The nurse is performing a health assessment and notes a yellow tinge to the sclera of the eye. The nurse should document this as being
1. cyanosis.
2. jaundice.
3. pallor.
4. erythema.
Correct Answer: 2
Rationale 1: Cyanosis is a bluish color to the skin, mucous membranes, or nails.
Rationale 2: Jaundice is a yellow tinge that is abnormal and is often noticed in the sclera of the eye.
Rationale 3: Pallor is a term used to describe paleness.
Rationale 4: Erythema is a term used to describe redness.
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