Tuesday, July 18, 2023

The nurse is assessing for the presence of cyanosis in a male dark-skinned client.. Lips



The nurse is assessing for the presence of cyanosis in a male dark-skinned client.

The nurse understands that which body area would provide the best assessment?
  • a. Lips
  • b. Sacrum
  • c. Earlobes
  • d. Back of the hands

Answer A.

In a dark-skinned client, the nurse examines the lips, tongue, nail beds, conjunctivae, and palms of the hands and soles of the feet at regular intervals for subtle color changes.
In a client with cyanosis, the lips and tongue are gray; the palms, soles, conjunctivae, and nail beds have a bluish tinge.