A nurse can assess cyanosis in a dark-skinned patient by assessing the color of which body part?
lips and mucous membranes.
sclera.
abdomen
soles of the feet.
The Correct Answer is A
A. Lips and mucous membranes. Cyanosis is best assessed in areas where the skin is thin, and the underlying blood vessels are more visible.
B. Sclera. Sclera is usually white, and cyanosis is not well-assessed here.
C. Abdomen: The abdomen is not an ideal site for assessing cyanosis due to thicker skin and less visible blood vessels.
D. Soles of the feet. The soles of the feet are not reliable for assessing cyanosis due to skin thickness and pigmentation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. COPD: While COPD is a chronic condition that can be exacerbated by infections, it is not directly caused by decreased immune resistance.
B. Atelectasis: Atelectasis refers to the collapse of part of the lung, often due to surgery or immobility, rather than decreased resistance to infection.
C. Bronchitis: Bronchitis is an inflammation of the bronchi, which can be an issue, but pneumonia is more directly related to infection risk.
D. Pneumonia: Pneumonia is an infection of the lungs and older adults with decreased immune resistance are at increased risk for developing this condition
Correct Answer is B
Explanation
A. Decreased expiration: This term does not refer to a specific breathing technique used for COPD.
B. Pursed-lip breathing: Pursed-lip breathing helps patients with COPD to maintain open airways, increase expiratory time, and improve oxygen exchange.
C. Increased Inspiration: This term is not a recognized technique and may lead to incorrect breathing practices.
D. Vital capacity: Vital capacity is a measure of lung volume and is not a breathing technique.
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