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.