The nurse is triaging a client and notes pallor and cyanosis of the oral cavity and lips. Which action by the nurse is the priority based on the assessment data?

Question

Quizplus · Accepted Answer

Pallor and cyanosis of the oral cavity and lips are indicative of decreased oxygenation. Administering oxygen is the priority to improve the client's oxygenation status. IV fluids and providing a warm drink may be interventions for other issues but are not the priority in this situation. Providing oral hygiene may be appropriate once the client's oxygenation status has been addressed.

The Nurse Is Triaging a Client and Notes Pallor and Cyanosis