The nurse is assessing an 82-year-old African American male with sickle cell anemia and notes the sclera of his eyes to be yellow. The nurse correctly interprets this finding as:

a. sickle cell crisis.
b. anemia.
c. jaundice.
d. a normal occurrence.


C
Because of the dark complexion of the African American, the sclera is the best place to assess for jaundice. Jaundice is a yellow discoloration of the skin and/or sclera of the eyes and is usually the result of excessive destruction of red blood cells (hemolysis). Jaundice may occur as a symptom of sickle cell disease or sickle cell crisis. Jaundice is not a normal finding.

Nursing

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