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 A
Explanation
A. Anxiety related to uncertainty of the events of the test: Addressing the patient's anxiety and providing information about the procedure can help reduce fear and improve cooperation.
B. Deficient knowledge related to lack of information regarding the procedure: While providing information is important, the immediate emotional response (anxiety) takes priority as it can impact the patient's experience of the procedure.
C. Disturbed thought process related to confusion: While disturbed thought processes are relevant, they are not the primary concern pre-procedure.
D. Disturbed thought process related to temporary memory loss: Temporary memory loss can occur post-ECT, but addressing pre-procedure anxiety is a more immediate priority.
Correct Answer is B
Explanation
A. Schizophrenia is a chronic mental health disorder not characterized by time-specific delirium.
B. Sundowning syndrome refers to increased confusion and agitation in the late afternoon and evening, often seen in patients with delirium or dementia.
C. Disordered thinking can be a symptom of many conditions but does not specifically describe time-related delirium.
D. Dementia is a chronic condition that can include sundowning but does not specifically describe this time-related agitation and confusion.
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