Hesi rn health assessment proctored exam
The nurse is performing oral inspection of a client with dark pigmented skin. The nurse observes a patchy discoloration of the buccal mucosa. Which action should the nurse take?
Explanation & Rationale
A. Documenting the finding is important to ensure proper record-keeping, especially in clients with dark pigmented skin, where some variations in skin tone may be normal. B. Asking about antibiotics is unnecessary unless there's suspicion of a drug-induced reaction or side effect. C. While use of irritating chemicals could cause changes, this scenario does not directly suggest that as the cause. D. Referral to a dermatologist is not required without further investigation to determine if the discoloration is concerning.
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