During an assessment of a dark-skinned client with COPD, what the nurse be looking for if assessing for cyanosis?
A. Yellowish -green color of the palms of the hands and soles of the feet.
B. Grayish-blue tone in the mucous membranes and nail beds.
C. Deeper brown or purple skin tone in skin creases
D. Skin tone deeper than normal
. A client’s body appears to have his arms and legs straight , toes pointed downward , and the head and neck are arched backward what type of posture is this
A. Decorticate
B. Deranged
C. Dysconjugate
D. decerebrate
. On performing a spinal assessment on your client, it is noted but the shoulders are rounded causing a visible?
A. Scoliosis
B. Lordosis
C. Kyphosis
D. Spondylosis
1.
During an assessment of a dark-skinned client with COPD, the nurse looking for Grayish-blue tone in the mucous membranes and nail beds if assessing for cyanosis.
It's because it's very difficult to assess cyanosis in dark-colored person due to skin color but you can assess cyanosis discoloration in mucus membranes and nail beds because these 2 are not affected by dark color.
Answer -B. Grayish-blue tone in the mucous membranes and nail beds.
2.
A client’s body appears to have his arms and legs straight, toes pointed downward, and the head and neck are arched backward, this is known as decerebrate posture.
A patient shows this posture to an external stimulus in brain damage.
Answer - D. decerebrate
3.
On performing a spinal assessment on your client, it is noted but the shoulders are rounded causing a visible it is known as Kyphosis.
Answer - C. Kyphosis
During an assessment of a dark-skinned client with COPD, what the nurse be looking for if...
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