The nurse is assessing a client who is hospitalized for dehydration from persistent vomiting. How would the nurse assess that the client's skin turgor is related to the state of dehydration?
A) When the nurse pinches up skin of the hand, there is rapid recoil.
B) The client has wrinkles of the chest.
C) The nurse grasps the skin over the sternum between the thumb and forefinger with slow recoil observed.
D) The nurse grasps the skin over the sternum between the thumb and forefinger with rapid recoil of the skin observed.
C
Feedback:
The nurse determines the quality of skin turgor by grasping the skin, such as that over the sternum, between the thumb and forefinger. Normally, the skin returns to its original position immediately after being released. Loose, dry skin and tenting may indicate dehydration. The hand is not the best place to assess turgor because there may be loose skin present.
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