The nurse is preparing to assess a client with darker skin for jaundice. Which assessment technique should the nurse use?
A. Use a bright lamp and a magnifying glass.
B. Inspect the lips, oral mucosa, sclera, conjunctivae, and palms.
C. Assess the skin the same way you would inspect a client with lighter skin.
D. Press the client's skin and observe for blanching.
Answer: B
You might also like to view...
The physician reports that a patient with a neck tumor has a tracheal shift. The nurse is aware that this means that the patient's trachea is:
a. Pulled to the affected side. b. Pushed to the unaffected side. c. Pulled downward. d. Pulled downward in a rhythmic pattern.
Which symptom would be classified as a mild transfusion reaction?
a. Orthopnea b. Tachycardia c. Hypotension d. Wheezing
The nurse is planning care for an adolescent client who has systemic lupus erythematosus (SLE). Which action by the client indicates the implemented plan of care is appropriate?
A) Refusing to attend school B) Refraining from attending any social functions C) Discussing skin changes with the healthcare provider D) Discussing skin changes with a good friend
The nurse completes a nutritional assessment with a client scheduled for surgery. For which BMI should the nurse suggest that this client have enteral therapy for 2 weeks prior to the surgery?
a. > 25 b. < 25 c. > 30 d. < 18.5