Asked by Alina Ramos on Apr 28, 2024
Verified
During a skin assessment, the nurse notices that a Mexican-American patient has skin that is yellowish-brown; however, the skin on the hard and soft palate is pink and the patient's scleras are white. From these findings, what can the nurse rule out?
A) Pallor
B) Jaundice
C) Cyanosis
D) Iron deficiency
Jaundice
A yellowing of the skin and whites of the eyes caused by an increase in bilirubin levels, often indicative of liver dysfunction or blockage of bile ducts.
Scleras
The tough, white outer covering of the eyeball, providing protection and structural support to the eye.
Cyanosis
A bluish or purplish discoloration of the skin and mucous membranes due to inadequate oxygenation of the blood.
- Demonstrate an understanding of the visual and tactile assessment of skin, including color changes and texture abnormalities.
Verified Answer
ZK
Zybrea KnightMay 03, 2024
Final Answer :
B
Explanation :
Jaundice is exhibited by a yellow color of the skin and mucous membranes, which indicates rising levels of bilirubin in the blood. Jaundice is first noticed in the junction of the hard and soft palate in the mouth and in the scleras. Pallor occurs when the red-pink tones from oxygenated Hb are lost and the skin takes on the color of the connective tissue (collagen) which is mostly white. Cyanosis is a bluish-gray color of the skin. Iron deficiency can cause nails with a concave (spoon-like) shape.
Learning Objectives
- Demonstrate an understanding of the visual and tactile assessment of skin, including color changes and texture abnormalities.