The client is visiting the healthcare provider's office for a head-to-toe assessment. During the nurse's assessment of the client's skin, the nurse notes that the client is pale
Which of the following findings may be related to the client's color? Standard Text: Select all that apply. 1. Client's blood pressure is 96/62.
2. The client states, "I just smoked a cigarette before I came in the office.".
3. The client's oxygen saturation level is 86% on room air.
4. The client states, "I have been diagnosed with osteoporosis.".
5. The client states, "It is snowing again outside with a wind chill factor of –11 degrees Fahrenheit.".
1,2,3,5
Rationale 1: Client's blood pressure is 96/62. Pallor may be seen in the client with hypotension.
Rationale 2: The client states, "I just smoked a cigarette before I came in the office.". It can be produced by the sympathetic nervous stimulation that results in vasoconstriction due to smoking cigarettes.
Rationale 3: The client's oxygen saturation level is 86% on room air. The client with a decreased oxygen saturation level may exhibit pallor.
Rationale 4: The client states, "I have been diagnosed with osteoporosis.". Pallor is not normally associated with osteoporosis.
Rationale 5: The client states, "It is snowing again outside with a wind chill factor of –11 degrees Fahrenheit.". A cold environment can produce vasoconstriction and pallor.
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