HESI Registered Nurse EXIT Practice Exam

What is the appropriate nursing intervention for a client with hyperbilirubinemia?

1. Encouraging high-fat diet

2. Administering hydration fluids

3. Monitoring for jaundice

4. Providing a low-protein diet

The correct answer is: Monitoring for jaundice

Monitoring for jaundice is a key intervention for a client with hyperbilirubinemia because jaundice is a prominent clinical manifestation of elevated bilirubin levels in the body. By closely observing the client for signs of jaundice, such as yellowing of the skin and sclera, the nurse can assess the severity of the condition and determine if further interventions are necessary. This monitoring is crucial in determining the effectiveness of treatments, evaluating the progression of liver function, and providing necessary education to the client and their family about what to expect. In addition, recognizing jaundice can help the healthcare team identify any potential complications early, allowing for timely medical responses to prevent further health issues. This proactive approach supports optimal patient care in managing hyperbilirubinemia and any underlying conditions related to liver function or bile obstruction.