What is the recommended action for a nurse if a client has developed jaundice?

The recommended action of documenting the findings and monitoring closely after identifying jaundice aligns with standard nursing practice. Jaundice indicates an increase in bilirubin levels in the blood, which can result from various conditions affecting the liver or biliary system.

In this context, documentation serves multiple purposes: it provides a complete record of the client’s condition for future reference, allows for tracking of changes over time, and ensures that any necessary interventions can be based on accurate and timely information. Ongoing monitoring is essential to observe for any developments or complications related to liver function, as well as how the patient responds to potential treatments.

While evaluating for signs of pain, hepatic encephalopathy, and notifying the healthcare provider are important components of care, immediate documentation and monitoring are foundational steps that ensure a comprehensive approach to patient safety and quality care. Assessments and notifications can follow as a part of the ongoing management strategy once the initial observations are clearly recorded.