The nurse is assessing a client with gallstones for jaundice. Which action should the nurse perform to confirm this information?

A. Observe the client's urine for dark orange color. Dark urine may indicate jaundice due to excess bilirubin excretion, but it is not a definitive assessment method. Other conditions, such as dehydration or certain medications, can also cause urine discoloration. B. Examine the client's sclera for icterus. The sclera is one of the first places jaundice becomes visible due to bilirubin deposition. Checking for yellow discoloration in the sclera is a reliable method to confirm jaundice, especially in clients with gallstones. C. Assess conjunctival sacs of lower lids for pallor. Pallor in the conjunctival sacs is used to assess anemia rather than jaundice. While anemia and jaundice may coexist in some conditions, conjunctival pallor does not confirm jaundice. D. Review recent serum bilirubin levels. While laboratory results provide an objective measure of bilirubin levels, the nurse's immediate role in assessment involves direct observation. Examining the sclera for icterus is a faster way to confirm jaundice before laboratory results are reviewed.