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anr17 anr17
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Posts: 1064
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6 years ago
On physical assessment of the skin of a patient, the nurse documents cyanosis. What other related assessment should the nurse perform?
 
  A.
  Ask the parent about yellow and orange vegetable intake.
  B.
  Draw blood for hemoglobin, hematocrit, and liver function studies.
  C.
  Palpate all the child's lymph nodes, assessing for enlargement.
  D.
  Take the child's vital signs, including blood pressure and pulse.
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wrote...
6 years ago
ANS: D
Cyanosis may indicate a compromised cardiorespiratory state, and the nurse should assess measures of cardiac output and respiratory function. Taking vital signs will give the nurse information about these two systems. Vegetable intake, laboratory studies (including liver function tests), and palpating lymph nodes are not related to cyanosis.
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