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A nurse is performing an integumentary assessment for a group of clients. Which of the following findings should the nurse recognize as requiring immediate intervention?

A. Pallor
B. Cyanosis
C. Jaundice
D. Erythema

User Jamisha
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1 Answer

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Final answer:

Among the integumentary assessment findings, Cyanosis requires immediate intervention as it signals a severe lack of oxygen in the blood, potentially indicating a respiratory or cardiac emergency.

Step-by-step explanation:

The integumentary assessment findings that require immediate intervention include Pallor, Cyanosis, Jaundice, and Erythema. However, among these, Cyanosis is the most concerning as it indicates a severe lack of oxygen in the blood, which can result from serious respiratory or cardiac issues that require urgent attention to prevent life-threatening complications.

Jaundice is usually associated with liver diseases and involves an excess of bilirubin, leading to the yellowing of the skin and eyes. While jaundice is a significant clinical finding, it often is not an immediate life-threatening emergency, unlike Cyanosis.

Erythema, or skin redness, may indicate inflammation or infection, which can be serious but not usually requiring immediate intervention as Cyanosis does. Pallor, or paleness, can indicate anemia or other conditions but also does not usually represent an immediate life threat.

User Lbartolic
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