The nurse is examining a patient with dark skin. In assessing for ...

[eruditmonkey@yahoo.com]

The nurse is examining a patient with dark skin. In assessing for pallor, at which of the following will it be best for the nurse to specifically look?
 
  a. Lips and tongue
  b. Skin creases and folds
  c. Hard palate
  d. Sclera

Question 2

The nurse will be starting a new intravenous (IV) infusion and needs to select the site for the insertion. In selecting a site, the nurse should do which of the following?
 
  a. Start with the most distal site.
  b. Look for hard, cord-like veins.
  c. Use the dominant arm.
  d. Vigorously rub and tap the chosen vein.

[manuelcastillo]

Answer to Question 1

A

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A Pallor is more easily seen in a dark-skinned patient when assessing the conjunctiva, sclera, buccal mucosa, tongue, lips, nail beds, palms, and soles of feet.
B Skin creases and folds are darker than the rest of the body in the dark-skinned patient.
C The hard palate is not a good site to assess for colour changes such as pallor.
D The best site to inspect for jaundice, not pallor, is the sclera.

Answer to Question 2

A
Venipuncture should be performed distal to proximal, which increases the availability of other sites for future IV therapy. The nurse should avoid veins in an extremity with compromised cir-culation, such as a dialysis graft.
The nurse should avoid hardened, cord-like veins.
The nurse should use the nondominant arm, if possible.
The nurse should avoid vigorous rubbing and tapping, which causes injury to the veins.

[eruditmonkey@yahoo.com]

Excellent

[mohan]

Gracias!