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A nurse can assess cyanosis in a dark-skinned patient by assessing the color of which body part?

A.

lips and mucous membranes.

B.

sclera.

C.

abdomen

D.

soles of the feet.

Answer and Explanation

The Correct Answer is A

A. Lips and mucous membranes. Cyanosis is best assessed in areas where the skin is thin, and the underlying blood vessels are more visible.
B. Sclera. Sclera is usually white, and cyanosis is not well-assessed here.
C. Abdomen: The abdomen is not an ideal site for assessing cyanosis due to thicker skin and less visible blood vessels.
D. Soles of the feet. The soles of the feet are not reliable for assessing cyanosis due to skin thickness and pigmentation.
 


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Related Questions

Correct Answer is D

Explanation

A. COPD: While COPD is a chronic condition that can be exacerbated by infections, it is not directly caused by decreased immune resistance.
B. Atelectasis: Atelectasis refers to the collapse of part of the lung, often due to surgery or immobility, rather than decreased resistance to infection.
C. Bronchitis: Bronchitis is an inflammation of the bronchi, which can be an issue, but pneumonia is more directly related to infection risk.
D. Pneumonia: Pneumonia is an infection of the lungs and older adults with decreased immune resistance are at increased risk for developing this condition

Correct Answer is C

Explanation

A. The patient has decreased perceptions: This is a sign of panic anxiety, not necessarily severe anxiety.

B. The patient has increased motivation: Increased motivation is associated with mild to moderate anxiety.

C. The patient has a feeling of impending doom: This is a hallmark of severe anxiety, characterized by intense fear and a sense of catastrophic events.

D. The patient could cause harm to self or others: This is more indicative of panic or extreme anxiety with loss of control.

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