A 37-year-old male presents at the emergency department reporting severe vomiting for the past 48 hours. When assessing skin turgor, the nurse will
a. exert pressure against the shin.
b. gently pinch the skin together over the sternum.
c. assess for vein distention.
d. inspect oral mucous membranes.
ANS: B
Skin turgor is assessed by gently pinching the skin together over the sternum, on the forehead, or on the forearm. Elasticity is present and skin rapidly returns to a flat position in the well-hydrated patient. Exerting pressure against the shin would assess for edema. Vein distention and oral mucous membranes are indicators of hydration status but are not considered when assessing skin turgor.
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