A dark-skinned client was admitted in respiratory distress. When planning to assess for cyanosis the nurse recognizes that:
A)
cyanosis in clients with dark skin will need to be checked.
B)
it is not possible to assess color changes in clients with dark skin.
C)
cyanosis can be seen on the lips and mucous membranes of clients with dark skin.
D)
cyanosis will blanch with direct pressure to the soles of the feet in dark-skinned clients.
C
Explanation:
A)
A bluish discoloration of the mucous membranes indicates cyanosis in clients with dark skin.
Application
Assessment
Physiological Integrity: Physiological Adaptation
B)
A bluish discoloration of the mucous membranes indicates cyanosis in clients with dark skin.
Application
Assessment
Physiological Integrity: Physiological Adaptation
C)
A bluish discoloration of the mucous membranes indicates cyanosis in clients with dark skin.
Application
Assessment
Physiological Integrity: Physiological Adaptation
D)
A bluish discoloration of the mucous membranes indicates cyanosis in clients with dark skin.
Application
Assessment
Physiological Integrity: Physiological Adaptation
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