ATI RN
RN ATI Fundamentals of Nursing Questions
Extract:
Question 1 of 5
A nurse is assessing for cyanosis in a client who has dark skin. Which of the following sites should the nurse examine to identify cyanosis in this client?
Correct Answer: D
Rationale: The correct answer is D: Conjunctivae. Cyanosis is the bluish discoloration of the skin due to decreased oxygen levels in the blood. In dark-skinned individuals, cyanosis can be difficult to detect on the skin. The conjunctivae, the mucous membranes lining the inner surface of the eyelids and covering the sclera of the eyes, are a reliable site to assess for cyanosis in individuals with dark skin. The blood vessels in the conjunctivae are more superficial, making it easier to detect the bluish hue indicative of cyanosis.
Incorrect choices:
A: Dorsal surface of the foot - Cyanosis may not be easily visible on the foot due to the thickness of the skin and presence of melanin.
B: Dorsal surface of the hand - Similar to the foot, the hand's skin thickness and melanin content can make it challenging to identify cyanosis.
C: Pinnae of the ears - Cyanosis may
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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