A client whose skin has developed a bluish hue is diagnosed by the primary care provider as having cyanosis. What action should the nurse take in this case?
A) The nurse should give the client a tepid bath.
B) The nurse should monitor for a sudden increase in temperature.
C) The nurse should monitor the oxygen level in the client's bloodstream.
D) The nurse should place a cool cloth on the client's forehead.
C
Feedback:
Cyanosis is a condition caused by hypoxia or lack of oxygen in the bloodstream. It can also occur because of hypothermia or a severe decrease in temperature. The nurse should monitor the oxygen level in the client's bloodstream and should also check the body temperature of a client who has developed cyanosis. A client with a fever, not cyanosis, should have a cool cloth placed on the forehead or given a tepid bath, so that the heat can be transferred by conduction.
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