Which assessment finding calls for the most immediate further assessment or interventions?
A. Bilateral erythema of the face and neck.
B. Bluish color around the earlobes and lips.
C. Dark brown spotting on the back and chest.
D. Yellow color of the skin and sclera.
Correct Answer: B. Bluish color around the earlobes and lips.
A blue color or cyanosis may indicate that the client has significant problems with circulation or ventilation. More detailed assessments are needed immediately.
Options A, C, and D: The other data may also indicate health problems in major body systems, but potential respiratory or circulatory abnormalities are the priority.
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