The nurse is completing a physical examination for a client who is ane

The nurse is completing a physical examination for a client who is anemic. In assessing the cli-ent’s eyes, a sign assessed by the nurse that is consistent with the diagnosis is:

1. Xanthelasma
2. Petechiae
3. Corneal arcus
4. Pale conjunctiva

ANSWER

ANS: 4
Pale conjunctiva is an assessment finding consistent with the diagnosis of anemia. Xanthelasma is caused by hyperlipidemia. Petechiae appear on the skin in clients with platelet deficiency (thrombocytopenia). Petechiae on the conjunctivae is consistent with a fat embolus or bacterial endocarditis. Corneal arcus is caused by hyperlipidemia in young to middle-age adults. It is a normal finding in older adults with arcus senilis.