To confirm jaundice in a dark-skinned patient, the nurse should assess the sclera of the eyes, as well as the palms and the soles of the feet. These areas provide a clearer indication of jaundice due to their lighter pigmentation in comparison to other parts of the skin.
To confirm jaundice in a dark-skinned patient, the nurse should assess the sclera of the eyes. Jaundice, which is characterized by yellow discoloration of the skin and eyes, can be more difficult to detect in dark-skinned individuals through the skin due to melanin pigment. Examining the sclera, the white part of the eye, for yellowish discoloration provides a more reliable assessment as it is less affected by skin pigmentation. Other areas that might also be checked include the palms of the hands and the soles of the feet where the skin is lighter.
For accurate diagnosis, healthcare providers may also rely on other signs and symptoms of jaundice, as well as laboratory tests to measure bilirubin levels. Jaundice can indicate underlying conditions affecting the liver, gallbladder, or red blood cells, requiring further medical investigation.