The nurse observes yellow-tinged sclera on a client with dark skin. Based on this observation, what is the nurse's best action?
a. Evaluate the client further for hepatitis.
b. Examine the soles of the client's feet.
c. Inspect the client's oral mucosa.
d. Place the client in contact isolation.
C
The nurse can best observe jaundice in clients with dark skin by inspecting the oral mucosa, es-pecially the hard palate, for yellow discoloration. Sclera may have subconjunctival fat deposits that show a yellow hue. Before considering hepatitis, the nurse must do a more thorough assess-ment. The soles of the feet may appear yellow simply from calluses, so this is not the best place to assess. No need to isolate the client has been identified.
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