A patient with dark skin has been admitted for treatment of anemia. The nurse would plan which physical assessments for pallor in this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Assess for areas of vitiligo.
2. Look for an ashen appearance.
3. Inspect the palpebral conjunctiva.
4. Assess the color of the earlobes.
5. Inspect the sclera.
2,3
Rationale 1: Vitiligo is the absence of pigmentation. The nurse would not assess for pallor in area with vitiligo.
Rationale 2: Dark skin takes on an ashen or dull appearance when pallor is present.
Rationale 3: The palpebral conjunctiva, or inside the lower eyelid, are pale when pallor is present.
Rationale 4: The nurse would not assess for pallor in the earlobes of a dark-skinned patient.
Rationale 5: The sclera is a good place to assess for jaundice, but not pallor, in a patient with dark skin.
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