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    Hesi lpn exit proctored examQuestion 151
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    Hesi lpn exit proctored exam

    When gathering data about a client with dark skin tones, which site should the practical nurse (PN) observe?

    Explanation & Rationale

    A. Forehead and face: The forehead and face may show subtle changes in color, but hyperpigmentation or natural skin tone variations can make it difficult to accurately assess pallor, cyanosis, or jaundice in clients with dark skin. B. Sclera and mucous membranes: The sclera of the eyes and oral mucous membranes are reliable sites for assessing pallor, cyanosis, or jaundice in clients with dark skin because these areas have less pigmentation and allow better visualization of changes in tissue perfusion or oxygenation. C. Hands and feet: While the hands and feet can sometimes indicate changes in circulation, they may also reflect natural variations in pigmentation, temperature, or peripheral blood flow, making assessment less reliable in darker-skinned clients. D. Finger and toe nails: Nail beds can be examined for capillary refill and oxygenation, but darker nail beds or pigmentation may obscure subtle color changes, limiting their effectiveness as the primary site for assessment in clients with dark skin tones.

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