The nurse notes a yellowish discoloration of the client's skin, but it does not involve the sclera or mucous membranes. The nurse should question the client about:
1. Dietary intake.
2. History of hepatitis.
3. Ethnicity.
4. Food allergies.
Dietary intake.
Rationale: The yellowish discoloration of the client's skin could be carotenemia. It is often associated with a high intake of foods with carotene (sweet potatoes, squash, and carrots). Jaundice associated with liver involvement will usually involve the sclera of the eyes. Asians have a higher level of carotene in their skin, which causes a yellow hue to the skin, but it does not cause a yellowish discoloration. Food allergies do not cause discoloration of the skin, but will usually cause a reaction such as a rash or urticaria.
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