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    RN Comprehensive Predictor 2026 Proctored Exam V2

    A nurse is performing a skin assessment on a client who has dark skin. Which of the following locations on the client's body should the nurse observe to assess for cyanosis?

    Explanation & Rationale

    In clients with dark skin, cyanosis is best assessed in areas with less melanin and more mucous membrane tissue: the palms of the hands, soles of the feet, oral mucosa, and conjunctivae. These areas reveal color changes more reliably than darkly pigmented skin on the sacrum, shoulders, or trauma sites. The oral mucosa and nail beds are also excellent assessment sites for cyanosis in dark-skinned clients.

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