Pneumonia

Pneumonia ( 35 Questions)

A nurse is assessing a client with pneumonia and observes that the client's skin and lips have a bluish tint. What is the nurse's most appropriate action?


Correct Answer: B

A) Incorrect. A bluish tint to the skin and lips (cyanosis) is not a normal skin tone variation and should be assessed further.

B) Correct. Central cyanosis, indicated by bluish discoloration of the skin and lips, can be a sign of oxygen deprivation and should be reported to the healthcare provider.

C) Incorrect. While providing comfort measures is important, addressing cyanosis requires a medical evaluation.

D) Incorrect. Hydration is essential, but central cyanosis is more concerning and should be evaluated by a healthcare provider.




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