Question

The registered nurse is preparing to perform a physical assessment of a client with darker skin who is suspected to have jaundice. Which statement by the nurse indicates effective technique?

Answer 1

Answer:

I will examine the sclera closest to the iris

Explanation:

Jaundice is a popular term that describes a yellowish tinge to the skin of the eye and the sclera. The whites of the eye, especially those closest to the iris is stained with a yellow tinge, which is dependent on bilirubin level. Hence if the nurse says she would examine the sclera closes to the iris, then she is simply saying she will examine the whites of the eye and therefore indicates effective technique.