse notes yellow skin tone. The nurse should document this finding as:

1)
Pallor.
2)
Erythema.
3)
Jaundice.
4)
Cyanosis.

Answer 1

The yellow skin tone in a patient with liver dysfunction should be documented as jaundice, which is caused by the accumulation of bilirubin in the body.

Step-by-step explanation:

When a patient with liver dysfunction exhibits a yellow skin tone, the nurse should document this finding as jaundice. This discoloration is caused by the buildup of bilirubin, a yellow pigment, which accumulates in the body when the liver is unable to remove it effectively. This often occurs in people with liver disease, such as hepatitis, liver cancer, or as a result of obstruction of bile flow. Jaundice is characterized by yellowing of the skin, mucous membranes, and the sclera of the eyes.