The nurse is caring for a client with highly pigmented skin. Which assessment technique is used to evaluate cyanosis?
A) Blanch the nail beds.
B) Inspect the conjunctiva.
C) Note dullness in skin color.
D) Assess the earlobe.
B
Feedback:
In clients with highly pigmented skin, cyanosis is more accurately detected by inspecting the conjunctiva and oral mucous membranes. The other options do not provide the best assessment for cyanosis.
You might also like to view...
You are conducting a physical examination on a patient and findings include three small nodules in the enlarged right lobe of the patient's thyroid gland. These findings most likely indicate
a. benign epithelial tumors. b. carcinoma of the thyroid. c. retrosternal goiter with adenomatous nodules. d. thyroiditis with benign adenomas.
The functions of endorphins are believed to be: (Select all that apply.)
a. inhibition of unpleasant stimuli. b. diminished anxiety. c. relief of pain. d. feeling of euphoria. e. increased blood pressure.
As the unit manager on the unit that is leading changes to heparin locks, you find that Elizabeth is very valuable in terms of her observations about other units and her knowledge of organizational processes,
and now in discussing the new procedure with others. Elizabeth might be considered an: a. Engager. b. Innovator. c. Informal change agent. d. Informant.
What is the first step in defusing the spiral of incivility?
a. Reflection upon the problem b. Developing a plan to resolve the problem c. Active listening to a fellow worker's ac-counts of incivility d. Reporting the incident to a superior