When inspecting the skin of a client, the nurse notes a bluish ...

[yoroshambo]

When inspecting the skin of a client, the nurse notes a bluish tinge to the skin. What condition would the nurse document?
 
  A) Jaundice
  B) Cyanosis
  C) Erythema
  D) Pallor

Question 2

A nurse is performing a general survey of a client admitted to the hospital. Which of the following actions is an element of this procedure?
 
  A) Taking vital signs
  B) Palpating the integument
  C) Identifying risk factors for altered health
  D) Assessing the head and neck

[sierrahalpin]

Answer to Question 1

Ans: B
Cyanosis is a bluish or grayish discoloration of the skin in response to inadequate oxygenation. Jaundice is a yellow color of the skin resulting from liver and gallbladder disease, some types of anemia, and excessive hemolysis. Erythema is redness of the skin associated with sunburn, inflammation, fever, trauma, and allergic reactions. Pallor is paleness of the skin, which often results from a decrease in the amount of circulating blood
or hemoglobin, causing inadequate oxygenation of the body tissues.

Answer to Question 2

Ans: A
The general survey is the first component of the physical assessment. It includes observing the client's overall appearance and behavior, taking vital signs, and measuring height and weight. Information from the general survey provides clues to the client's overall health. Palpating the integument and assessing the head and neck are part of the physical assessment. Identifying risk factors for altered health occurs in the health history.

[yoroshambo]

TYSM

[mcabuhat]

Excellent