188) ANSWER
D) Hard palate of the oral cavity
RATIONALE
Jaundice in the dark-skinned client can best be observed by assessing the hard palate. Normally, fat may be deposited in the layer beneath the conjunctivae that can reflect as a yellowish hue of the conjunctivae and the adjacent sclera in contrast to the dark periorbital skin. In these clients, palms and soles might appear jaundiced, but instead, calluses on the surface of their skin can make the skin appear yellow. Note that the question is referring to liver toxicity, which would appear as jaundice. Recall that assessment involves looking in the client s mouth for skin discoloration. If this was difficult, review alterations to physical assessment.
D) Hard palate of the oral cavity
RATIONALE
Jaundice in the dark-skinned client can best be observed by assessing the hard palate. Normally, fat may be deposited in the layer beneath the conjunctivae that can reflect as a yellowish hue of the conjunctivae and the adjacent sclera in contrast to the dark periorbital skin. In these clients, palms and soles might appear jaundiced, but instead, calluses on the surface of their skin can make the skin appear yellow. Note that the question is referring to liver toxicity, which would appear as jaundice. Recall that assessment involves looking in the client s mouth for skin discoloration. If this was difficult, review alterations to physical assessment.
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