The nurse is planning to assess an African American's integumentary status. Which of the following statements by the client is most consistent with the presence of cyanosis?
1. "The whites of my eyes don't look as white anymore; they have a little bit of a yellow cast to them.".
2. "My nails look a little bit bluish.".
3. "My nails are bright red.".
4. "My palms and the inside of my mouth look really pale.".
2
Rationale 1: The client who states that the sclerae appear yellowish may have become jaundiced.
Rationale 2: Cyanosis is more readily assessed in the nail beds, oral mucous membranes, and conjunctivae in clients with darker skin color.
Rationale 3: The client with bright red nails may be experiencing a sign of polycythemia.
Rationale 4: The client with pale palms and mucous membranes may have developed pallor.
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