The nurse observes yellow-tinged sclera in a client with dark skin. Based on this assessment finding, what does the nurse do next?
a. Assess the client's pulses.
b. Examine the soles of the client's feet.
c. Inspect the client's hard palate.
d. Auscultate the client's lung sounds.
C
Jaundice can best be observed in clients with dark skin by inspecting the oral mucosa, especially the hard palate, for yellow discoloration. Because sclera may have subconjunctival fat deposits that show a yellow hue, and because foot calluses may appear yellow, neither of these areas should be used to assess for jaundice. The client's pulse and lung sounds have no correlation with an assessment of jaundice.
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