NCLEX^® QUESTION OF THE WEEK

Question of the Day – June 16, 2022

June 16, 2022

The nurse is asked to monitor a client with cardiac disease for the presence of cyanosis. Which body area is the best site for checking for this condition?

Show Answer Answer

Correct! The answer is number 1

Rationale:

Answer: 1

Rationale: The presence of cyanosis can best be seen in the nailbeds, the conjunctivae, and the oral mucosa. Pallor is best seen in the buccal mucosa or the conjunctivae, particularly in dark-skinned clients. Jaundice can be best assessed in the sclera, near the limbus at the junction of the hard and soft portions of the palate, and over the palms.

Additional Info

Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process/Data Collection
Content Area: Adult Health: Cardiovascular
Health Problem: Adult Health: Cardiovascular: Vascular Disorders

Practice Question Sourced From: Saunders Q & A Review for the NCLEX-PN® Examination, 5th Edition