To accurately assess for jaundice in a patient with dark skin, the nurse should examine which area of the body?
Explanation
• Jaundice is best assessed in the sclera. However, the dark-skinned patient may normally have yellow pigmentation in the sclera, so assess the area closest to the iris, not the corners of the eye. Inspection of the hard palate for a yellow color can confirm the presence of jaundice.
• Jaundice can also be assessed on the soles of the feet in a patient with dark skin.
• Cyanosis is best observed in the nail beds.
• Skin on the palm of the hand can indicate jaundice, but skin on the back of the hand cannot.